Free PT Programs

Dozens of evidence-based rehab programs built by a licensed physical therapist. Your email sits untouched. I'll only use it if I have something genuinely worth sending.

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@allenengle.pt

Move better.
Stay out of pain.

Evidence-based programs built by a licensed physical therapist. Pick your track and get started.

🦷

TMD

Jaw pain, clicking, and masticatory dysfunction — addressed at the source

3 Phases
🧠

Cervical Spine

Stiff neck, posture & motor control, radiculopathy, cervicogenic headache & hybrid

5 Sub-Tracks
🫱

Shoulder

Rotator cuff pain, stiffness, instability, anterior overload & overhead athlete

5 Sub-Tracks
💪

Elbow

Lateral tendon, medial tendon & nerve-related elbow pain

3 Sub-Tracks
🦴

Hip

Anterior, lateral, posterior, groin & mobility restriction sub-tracks

5 Sub-Tracks
🔵

Low Back

Flexion, extension & stability sub-tracks

3 Sub-Tracks
🦵

Knee

Patellofemoral pain, ligament/stability, meniscus & knee osteoarthritis programs

4 Sub-Tracks
🦶

Ankle

Acute lateral ankle sprain & chronic ankle instability

2 Sub-Tracks
👣

Foot

Plantar fasciitis, Achilles, forefoot pain, flat foot & mobility restriction

5 Sub-Tracks
🏃

Runner's Program

Shin splints, IT band, patellar tendinopathy, Achilles & stress injuries — cross-regional logic

5 Sub-Tracks
🔙

Thoracic Spine

Mid-back pain, stiffness, rib-related & posture-driven thoracic conditions

3 Sub-Tracks
🧠

Pain Science & Chronic Pain

Understanding pain, breaking the cycle, and rebuilding confidence in movement — for people who have been everywhere and nothing has worked

Education Module
💪

Preventative Care

Posterior chain, strength fundamentals & injury prevention

Progressive
📋
How these programs are built. Each track follows the current APTA Orthopedics (AOPT) clinical practice guideline where one exists, and quotes its evidence grade. Tracks without a guideline (thoracic, TMD, forefoot, anterior shoulder) use the best available research plus clinical expertise, and say so. Last reviewed September 2026. Next review September 2027.

Track your progress with a validated questionnaire at the start and every 4–6 weeks: neck — Neck Disability Index; low back — Oswestry Disability Index; shoulder, elbow or hand — QuickDASH (tennis elbow — PRTEE); hip, knee, ankle or foot — LEFS or FAAM; Achilles — VISA-A; patellar tendon — VISA-P; any condition — Patient-Specific Functional Scale.
⚠️
Not medical advice. These programs are free educational resources for general informational purposes only and are not a substitute for professional medical evaluation, diagnosis, or treatment. Not every program or exercise is appropriate for every person. Use at your own discretion.
📱 @allenengle.pt
@allenengle.pt
Track 1

TMD

Jaw pain, clicking, limited opening, and masticatory muscle tension — addressed at the root.

💡 Want the Best Results?

These exercises will help — but if you want to get the most out of this program, do them alongside these two recommendations.

Busse et al., BMJ 2023 (clinical practice guideline for chronic pain associated with TMD).
⚠️
Get evaluated before starting if your jaw is locked and will not open, you recently injured your jaw or face, you have facial numbness or ear symptoms such as hearing loss, or you are over 50 with new jaw pain when chewing plus headache or scalp tenderness.
Phase 1
Phase 2
Phase 3

Phase 1 — Pain Management

Reduce acute jaw and neck tension, calm the nervous system, begin restoring movement.

Daily until Progression Criteria met
Daily Habit
Jaw Rest Position Awareness
Throughout the day — every day
▼
  • Tongue rests on roof of mouth, just behind upper front teeth
  • Lips closed, teeth slightly apart — no contact between upper and lower teeth
  • Consciously release tension in your jaw — let the muscles go completely soft
  • Check in several times throughout the day, especially during stress or focused tasks
Why it matters

Most TMD patients habitually rest with teeth touching or clenching — this constant low-level muscle activation is a primary driver of jaw pain and headaches. Breaking this habit and consciously relaxing the masticatory muscles throughout the day is the single most impactful thing you can do for TMD. No exercise replaces it.

