Do you have foot pain?  Are you a dancer?  Whether dancer or not, we all use our feet daily. If you are having pain, continue reading for my favorite ‘Pilates for foot pain’ exercise, to strengthen your feet and improve your posture from the ground up.


Lower extremity injuries comprise up to 91% of injuries in dancers, and the foot and ankle complex up to 57% of those. The towel curl exercise (where you curl a towel towards you on the floor with your toes) is often given in rehab, but recent evidence shows that the activation of the foot core, specifically a muscle called the abductor hallucis is over four times greater during the short foot or doming exercise when compared to towel curl exercises. According to one study, there is increasing evidence to suggest that training the foot core via short foot or doming exercise progressions can decrease foot pain, improve foot function, reduce arch collapse and improve balance ability.  I think we would all benefit from these things, not just dancers!  Who’s ready to try some foot pilates?!


In the foot, there are four layers of plantar intrinsics or local muscles that have the primary function of stabilising the arch.  They act to control the degree and velocity of arch deformation.  One of our primary goals in Pilates is correcting abnormal movement patterns.  Why not use that same principle in the feet!  When the feet are not functioning properly the foundation becomes unstable and malaligned resulting in abnormal foot movement and usually foot pain as well.   The extrinsics or global movers cross the ankle joint and insert on the foot.  These muscles are the prime movers of the foot.  Often times issues develop because the smaller intrinsic muscles are inhibited and the extrinsic muscles which are designed to create bigger motion are also trying to stabilize which can result in injury, decreased balance, decreased proprioception and ultimately foot pain and poor mechanics.


A common exercise that I see dancers and others given is curling the toes (Image A) – this is especially not good for dancers because it overworks the Flexor Hallucis Longus (FHL), and reinforces the incorrect mechanics of pointing the feet.  FHL tenosynovitis is so common in dancers that it is referred to as “dancers tendonitis.”  For those who aren’t dancers, the risks of FHL tenosynovitis may not be so much of a concern, however, if there is a more effective way of strengthening the foot, why not spend your time doing that instead?!

Practicing doming correctly or as I call it Pilates for the Foot – by activating the Flexor Hallucis Brevis (FHB), abductor hallucis and lumbricals of the feet is an extremely effective way to prevent this career threatening injury for dancers, as well as strengthen our arch and improve the ability of our feet to take load, whatever your ‘load’ of choice.


There should be no “crunching” of the big toe, as seen in Image A. There should also not be excessive anterior tibialis activity (Image B) which is used to ‘pull the arch’ up.  Overuse can easily lead to medial tibial stress syndrome or ‘shin splints’.  Image C is the correct movement.  We are looking to create a triangle shape at the big toe joint without any movement at the ankle (inversion/eversion for healthcare professionals, sickling/beveling for dancers).

If you are a healthcare professional who treats dancers and would like a bit more information, check out our Pilates for Dancers Online course here.





foot is pointing with incorrect mechanics by crunching the big toe

Image D: Crunching when pointing – indicating overuse of FHL and underuse of foot intrinsics


Correct mechanics of pointing the foot without crunching the big toe

Image E: Corrected


Are you having some difficulty performing these?  If it seems harder than it looks to get the correct movement, I promise you are not alone!  It can be a bit of a pat your head and rub your tummy exercise.  One tool that I have found to be extremely effective before doing any foot core exercises is using the spiky massage balls. They will wake up the little muscles that you are trying to work and get your nervous system primed to establish communication between your brain and your muscles!  Keep at it, even if you have to use your hands to help your foot do the motion at first.  Your body is amazing and with practice you will see noticeable improvement!

As a dancer, physical therapist and pilates instructor, Kirsten loves movement and exploring how to improve the way the body moves. One of her passions is injury prevention, whether for the dancer, the athlete or the weekend warrior, she hopes to help keep people doing what they love for longer. Learn more about Kirsten on our speaker page and follow her on instagram @drkroberts


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