While not the same, Achilles Pain and Plantar Fasciitis can come from the same mechanism – insufficient dorsiflexion. Dorsiflexion is the ability of your ankle to flex in a way that gets the top of your foot closer to your shin. How much you need depends on the movements you want to do. For example, at least 10 degrees is needed for walking on a flat surface and at least 15 degrees is needed to run on a flat surface. If you want to add hills or uneven surfaces to the game, you are going to need more.

Getting more dorsiflexion isn’t as easy as stretching your calves. In fact, stretching past your range of dorsiflexion is what probably caused the pain in your heel or achilles in the first place. When you dorsiflex, a bone called the talus rolls anteriorly, but then needs to glide posteriorly. Sometimes, we feel this lack of glide when we flex our ankles and feel a resistance or “hard stop” at the front crease of the ankle. This lack of glide overstretches the tissue on the backside of the ankle, and over time, can create inflammation at the heel or the achilles depending on where we are weaker, what’s happening with the rest of our gait, and other factors.

To gain back dorsiflexion, we need to establish heel rock. This is our ability to invert and evert at the calcaneus (heel bone). Watch the video below to practice this move.

After we understand inversion and eversion (and probably discover we lack eversion), we combine this motion with the entire movement range of the ankle.

After we establish this range of motion, we move on to working directly on our dorsiflexion. This next exercise can be hard the knees if done on the floor (as shown). You can modify it by placing the foot that you are working on up on a chair or table.

Once we increase the range of our dorsiflexion, we will want to gain control of it with this next exercise.

Finally, we want to work the eccentric (loaded and lengthening) of dorsiflexion to ensure we have the strength we need when we are out on our runs, hikes, and walks.

It is important to remember that if you currently have pain, you may need to include an anti-inflammatory method in your recovery. You can talk to your doctor about what is best for you. These things need to work in combination to reduce the inflammation and prevent the injury from coming back. Anti-inflammatory options alone (such as ibuprofen and cortisol shots) will not fix the mechanics of the problem that got you in pain in the first place. Meaning, as the anti-inflammatories wear off, you could be back at square one if you have not done the work to fix the issue (not to mention you are leaving a lot of strength and power on the table by not expressing your full range of motion).

Your best option? Prevention. Start these exercises now so you don’t have to experience pain in the future.

Want more? Koa Fit’s Online Library has 35+ routines not just for ankles, but for hips, shoulders, low back, and more. Try it out today boy clicking here.