Daily Habit
Diaphragmatic Breathing + Jaw Release
10 breaths — morning, evening, any time stress spikes
▼
  • Sit tall or lie on back, one hand on chest, one on belly
  • Inhale through nose 4 counts — belly rises, chest stays still
  • Exhale through nose 6 counts — let jaw and face muscles go completely soft on the exhale
  • After each exhale: conscious jaw check — teeth apart, tongue on roof, muscles relaxed
Why it matters

TMD pain is strongly driven by nervous system sensitization and stress. Slow nasal breathing directly downregulates the stress response and reduces jaw muscle tension. Pairing each exhale with a conscious jaw release trains the connection between breath and masticatory relaxation — this is the foundation of biofeedback-based TMD treatment.

1
Cervical Chin Tuck (Supine)
Hold 5 sec × 10–15 reps × 2 sets
▼
  • Lie on back, small rolled towel under neck if comfortable
  • Gently draw chin straight back — not down — creating a "double chin"
  • Hold 5 seconds, release
Why it matters

Forward head posture compresses the upper cervical joints and is a primary driver of cervicogenic headaches. This activates the deep neck flexors — the most commonly weak muscle group in TMD patients — and begins correcting the postural pattern that feeds jaw tension.

2
Suboccipital Self-Release
Hold 60–90 sec × 2 sets
▼
  • Place fingertips at the base of your skull
  • Apply gentle, sustained upward pressure — not digging in
  • Hold 60–90 seconds, breathe slowly, let the muscles release
Why it matters

The suboccipital muscles commonly refer pain into the head, and upper-neck input converges with the trigeminal nerve, which supplies the jaw. Releasing them reduces both head pain and jaw muscle tension simultaneously.

💡 Tip: Try combining this with a chin tuck. While maintaining the gentle upward pressure at the base of your skull, perform a slow chin retraction — the two movements together create a gentle traction effect on the upper cervical spine that most people find immediately relieving.
3
Controlled Jaw Opening
Hold 2 sec × 10–15 reps × 2 sets
▼
  • Set jaw rest position first — tongue on roof, teeth apart
  • Slowly open jaw straight down — no deviation left or right
  • Open to comfortable range, hold 2 seconds, return slowly
  • If jaw tracks to one side, place a finger on your chin and gently guide it straight
Why it matters

Some sideways drift during opening is common, often from how the joint disc moves or from uneven muscle control. Controlled straight-line opening retrains symmetrical muscle activation and maintains or improves mandibular range of motion — a primary measurable goal of TMD rehabilitation.

4
Upper Trap Shrugs
Hold 3–5 sec × 10–15 reps × 2 sets
▼
  • Sit or stand tall, arms at sides
  • Shrug both shoulders straight up toward ears
  • Hold 3–5 seconds at the top, lower slowly
  • Bodyweight or very light weight — within tolerance
Why it matters

A muscle that feels tight is often overworked rather than short. Strength training that includes shrugs has reduced neck-shoulder muscle pain in trials (Andersen et al., 2008). Loading them builds the endurance they need to stop guarding — stretching alone provides only temporary relief without addressing the underlying weakness.

⭐ Still having issues? Check two things. Sleep position: some people find stomach sleeping aggravates the jaw and neck. Try side or back sleeping. Moist heat: 10–15 minutes applied to the jaw before your exercises can meaningfully reduce muscle tension and improve exercise tolerance.
✅ When to Move to Phase 2
Noticeable decrease in jaw pain or headache intensity
Symptoms have plateaued — you're no longer improving from Phase 1 alone
All Phase 1 exercises feel pain-free and no longer challenging
Daily activities like eating and concentrating feel more manageable
Don't overthink the timing — if the exercises feel easy and your symptoms have improved, move forward. If symptoms aren't improving after 3 weeks of consistent work, seek an in-person evaluation.

Phase 2 — Strengthen & Restore

Build cervical and posterior chain strength. Restore full rotation. Address the jaw and neck together.

3–4× per week
Each session begins with: Jaw rest check → 10 diaphragmatic breaths with jaw release → Chin tuck × 10–15 reps.
1a
Cervical Retraction
Hold 5 sec × 10–15 reps × 2 sets
▼
  • Sit tall, gently draw head straight back — same motion as supine chin tuck, now seated
  • Hold 5 seconds, return to neutral
Why it matters

The seated progression of Phase 1 chin tuck — same corrective pattern, now fighting gravity. Builds deep neck flexor endurance and begins actively correcting forward head posture in the positions you spend the most time in.

💡 Progress to 1b: When retraction feels controlled and pain-free, add overpressure to create 1b.
1b
Cervical Retraction with Overpressure
Hold 5 sec × 10–15 reps × 2 sets
▼
  • Perform retraction
  • Place 2 fingers on your chin and add gentle extra backward pressure
  • Hold 5 seconds, release
Why it matters

Increases the mobilizing force on the upper cervical joints, helping restore segmental mobility that is often restricted in TMD patients — a combination that consistently produces worse outcomes when the cervical component goes untreated.

