
The ankle joint is one of the most complex areas of the human body, and plantar flexion is one of its movements. Plantar flexion involves pointing the foot down and away from the leg, and it requires a group of muscles and tendons in the leg and foot. The muscles that plantar flex the ankle include the gastrocnemius, plantaris, soleus, tibialis posterior, flexor digitorum longus, flexor hallucis longus, fibularis longus, fibularis brevis, and peroneus brevis.
| Characteristics | Values |
|---|---|
| Muscles that plantarflex the ankle | Gastrocnemius, Plantaris, Soleus, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Peroneus Longus, Peroneus Brevis |
| Range of motion | 20-50 degrees |
| Flexibility | Less flexible individuals can experience 10° of flexion, while incredibly flexible individuals can experience up to 55° of flexion |
| Mean flexion | Approximately 39.6° |
| Function | Enables activities such as walking, running, swimming, dancing, and riding a bicycle |
| Injury treatment | Rest, ice, compression, and elevation |
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What You'll Learn

Gastrocnemius, soleus, and plantaris muscles
The gastrocnemius, soleus, and plantaris muscles are all involved in plantar flexion, which is the extension of the ankle so that the foot points down and away from the leg. These three muscles are also all part of the calf muscle, which is located in the back of the lower leg.
The gastrocnemius is the most prominent muscle in the calf and makes up about half of it. It runs from the back of the knee to the heel, where it connects to the Achilles tendon. This muscle is one of the main muscles involved in plantar flexion and is also important for walking, running, and jumping.
The soleus is the other main muscle of the calf, and it also helps with plantar flexion. It connects to the tibia and fibula (the bones in the lower leg) and, like the gastrocnemius, attaches to the Achilles tendon at the heel. The soleus is necessary for pushing the foot away from the ground.
The plantaris is a long, thin muscle that runs along the back of the leg, from the end of the thighbone down to the Achilles tendon. It is not present in about 10% of people. The plantaris works together with the Achilles tendon to flex the ankle and knee, enabling actions such as standing on tiptoes.
In addition to plantar flexion, these three muscles play a crucial role in various movements and functions, including walking, running, jumping, and maintaining posture.
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Tibialis posterior and peroneus longus
The tibialis posterior and peroneus longus are two muscles that work together in the middle foot to create support for the weight-bearing arches of the foot and help keep the ankle stable when standing or rising onto the toes. The tibialis posterior is a small muscle located deep in the posterior compartment of the lower leg, between the flexor digitorum longus and the flexor hallucis longus. It is a key stabilising muscle supporting the medial arch of the foot and plays a role in plantar flexion and inversion—when the sole of the foot is turned inward toward the other foot.
The peroneus longus, also known as the fibularis longus, runs along the side of the lower leg to the big toe. It is one of the peroneus muscles, which have been the subject of interesting research findings. Clinicians have expressed concern about the dependency of consistent AFO wear, worrying that it may hinder the function of other muscles or even cause atrophy. However, a study of the peroneus longus muscle after long-term ankle brace wear found that the brace did not diminish the muscle's stretch capabilities in healthy individuals.
The tibialis posterior and peroneus longus are connected through a trapezoid tendinous connection, although this variation has only been observed in the left foot. The main tendon of the tibialis posterior inserts into the lateral tubercle of the base of the first metatarsal bone. The peroneus longus tendon, on the other hand, inserts into the base of the first metatarsal and the medial cuneiform in most feet, with variations observed in cadaver studies.
Strengthening the tibialis posterior muscle can help prevent or treat conditions associated with weakness in this area. This can be done through various exercises and equipment such as therabands and weights. Similarly, maintaining the health and function of the peroneus longus is crucial for overall foot stability and balance during plantar flexion.
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Peroneus brevis
The peroneus brevis is shorter than the peroneus longus and originates from the distal two-thirds of the lateral surface of the fibula and the adjacent part of the anterior intermuscular septum. The muscle fibres course inferomedially along the lateral border of the fibula, comprising a fusiform muscle belly. The peroneus brevis gives off a broad, flat tendon at the level of the distal third of the leg. The tendon courses deep to the tendon of the peroneus longus proximally and anterior to the same structure in its distal aspect. It then continues caudally to pass behind the lateral malleolus to enter the lateral part of the foot. The tendon of the peroneus brevis finally inserts on the tuberosity of the fifth metatarsal bone, posterior to the insertion of the fibularis tertius muscle.
