Online physical therapy · Ankle Pain

Online Physical Therapy for Ankle Pain

Work one-on-one with a physical therapist by video and follow a plan built for your ankle, at home, without the drive to a clinic.

Dr. Alex on a video visit, with the motivPT exercise app on a phone

Ankle pain that keeps slowing you down?

Your first steps out of bed are stiff and sore
It aches after a walk, a run or a long day on your feet
Stairs, hills and uneven ground make you careful
The back of your heel hurts when you push off
An old sprain never felt quite right again
You've cut back on walks, runs or games you used to enjoy
Person holding a sore ankle

When to see a doctor first

Some ankle pain needs a medical exam the same day. Go to urgent care or the emergency room if your ankle pain comes with:

You can't put weight on it or take four steps
Tenderness right on the ankle bone, or the ankle looks out of shape
A sudden pop or kicked feeling at the back of the heel, then trouble pushing off
Numbness, or a foot that turns cold, pale or blue
Calf pain with swelling, warmth or redness
A hot, red, swollen ankle with fever

If anything like this comes up during your plan, your physical therapist will tell you to get it checked.

Get a free exercise video for ankle pain

A short follow-along exercise from Dr. Alex, the kind our ankle plans start with. We’ll email it to you right away.

Dr. Alex practicing single-leg balance at home

How we treat ankle pain online

For most ongoing ankle pain, treatment is movement: getting the ankle to bend again, then building the strength and balance it needs for your day. Your plan usually moves through four stages.

Calm it down

Movement your ankle tolerates, and short-term changes to how far you walk, what you wear and how you train, so it can settle without you stopping everything.

Get your range back

Bending the ankle up and down again, a little at a time, so stairs, squats and walking downhill stop feeling stiff.

Build strength and balance

Your calf, foot and hip, plus standing on one leg, so the ankle can handle longer walks, uneven ground and quick changes of direction.

Back to what you stopped

Walking, running, hiking or your sport, built back up step by step. Then a routine you can keep on your own.

A Body Assessment by video with a motivPT physical therapist

At your first visit (the Body Assessment), your physical therapist asks how the pain started and what makes it better or worse, then watches you move by video: walking, rising onto your toes, squatting, stepping down from a stair and balancing on one leg. We check your back and hip too, because pain around the ankle can start higher up. A physical therapist doesn’t diagnose disease; what we find is which movements your ankle tolerates now, which it doesn’t yet, and how to build from one to the other.

Common causes of ankle pain

Achilles tendon pain

Pain and stiffness at the back of the heel, often after adding miles, hills or jumping too quickly.

An old sprain that never settled

Ligaments that healed loose, or balance that never came back, so the ankle keeps aching or giving way.

Arthritis

Wear in the ankle joint, often years after an injury, with stiffness that's worst after rest.

After surgery or a fracture

Stiffness and weakness left over from weeks in a cast, boot or on crutches.

Overuse

Lots of running, standing or walking on hard ground, irritating the tendons along the inside or outside of the ankle.

Weak feet, calves or hips

Muscles that tire before the day is done, so the ankle takes more of the load. Exercises for strong feet

How long does ankle pain take to get better?

It depends on what’s behind it. Many people with ongoing ankle pain notice changes within a few weeks once the daily load suits the ankle. Tendon pain, like Achilles pain, usually takes a few months of steady strengthening, and an ankle that is stiff after surgery, a fracture or arthritis can take longer.

Your 8-week plan starts from where you are and changes at every check-in. Every ankle is different, so we won’t promise a timeline, but we will tell you honestly what we see.

Recovering from Achilles surgery? Start here: Achilles surgery recovery timeline: the first 4 months

Older woman walking a forest trail with walking poles

Your 8-week ankle plan

$489 for 8 weeks, about $61 a week

Dr. Alex with the motivPT app showing a home exercise playlist

No referral needed. HSA and FSA accepted. Less than the cost of two traditional clinic visits.

How it works

Step 1

Free 15-minute consult

Talk about what hurts and what you want to get back to.

Step 2

Body Assessment

30 minutes by video, from home, in clothes you can move in.

Step 3

Your playlist

Daily exercises in the app, starting the next day.

Step 4

Check-ins

Short video visits whenever something changes.

Dr. Alex, physical therapist at motivPT

Your physical therapist

Dr. Alex is the physical therapist behind motivPT. He works with you by video, watches how you move, and adjusts your plan as you go. Meet Dr. Alex

From Achilles Pain to the London Marathon

A patient's story

Charlie, a runner, worked with motivPT on Achilles pain on the way to the London Marathon. Read Charlie’s story

Questions about online physical therapy for ankle pain

Does online physical therapy work for ankle pain?

For most ongoing ankle pain, the treatment is exercise and education, and both can be delivered by video. Your therapist watches you walk, balance and rise onto your toes on camera, adjusts each exercise and changes the plan as you improve.

Do I need a referral?

No referral is needed. Start with a free 15-minute consult.

Can I use my HSA or FSA?

Yes. motivPT accepts HSA and FSA cards.

Do I need equipment?

Most ankle programs start with a wall, a step and a chair. Your plan includes a FitKit with the equipment it needs.

Can physical therapy help Achilles tendon pain?

Physical therapy for Achilles pain usually centers on strengthening the calf and tendon at a load they tolerate. Your therapist sets that load, checks how the tendon feels the next day, and adjusts from there.

Can you help after ankle surgery or a fracture?

Yes, once your surgeon or doctor has cleared you for physical therapy. Your plan follows their instructions on how much weight to put through the leg, then builds range, strength and walking from there.

Should I rest my ankle until it stops hurting?

Short rest after a flare can help, but long rest tends to leave an ankle stiffer and weaker. Movement at a level that doesn't flare the pain is usually better, and your therapist shows you where that level is.

Which states do you see patients in?

Colorado, Michigan, Minnesota and Wisconsin.

Talk to a physical therapist about your ankle

Book a free 15-minute consult. We’ll ask what’s going on and tell you honestly whether online PT is a good fit.

Seeing patients in Colorado, Michigan, Minnesota and Wisconsin.