💡 Progress to 1c: When this feels controlled, add the extension component.
1c
Cervical Retraction + Extension
Hold 5 sec × 10–15 reps × 2 sets
▼
  • Perform retraction first
  • From that retracted position, gently tilt head back
  • Hold 5 seconds, return to neutral
Why it matters

Targets the upper cervical segments most responsible for referred jaw and head pain. The retraction-first sequence ensures the movement is therapeutic rather than compressive. Stop and get checked if this causes dizziness, visual changes, or nausea.

2
Passive Jaw Stretch with Finger Overpressure
Hold 5–10 sec × 6–8 reps × 2 sets
▼
  • Set jaw rest position — tongue on roof, teeth apart
  • Open jaw to comfortable end range
  • Place thumbs on lower front teeth and gently add downward overpressure
  • Hold 5–10 seconds, release — do not push into sharp pain
Why it matters

Mobilizes the joint capsule and masticatory muscles at end range, improving mandibular ROM. This is the loaded progression of Phase 1 controlled opening and is well-supported as an effective intervention for TMD.

3
Self-SNAG — Cervical Rotation (C1-C2)
Hold 5–10 sec × 10–15 reps × 3 sets
▼
  • Fold a towel or belt and place it across the back of your neck just below the skull
  • Hold both ends, apply gentle forward and upward pressure
  • While maintaining that pressure, slowly rotate head in the restricted direction
  • Hold, return, repeat
Why it matters

C1-C2 provides the majority of cervical rotation. Restriction here directly affects jaw mechanics and headache patterns. The towel assists the natural joint glide, making the movement more therapeutically effective.

4
High-to-Low Row (Cable or Band)
3 × 8–12
▼
  • Anchor band or cable at head height or above
  • Pull down and back toward hip, driving elbow down and back
Why it matters

Targets lower trapezius and lats — the scapular depressors that directly counteract the forward pull driving head-forward posture. Weakness here is a primary structural reason TMD and headaches recur despite pain management alone.

5
Banded External Rotation W's
Hold 2–3 sec × 8–12 reps × 3 sets
▼
  • Standing or prone, bring arms into a "W" position with a band providing resistance
  • Drive elbows back and down, squeezing scapulae together and down against the band
  • Hold 2–3 seconds at peak contraction — add heavier band progressively
Why it matters

Direct posterior deltoid and external rotator loading against resistance. Weakness here allows shoulders to round and the head to drift forward — the foundational postural fault that feeds both TMD and cervicogenic headaches.

6
Cervical Retraction + Serratus Anterior Strengthening
Hold 3 sec × 6–10 reps × 2 sets each side
▼
  • On hands and knees, perform a cervical retraction — draw chin back and hold
  • While maintaining the neck position, reach one arm forward — focus on protracting the scapula (pushing it away from the spine) as the arm extends
  • Hold 3 seconds, return, switch sides
Why it matters

Combines cervical retraction training with serratus anterior activation in a stable, low-load position. The serratus keeps the scapula against the rib cage and is one of the most critical muscles for restoring normal scapular mechanics and reducing upper trap overactivation.

7
Weighted Shrugs (Progressive)
Hold 3–5 sec × 8–12 reps × 3 sets
▼
  • DBs at sides, shrug straight up, hold 3–5 seconds at top, lower slowly
  • Add weight progressively week over week
Why it matters

Progression from Phase 1 bodyweight shrugs. A stronger upper trap trained through full range stops guarding and stops referring pain into the head and jaw.

⭐ Note on neck pain and TMD: If you have neck pain alongside your jaw symptoms, the two are almost certainly connected. Patients with concurrent neck pain have measurably worse TMD outcomes if the cervical spine isn't also treated. If neck pain is significant, seeing a PT in person for hands-on cervical treatment alongside this program will produce substantially better results.
✅ When to Move to Phase 3
Cervical rotation is close to symmetrical and pain-free
All Phase 2 exercises without reproducing jaw or head symptoms
Feeling strong and stable — exercises no longer feel challenging

Phase 3 — Keep Building

Stay symptom-free. Lock in the habits. Keep getting stronger.