The peroneus brevis is supplied by the superficial fibular (peroneal) nerve, and it is the strongest abductor of the foot. Together with the fibularis longus and the tibialis posterior, it extends the foot downward away from the body at the ankle (plantar flexion). It also assists in plantar flexion along with the fibularis longus. The peroneus longus and peroneus brevis help keep the foot stable.
The most common injuries seen with the fibularis brevis are to the tendon by way of tendinopathy, dislocation/subluxation, sprain, or splitting. Tendon injuries to the fibularis brevis are usually caused by inversion or supination forces. With a lateral ankle sprain, it is possible for the fibularis brevis to tear and cause swelling at the lateral ankle.
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Flexor hallucis longus
The flexor hallucis longus (FHL) is a powerful muscle located on the posterior aspect of the fibula below the deep fascia of the calf. It is one of three deep muscles of the leg. The FHL is a unipennate muscle, meaning its muscle fibres converge to attach on one side of the tendon. The FHL tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longus.
The FHL is an important muscle for walking and balancing, especially on tiptoes. It helps to plantar flex and invert the foot, and flex the big toe. It is also involved in maintaining the medial longitudinal arch.
The FHL tendon wraps around the lower end of the tibia, the back of the talus, and the inferior surface of the sustentaculum tali on the calcaneus, where it passes through a fibrous, synovial-lined tunnel. As the tendon enters the sole of the foot, it lies superficial to the spring ligament, passing forward deep to the tendon of the flexor digitorum longus. It then enters the fibrous sheath of the great toe, passing between the two sesamoid bones to insert at the base of the distal phalanx of the great toe.
Common injuries associated with the FHL tendon include tenosynovitis, tendinopathies, and muscle strains. Due to the small size of the FHL, injuries to this muscle and its tendon are often overlooked. 'Dancer's tendinitis' is a common injury, occurring in ballet dancers, gymnasts, and runners due to excessive use of toe flexion, which results in inflammation and irritation at the site of the sustentaculum tali.
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Flexor digitorum longus
The flexor digitorum longus is a thin muscle that sits deep in the posterior compartment of the lower leg. It is one of three deep muscles in the leg, alongside the flexor hallucis longus and the tibialis posterior. The flexor digitorum longus originates from the medial part of the posterior surface of the tibia, below the soleal line, and medial to the tibial origin of the tibialis posterior muscle. The muscle fibres descend through the medial aspect of the posterior compartment of the leg, with the tendon running through the ankle and along the bottom of the foot.
The flexor digitorum longus is involved in plantar flexion, which is the extension of the ankle so that the foot points down and away from the leg. This movement is important for many daily activities, such as pressing the foot down on a pedal or standing on tiptoes to reach a high shelf. Plantar flexion requires the coordination of several muscles in the ankle, foot, and leg. The flexor digitorum longus is one of the muscles that provide the power to flex the toes during plantar flexion. It flexes the second, third, fourth, and fifth toes, allowing the toes to grip the surface of the floor. This is important for maintaining postural balance, especially on rough or uneven surfaces.
The flexor digitorum longus also plays a role in the propulsion phase of walking, running, or jumping. During these activities, the muscle pulls the toes downwards towards the ground to attain maximum grip and thrust during toe-off. Additionally, the flexor digitorum longus aids in balance by gripping the ground while standing. The muscle receives functional support from the quadratus plantae muscle, which contributes to its stability and strength. The quadratus plantae is a two-headed muscle located in the sole of the foot, with its muscle bellies attaching to the inserting tendons of the flexor digitorum longus.
Injuries to the flexor digitorum longus can occur, especially when running on uneven surfaces without proper footwear. Fractures of the sustentaculum tali can also cause entrapment of the flexor digitorum longus tendon, requiring reconstructive surgery. Treatment for flexor digitorum longus pain or strain includes the use of support braces and warm compresses. Rehabilitation may involve walking or running on different surfaces, such as grass or sand, to challenge the function of the muscle.
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Frequently asked questions
The muscles that plantar flex the ankle include the gastrocnemius, plantaris, soleus, tibialis posterior, flexor digitorum longus, flexor hallucis longus, fibularis longus, and fibularis brevis.
The gastrocnemius is a large calf muscle that makes up half of the calf muscle. It provides the propelling force in running and jumping. It also pulls the heel up and extends the foot downward.
The soleus is a deep muscle in the posterior leg that makes up the bulk of the calf. It is a pure plantar flexor, ideal for activities that require relatively low forces over a long duration, such as standing or controlling postural sway.







































