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A Podiatrist Says These 5 Ankle Exercises Beat Walking for Balance After 65

By Sydney Parker · Thursday, September 24, 2026
Finn's Take· TL;DR
  • Walking alone doesn't challenge vestibular system or lateral stability; targeted ankle exercises better prevent falls in adults over 65.
  • Five accessible bodyweight exercises—heel raises, ankle alphabets, single-leg balance, and resistance band work—effectively strengthen stabilizing muscles walking misses.
  • The nervous system remains trainable at any age; consistent ankle-focused training produces meaningful improvements in strength, balance, and independence.
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Why Walking Alone Isn't Enough After 65

Most people over 65 who want to stay steady on their feet lace up their sneakers and head out for a walk. It's a reasonable instinct — but according to one podiatric surgeon, it's not nearly enough. Walking remains a cornerstone of cardiovascular health, but it does little to challenge the body's vestibular system or lateral stability. That gap, experts say, is exactly where falls happen.

Aging adults often experience a gradual decline in proprioception — the body's ability to sense its location in space. When that internal GPS starts to fade, even routine movements like stepping off a curb or turning quickly can become genuinely dangerous. Older adults especially need balance exercises to help prevent falls, and the risk of falling goes up after age 65. The solution, according to a Houston-based foot specialist, is surprisingly simple and requires almost no equipment.

The Expert Behind the Recommendations

Dr. Rizwan Tai is a podiatrist and podiatric surgeon in Houston, Texas, who has been in the industry for over a decade and specializes in foot and ankle health. He argues that the ankles are one of the most overlooked parts of the aging body — and one of the most consequential. Your ankles play a crucial role in supporting your body weight and lower-limb movements, particularly in everyday activities like walking, climbing stairs, and working out.

According to Dr. Tai, adults over 65 frequently suffer ankle injuries during daily activities, sports, and leisure because lower limbs often do not receive necessary strengthening attention. His prescription isn't a gym membership or expensive gear. According to Dr. Tai, you do not need resources like balance boards — accessible, bodyweight, and resistance band exercises can effectively rebuild ankle stability. That accessibility is a big part of what makes his recommendations so practical for older adults.

The 5 Exercises Dr. Tai Recommends

The five moves cover a range of stability challenges. Heel raises involve rising onto the balls of your feet from a supported standing position, holding for one second, and lowering down to build lower-limb stability. For those just starting out, a countertop or sturdy chair back works perfectly as support. Ankle alphabets are a seated mobility movement where you lift one foot off the ground and slowly draw the letters of the alphabet in the air with your big toe — a deceptively challenging drill that engages a wide range of ankle muscles.

Single-leg balance is another cornerstone of the routine. Stand tall on a flat surface with your feet hip-width apart and arms at your sides, shift your body weight onto one foot, lift the other foot off the ground, and activate your core while keeping your shoulders stacked over your ribs and your hips level. The fifth exercise brings in a resistance band: begin seated on a sturdy chair with one leg extended ahead of you, loop a resistance band around the forefoot of your working foot with the other end secured to a stable anchor point, and gradually turn your foot inward, working against the resistance and moving from the ankle. Together, these moves target the stabilizing muscles that walking simply doesn't reach.

Building a Habit That Actually Sticks

Incorporating specialized balance work directly addresses the stabilizing muscles surrounding the ankles, hips, and core. The encouraging news is that the body responds well to this kind of targeted training at any age. The nervous system remains remarkably trainable, a property researchers call neuroplasticity. That means it's never too late to make meaningful improvements.

Incorporating these exercises into a regular routine can lead to substantial improvements in ankle strength and balance, ultimately enhancing quality of life as one ages. Following Dr. Tai's recommendations, older adults can achieve greater independence and mobility, ensuring they engage fully in both leisure and daily activities. The broader takeaway is straightforward: walking is still worth doing, but pairing it with even a short daily balance routine could be the difference between staying on your feet and a fall that changes everything.

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