1–2× per week in regular training

Daily Habits — Forever

  • Jaw rest position awareness — every day, all day
  • Night guard — only if your dentist recommends one for night grinding or tooth wear
  • Diaphragmatic breathing with jaw release — any time stress spikes
  • Cervical retraction — a few sets daily, especially during prolonged sitting

Strength Work (1–2× per week)

  • Heavy shrugs — challenging loads, 3–5 sec hold at top
  • Rows (varying angles) — high-to-low, seated cable, chest-supported; vary weekly
  • Heavy lat pulldowns — full range, scapula depresses at the bottom
  • Posterior deltoid — banded W's, face pulls, band pull-aparts
The goal of Phase 3 is not to maintain — it's to keep getting stronger. A stronger posterior chain and neck is your long-term protection against TMD and headache recurrence.
📱 @allenengle.pt
@allenengle.pt

Low Back Program

This program is organized by what helps you most. Answer the question below to find your starting point.

Find Your Bias

Not sure? Try a 2-minute test: do 10 slow standing back-bends, rest a minute, then 10 slow forward bends. Pick the direction that eases your pain or pulls leg symptoms back toward your spine. If neither is clear, extension bias is a reasonable default for most people with acute low back pain. If after 3–4 days it's not helping or feels worse, switch to flexion bias. If you've had back pain for more than 3 months, this is chronic LBP — the same approach applies but expect a longer adaptation timeline.

⬇️

Flexion Bias

Bending forward, sitting, or curling up makes pain better or less intense.

🔒

Stability / Hypermobility

You're hypermobile or very flexible — pain feels more like instability or "giving way."

⚠️
Get evaluated urgently if you have numbness in the groin or inner thighs, new bladder or bowel changes, or leg weakness that is getting worse. See a clinician before starting if you have a history of cancer, fever or feel unwell, unexplained weight loss, a recent fall or injury (especially over age 50), or leg pain that is worse than your back pain.
📱 @allenengle.pt
@allenengle.pt
Track 3 — Low Back

Low Back

📋 Before You Start

Movement is medicine. Exercise and staying active are the best treatments for low back pain — bed rest makes outcomes worse. Back pain is rarely caused by serious structural damage, and movement is safe. Your brain's threat response is often amplified well beyond the actual tissue state — understanding this is part of the treatment. Hands-on treatment from a PT can help alongside exercise — seeing a PT in person is strongly encouraged if symptoms are significant. Hip strength and mobility are critical. If your hips aren't doing their job, your back pays the price.

If you've had back pain for more than 3 months, this is chronic LBP — the research supports the same exercise approach but expect a longer adaptation timeline. Building load tolerance is the primary goal, not just pain relief. Traction is not well supported by current evidence for most low back pain.

George et al., JOSPT 2021 (AOPT Low Back Pain CPG): exercise is Grade A for chronic low back pain, Grade B for acute low back pain with leg pain, and Grade C for acute low back pain. Pain neuroscience education is recommended for chronic low back pain alongside exercise, not on its own.
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt
@allenengle.pt

Runner's Program

Five of the most common running injuries — each with its own presentation, its own driver, and its own evidence-based approach.

Where does it hurt when you run?

Pick the description that best matches your main complaint. Running injuries have specific locations and patterns — location is the most reliable starting point.

🦴

Shin Splints — Inner Leg Pain

Diffuse aching or tenderness along the inner shin bone — worse during or after running, better with rest. Common in new runners and those returning after a break. Hurts when you press along the inner tibia.

⬇️

Patellar Tendinopathy — Below the Kneecap

Pain at the bottom of the kneecap or just below it — worse with running, jumping, or stairs. Often stiff in the morning and warms up into activity. Tender at the inferior pole of the patella.

⬆️

Achilles Tendinopathy — Back of Heel

Stiffness and pain at the back of the heel or lower calf — worst first thing in the morning or after rest. Warms up during a run but worsens again afterward or the next morning.

⚠️

Bone Stress Injury — Deep or Spot-Specific Pain

Focal, specific pain at one point on the bone — not diffuse. Gets worse as the run continues and may persist at rest. Tenderness at a specific spot when you press on the bone. Requires modified approach.

⚠️
If you have pain at rest that is not improving, significant swelling, or bone pain that worsens with each run and woke you at night — get evaluated. Bone stress injuries require imaging confirmation and a graded return protocol that varies by severity and location.
📱 @allenengle.pt
@allenengle.pt
Runner's Program

Shin Splints

Load management and progressive return to running.

💡 Want the Best Results?

Shin splints — medial tibial stress syndrome — affect 10–20% of all runners and 60% of lower limb overuse injuries. Two things define the approach.

