Do you have a contraindication to bearing weight on your foot due to an injury, fracture, or cast after surgery?
Do you want to continue exercising to avoid too much muscle or cardiovascular deconditioning? Great idea!
Here are 7 things you can do, which we physical therapists commonly help our patients implement during their recovery or consolidation phase.
Happy reading 🙂!
Last update: 16 May 2024
Disclaimer: no Affiliate links. Complete disclosure in legal notices.
Written by Nelly Darbois, physical therapist and scientific writer
If you would like more information about this rehabilitation period, I have dedicated an eBook to this topic 🙂!
Summary
1. Stationary Bike
You can try a stationary bike with no resistance or minimal resistance (25W). Concerned about putting too much weight on your foot while pedaling?
Most of your body weight is supported by the seat, making this exercise feasible even without bearing weight on your foot.
Start slowly for 1-2 minutes to see how your body reacts.
If there’s no pain or it subsides after stopping, you can gradually increase your time.
🚨 When is biking contraindicated?
- If you have an unstable fracture needing minimal movement in the ankle or knee.
- If you’re at high risk of poor healing due to complex fractures, severe displacement, osteoporosis, or other risk factors.
Discuss with your physical therapist or doctor if you have any doubts.
2. Bodyweight Strengthening Exercises
This type of exercise is the simplest to implement from this list!
No special equipment needed: You can do any movement as long as you don’t put weight on your foot.
For example, abdominal exercises can be performed without placing weight on the injured foot
2. Bodyweight Strengthening Exercises
Although your foot may be on the ground, it doesn’t bear much weight due to your position. So, even with a cast, you don’t have to keep it elevated!
You can perform bodyweight exercises in various positions:
- Lying on your back
- Lying on your stomach
- Sitting on a chair
- Standing on the leg that can bear weight
🚨 The key is to avoid putting weight on the injured foot and to follow any other specific contraindications, like not bending the knee too much if you have a patella fracture.
3. Strength Training with Machines
If you usually do a lot of sports or weight training, bodyweight exercises alone might not be enough.
You can use additional weights, resistance bands, or machines, but avoid putting weight on the injured lower limb.
For example:
- Use the leg press with your uninjured leg only.
- Perform leg curls with the non-injured leg.
4. Walking
Walking is possible even without bearing weight on your foot, except in rare cases like a pelvic fracture where you can’t stand for weeks. In most cases, you just need to adjust how you walk.
If you’re not allowed to put weight on one foot, use crutches or a walker, depending on your balance. You can walk with toe-touch weight-bearing or strictly no weight-bearing.
Check out my complete guide on how to walk without putting your foot on the ground.
As long as you don’t feel significant pain, or it stops when you rest, you can walk almost unlimited distances without weight-bearing.
If you’re used to walking or exercising a lot, you might walk hundreds of meters or even kilometers without weight-bearing.
If not, you might only manage a few meters at first.
Gradually increasing your walking time or distance daily is beneficial!
5. Swimming
Do you have access to a pool, hydrotherapy, or can easily get to a public pool? Swimming might be an option since the water supports your body.
However, water resistance varies with movement. The type of stroke you can use depends on your injury and comfort level.
🚨 When is swimming contraindicated?
🟠 If you have a cast. Even with waterproof cast covers prolonged immersion isn’t recommended.
🔴 If you have an unhealed wound.
🔴 If you have an unstable fracture that requires minimal movement in your leg joints (ankle, knee, hip).
🔴 If you’re at high risk for poor healing due to a complex, severely displaced fracture, osteoporosis, or other risk factors.
6. Rowing Machine
To use a rowing machine with a cast or injured foot without weight-bearing, you have two options.
You can place the injured foot next to the other on the rower, pushing only with the non-injured leg. Alternatively, you can position the non-weight-bearing leg outside the rower, though this depends on the machine’s design.
🚨 In any case, avoid pushing with the injured foot, as it would impose more strain than a stationary bike.
7. Suspension Training (TRX)
TRX involves using adjustable straps anchored to a fixed point like a pull-up bar, door, or pole. It allows for more challenging exercises without needing much equipment.
🚨 Again, ensure not to bear weight on the injured foot.
***
Here’s what I wanted to tell you about this! I wish you a very good recovery! Do you have any comments or questions? Your comments are welcome 🙂 !
If you feel the need to learn more about the recovery period, I wrote this guide in eBook format:
You may also like:
- Can you drive without weight-bearing?
- How to speed up the healing process after a fracture?
- How to walk after non-weight bearing period?
📚 SOURCES
Robertson GA, Wood AM. Fractures in sport: Optimising their management and outcome. World J Orthop. 2015 Dec 18;6(11):850-63. doi: 10.5312/wjo.v6.i11.850. PMID: 26716081; PMCID: PMC4686432.

Written by Nelly Darbois
I enjoy writing articles that answer your questions, drawing on my experience as a physiotherapist and scientific writer, as well as extensive research in international scientific literature.
I live in the French Alps☀️🏔️, where I enjoy the simple pleasures of life (+ I’m a Wikipedia consultant and the founder of Wikiconsult).


