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Video: AskDoctorJo, on YouTube

foot & ankle focus

Heel Raise off a Step

Calf raise with the heel dropping below a step, lowering slowly. Loading the tendon under control is what builds it back.

Key cue: Rise up on both feet, then take three slow seconds to lower down on one.

Area
foot & ankle
Level
intermediate
Volume
3 × 12, lowering over 3 seconds
Goal
recovery

How to do it

  1. 1Stand with the balls of both feet on a step, heels off the back.
  2. 2Hold a rail or wall for balance.
  3. 3Rise onto your toes over one second.
  4. 4Lower the heels below the step over three slow seconds.

Easier and harder versions

Easier
Start on flat ground with both feet, rising and lowering over three seconds, before adding the step.
Harder
Rise on both feet, then lower on one foot only, keeping a hand on a rail. Later, hold a light bag in the other hand.

Helps with

Commonly used for:

Achilles tendinopathyPlantar fasciitisCalf weakness after a sprain

Part of these condition plans

Where it fits in the step-by-step plans on our condition pages.

Benefits

  • Builds calf and tendon capacity
  • The best-evidenced exercise for Achilles and heel pain
  • Improves push-off when walking

Muscles worked

Front
Back

Strengthening. Strengthens your calves, Achilles tendon and ankle stabilizers.

CalvesAchilles tendonAnkle stabilizers

Form tips

  • The slow lowering is the part that works — do not rush it.
  • Once 12 is easy on two legs, try lowering on one.

Common mistakes

  • Dropping quickly instead of lowering.
  • Rolling the ankles outwards at the top.

When to avoid or modify

  • Sudden severe calf pain or a snapping feeling: stop and get it checked the same day
  • Recent Achilles rupture or surgery, unless your surgeon or physiotherapist has cleared it
  • Sharp Achilles pain during the exercise: stop
  • Pain or stiffness that is worse the next morning: do fewer and slower next time, and get advice if it stays
  • Poor balance: keep a rail or wall within reach throughout

If in doubt, check with a qualified physiotherapist before continuing.

The ladder

  1. Ankle Circles1/4
  2. Calf RaisesToo hard? Step back to this2/4
  3. Heel Raise off a StepThis one3/4
  4. Single-Leg Calf RaiseToo easy? Move up to this4/4

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