  • 1
    Training load is the cause — and load management is the treatment. MTSS is a periosteal stress response to repetitive tibial loading that exceeds bone's adaptive capacity. The fix is not rest alone — it is a structured load reduction followed by a graduated return that allows bone to adapt progressively.
  • 2
    Running gait and footwear contribute. Rapid increases in running load are the clearest risk factor; foot pronation, heel striking, and low cadence have also been linked in some studies. Addressing these alongside load management produces better outcomes than load management alone.
Winters et al., Sports Med 2013 (systematic review: no MTSS treatment clearly better than rest and a graded return); Frandsen et al., BJSM 2025 (single-run load spikes and injury risk); Heiderscheit et al., MSSE 2011 (5–10% step-rate increase reduces lower-limb loading). Evidence for MTSS treatment is limited — much of this track is expert-opinion level.
📋 Before You Start

If pain is present at rest, walking is painful, or the pain is focal at one spot (rather than diffuse along the shin), get evaluated to rule out a stress fracture before starting this program. Stress fractures require imaging confirmation and a different management timeline. MTSS is diffuse tenderness along the medial tibial border — not point-specific bone pain.
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt
@allenengle.pt

Thoracic Spine Program

Mid-back pain, stiffness, and rib-related presentations — the region most often undertreated because it sits between the neck and low back.

Which best describes your mid-back?

Pick the description that most closely matches your main complaint.

💢

Mid-Back Pain — Postural & Load Related

Focal or diffuse mid-back pain that builds with sustained postures, desk work, or lifting. May have a specific painful segment or more diffuse aching across the thoracic region.

🫁

Rib-Related — Sharp or Breathing Pain

Sharp, catching pain with breathing, coughing, or specific trunk movements. Pain wraps around the rib or is sharply localized to one spot — at the back where a rib meets the spine, or at the front where it meets the breastbone (often called costochondritis).

⚠️
Thoracic pain with chest pain, shortness of breath, pain radiating into the arm, or pain that is constant and worsening regardless of position — get evaluated urgently. These require cardiac and visceral causes to be ruled out before any exercise program.
📱 @allenengle.pt
@allenengle.pt
Thoracic Spine Program

Stiff Mid-Back

Restore thoracic mobility — and the shoulder and neck problems often resolve with it.

💡 Want the Best Results?

No standalone thoracic CPG exists, but the evidence is consistent across multiple contexts. Thoracic spine mobility has regional interdependence with the cervical spine, shoulder, and lumbar spine — and thoracic manipulation is recommended for neck pain with mobility deficits (Grade B, JOSPT 2017 Neck CPG). This track applies those principles plus clinical expertise; it is expert-opinion level for mid-back pain itself.

  • 1
    The thoracic spine is often overlooked in neck and shoulder symptoms. Thoracic thrust manipulation combined with exercise outperforms exercise alone for mechanical neck pain (Gonzalez-Iglesias, JOSPT 2009). Adding cervical and thoracic manual therapy to exercise may also help some people with shoulder pain. The thoracic spine does not exist in isolation.
  • 2
    Thoracic extension and rotation are the main targets. Upper-back extension contributes to reaching overhead, and restoring comfortable mid-back movement can reduce how much the neck and lower back have to compensate.
Gonzalez-Iglesias et al., JOSPT 2009 (thoracic manipulation RCT for neck pain); Blanpied et al., JOSPT 2017 Neck CPG (Grade B: thoracic manipulation for neck pain with mobility deficits); regional interdependence framework (Wainner et al., JOSPT 2007).
📋 Before You Start

Thoracic mobility work is safe and well-tolerated for most people. Avoid aggressive end-range rotation or extension if you have a history of thoracic fracture, osteoporosis, or significant degenerative changes — use a gentler range and prioritize controlled active movement over passive end-range pressure.
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt
@allenengle.pt
Education Module

Pain Science & Chronic Pain

Understanding why pain persists — and what the evidence actually says about getting better.

📱 @allenengle.pt
@allenengle.pt
Track 4

Preventative Care & Performance

The best injury is the one that never happens. This is how.

📋 Before You Start — Hot Takes

These are my personal clinical opinions and things I genuinely live by. Most are well supported, but they are opinions, not guideline recommendations. Some of this challenges what you might have heard — that's intentional.

These exercises complement a formal workout program — not replace one. Do them alongside regular strength training. They are the rehab-based movements I think everyone should be doing, not an all-inclusive program.

The Core Principles

1
Progressive Loading Wins. Most injuries are workload errors — too much, too fast, too soon. Tendons and joints adapt slower than muscle, which is where people get burned. Respect progression and you eliminate a large percentage of injuries.
2
Strength Is Protective. Weak tissue is vulnerable tissue. Stronger people get hurt less and recover faster. This means posterior chain emphasis: hips, glutes, and upper back are your armor. If you're only stretching and foam rolling without building strength, you're missing the point.
3
Movement Variability Matters. Repetitive stress in the same pattern is the problem — even good movement becomes an issue when it's the only movement. Unilateral training is essential here: single-leg and single-arm work exposes side-to-side deficits that bilateral training masks. Find your weak links before they find you.
4
Capacity Over Pain Relief. Pain going away doesn't mean the problem is solved — it just means it's quiet. Build tolerance, not just symptom relief. If the underlying capacity hasn't improved, the injury comes right back when load increases.
5
Address the Why, Not Just the Where. Where it hurts is often not the problem. Low back pain might be hip stiffness. Knee pain might be weak glutes. If you only treat the painful area, you're managing symptoms. Find the why and you actually fix the issue.
Core & Stability Foundation
1
TA Activation Progression
Progress through stages
▼
  • Stage 1: Lie on back, knees bent. Place a ball on top of your knees and gently push down into it — this naturally engages your core and trains the transverse abdominis without cueing a "suck in." Hold 5–8 sec × 10–15 reps.
  • Stage 2: Maintain that brace while sliding one heel out along the floor and back — if your back lifts off the floor, reduce your range.
  • Stage 3: Maintain the brace while alternating heel taps toward the floor with bent knees.
Why it matters

This trains trunk control before you add limb movement. Using the ball on top of the knees naturally facilitates this engagement without overthinking it. Progress through these stages — they are the foundation every other exercise in this program builds on.

2
Dead Bug
3 × 8 each side — progress through stages
▼
  • Start with the same TA brace from Stage 1 above — ball on knees, push down to engage core
  • Stage 1: Extend one leg, tapping foot lightly to the floor and returning — back stays flat
  • Stage 2: Extend arm and opposite leg simultaneously without tapping — back stays flat
  • Stage 3: Full dead bug with straight legs — back must stay flat throughout
Why it matters

Anti-extension core control — trains the deep stabilizers to prevent lumbar hyperextension under load. This is the core function that actually protects the spine during daily activities and sport, and it's a direct progression of TA activation. If your back lifts, you've exceeded your current capacity — reduce the range and build from there.

3
Side Plank Progression
Progress through stages
▼
  • Stage 1: From knees — elbow under shoulder, hips lifted. Hold 20–30 sec each side.
  • Stage 2: Full side plank — rigid line from head to feet. Hold 20–40 sec each side.
  • Stage 3: Side plank with hip abduction — hold position, lift top leg 10 reps.
  • Stage 4: Copenhagen plank — top foot on bench, hold position or add reps.
Why it matters

Lateral core stability — the quadratus lumborum and obliques must maintain frontal plane stiffness during all single-leg loading and lateral movement. Lateral trunk endurance is often reduced in people with back and hip pain. Progress over weeks.

4
Superman Progression
Progress through stages
▼
  • Stage 1: Prone hip extension — squeeze glute, lift one leg, hold 2 sec × 15 each side
  • Stage 2: Upper body lift only — lift chest and arms off the floor, hold 3 sec × 8–10
  • Stage 3: Full superman — lift arms and legs simultaneously, hold 3 sec × 8–10
  • Stage 4: Add light load or increased range of motion progressively
Why it matters

Builds lumbar extensor and posterior chain strength from the ground up. Starting with the hip extension isolates the glutes without spinal compression, then progressing into loaded extension builds capacity that may help protect the back over time rather than just managing symptoms.

Glute & Hip Chain
5
Ankle Mobility (Knee-to-Wall)
10 reps × 2 sets each — track weekly
▼
  • Barefoot, foot 4 inches from wall, drive knee toward wall over pinky toe — heel stays flat
  • Measure your distance from the wall and track it weekly
Why it matters

Limited ankle dorsiflexion can contribute to knee pain, hip compensation, and poor squat mechanics. Improving it is one of the highest-leverage mobility investments available — every squatting and single-leg movement you do is limited by this.

6
Glute Bridge Progression
Progress through stages over weeks
▼
  • Stage 1: Glute Bridge — 3 × 10–15
  • Stage 2: Single-Leg Glute Bridge (Eccentric) — lift with both, lower with one — 3 × 10–15 each
  • Stage 3: Single-Leg Glute Bridge — 3 × 10–15 each
  • Stage 4: Hip Thrust with load — 3–5 × 4–8
Why it matters

The hip thrust produces one of the highest gluteus maximus activations measured (Contreras 2015). Progress through this chain systematically — the unilateral stages reveal side-to-side strength deficits that bilateral bridges never expose, and those asymmetries are where most injuries begin.

7
Clamshells
3 × 10–15 each side → progress to banded
▼
  • Side-lying, hips stacked, knees bent
  • Open top knee, control the return
  • Look for side-to-side differences in difficulty — same principle as the glute bridge progression
Why it matters

Gluteus medius and external rotator activation — these muscles control hip alignment during gait and loading. Weakness here has been linked to knee, hip, and low back pain. Same rationale as the glute bridge: the unilateral nature reveals imbalances that bilateral exercises mask.

8
Romanian Deadlift (RDL)
3 × 6–8 — progress to unilateral
▼
  • Hip hinge, neutral spine throughout
  • Feel the pull in the hamstrings — not the back
  • Progress to Single-Leg RDL as strength allows — unilateral training is the priority
Why it matters

The best posterior chain exercise for most people. Teaches the hip hinge and loads hamstrings and glutes simultaneously. Progressing to single-leg exposes side-to-side deficits and forces the stability demands that bilateral loading never creates.

9
Single-Leg Calf Raise
3 × 15 each
▼
  • Stand on one foot, rise fully onto toes
  • Control the descent slowly — don't drop
Why it matters

The calf-Achilles complex handles forces of several times body weight with every running step. One of the most undertrained yet injury-preventive exercises available — critical for anyone involved in acceleration sports or high walking and running volume.

Upper Body & Posterior Chain
10
Band Pull-Aparts
3 × 10–15
▼
  • Hold band at shoulder width, arms straight in front
  • Pull band apart to chest, squeeze scapulae at end range
Why it matters

Middle trap and posterior deltoid activation — helps balance all the pressing and sitting most people do. Do these before any pressing work every session.

11
Dumbbell or Cable Row
3 × 6–8 each arm
▼
  • Drive elbow back — not up
  • Scapula retracts at the end of each rep
Why it matters

Mid-back strength is commonly undertrained. A good rule of thumb is to row at least as much as you press — a sensible habit for shoulder health, though not proven to prevent injury.

12
Face Pulls
3 × 10–15
▼
  • Cable or band at eye height
  • Pull to face, elbows high, externally rotate at end range
Why it matters

Posterior deltoid and external rotator strength — essential for anyone who sits, presses, or uses a computer. These muscles hold the shoulders back and down in their natural position and are often weak in the general population.

13
Farmer's Carry
3 × 20m — go heavy
▼
  • Heavy DBs at sides, walk tall, shoulders back and down
  • If it feels easy, it's not heavy enough
Why it matters

Grip strength, core stability, postural endurance, and loaded gait — all in one exercise. One of the most functional and transferable exercises in existence. It also directly trains the posterior chain under the demands of real-world movement.

Sport-specific injury prevention: If you play field or court sports, add an exercise-based warm-up program such as FIFA 11+ two to three times a week. The 2023 knee injury prevention CPG recommends exercise-based programs to reduce knee and ACL injuries (Arundale et al., JOSPT 2023). Nordic hamstring curls reduce hamstring strains in team sports, and the Copenhagen adductor exercise reduces groin problems in football (Harøy et al., BJSM 2019).
Progressive Loading — Build Over Time

Lower Body — Progress Here

Upper Body — Progress Here

Progressive Overload Rules

These exercises complement a regular training program — they are not meant to replace one. The goal is to build the foundational capacity that keeps you resilient through whatever else you do.
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@allenengle.pt

Knee Program

Knee pain isn't all the same — and your program shouldn't be either. Pick the track that matches your symptoms.

🔩

Ligament & Stability

Instability, giving way, post-ACL or post-injury. Rebuilding strength, neuromuscular control, and trust in the joint.

🔁

Meniscus & Cartilage

Joint-line pain, stiffness, catching, or a history of meniscal tear. Progressive loading that respects and protects the joint.

🦴

Knee Osteoarthritis

Age 45+, knee pain that builds with activity, and morning stiffness under 30 minutes — or you have been told you have arthritis or "bone on bone." Education, strength, and walking: first-line care.

⚠️
If your knee is locking (unable to fully straighten), giving way repeatedly, or significantly swollen, get evaluated before starting any program.
📱 @allenengle.pt
@allenengle.pt
Knee Program

Patellofemoral Pain

Front-of-knee pain with stairs, squatting, or prolonged sitting — addressed at the root.

💡 Want the Best Results?

This program is built around the 2019 JOSPT Clinical Practice Guidelines for Patellofemoral Pain. Two things determine your outcome more than any exercise selection.

  • 1
    Treat this as a loading problem, not a damage problem. PFP is a mismatch between what you're asking the joint to tolerate and what it currently can. That framing changes everything about how you approach the program.
  • 2
    Do not stop when the pain stops. Long-term studies show about 40% of people still have an unfavourable outcome at 1 year and 57% at 5–8 years (Collins 2013; Lankhorst 2016). Phase 1 calms things down. Phases 2 and 3 are what actually fix the problem.
📋 Before You Start

Hip and quad strength are the two most important targets in this program — the research consistently shows that addressing both together produces better outcomes than focusing on one alone. Pain during exercise is not always a red flag: Phase 1 keeps it at or below 3/10, Phase 2 allows up to 4/10 as long as symptoms don't linger into the next day. Those rules are built into each phase. — Willy et al., JOSPT 2019
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt
@allenengle.pt

Cervical Spine Program

Five evidence-based sub-tracks built around how your neck pain actually presents — not a one-size-fits-all protocol.

Which describes your neck pain best?

Pick the description that fits most closely. Most people have some overlap — pick the dominant pattern.

🔒

Stiff Neck — Mobility Deficit

Localized neck pain with stiffness — hard to turn, look up, or look down. Often worse in the morning or after staying in one position. Gradual onset, may feel like the neck has tightened over time.

⚡

Neck + Arm Symptoms — Radiculopathy

Neck pain with tingling, numbness, shooting pain, or weakness into the arm or hand. Certain positions make it better or worse. Often one-sided.

🤕

Neck-Driven Headaches — Cervicogenic

Headaches that start in the neck or base of the skull — often one-sided. Worse with neck movement or sustained postures. Neck stiffness or tenderness accompanies the headache.

🔀

Mixed — Stiffness + Control Problems

Some stiffness, some weakness, some postural fatigue — no single dominant pattern. The most common real-world presentation. This track addresses all three components together.

⚠️
If you have neck pain with dizziness, difficulty swallowing, double vision, severe arm weakness, or symptoms that came on after a significant trauma — get evaluated before starting any program. These require clinical assessment first.
📱 @allenengle.pt
@allenengle.pt
Cervical Spine Program

Stiff Neck — Mobility Deficit

Restore range, then build the strength to keep it.

💡 Want the Best Results?

This program is built around the 2017 JOSPT Neck Pain CPG — the most comprehensive neck pain guideline from the Orthopaedic Section of the APTA. Two things drive outcomes for neck stiffness.

  • 1
    Thoracic mobility is as important as cervical mobility. The 2017 CPG gives a Grade B recommendation to thoracic manipulation combined with neck ROM exercise and scapulothoracic strengthening for acute neck pain with mobility deficits. The thoracic spine and cervical spine move as a system — a stiff upper back is almost always contributing to neck stiffness. This program addresses both.
  • 2
    Active exercise outperforms passive treatment alone. The CPG consistently supports combining joint mobility work with active cervicoscapulothoracic strengthening and endurance exercise. Restoring range without building the muscular endurance to maintain it produces short-term relief at best.
Blanpied et al., JOSPT 2017 (Neck Pain CPG Revision 2017 — Grade B: thoracic manipulation + neck ROM + scapulothoracic strengthening for acute; Grade B: neck and shoulder-girdle endurance exercise for subacute; Grade B: combined exercise + mobilization/manipulation for chronic).
📋 Before You Start

Neck mobility exercises should be performed slowly and within a pain-free or near pain-free range. Do not force range — earn it. Pain during exercise should be mild (3/10 or less) and should not reproduce sharp or radiating symptoms. If any exercise causes tingling or numbness into the arm, stop and get evaluated before continuing.
Phase 1
Phase 2
Phase 3
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@allenengle.pt

Hip Program

Five evidence-based sub-tracks built around where your hip pain actually is — and what the research says drives it.

Where is your hip pain?

Pick the description that best matches your main complaint. Location is the most reliable starting point for the right program.

⬆️

Anterior Hip — FAI Type

Pain in the front of the hip or groin with bending, squatting, or prolonged sitting. Often a pinching or catching sensation at end range. May be worse getting in and out of a car.

⬇️

Posterior Hip — Proximal Hamstring

Deep ache in the buttock or sit bone — worse with running, prolonged sitting (especially on hard seats), or stairs. Pain at the ischial tuberosity where the hamstring attaches.

⚽

Groin Pain — Adductor Related

Pain in the inner groin with kicking, sprinting, or cutting. Common in soccer, hockey, and multidirectional athletes. Tenderness along the inner thigh or at the pubic attachment.

🔒

Hip Mobility Restriction

Hip feels stiff overall — limited range in multiple directions. May ache with activity and improve briefly with movement. Often gradual onset, worsens over months or years.

⚠️
If you have groin pain that radiates into the thigh or knee, significant limping, or pain that woke you from sleep with fever — get evaluated before starting. These can indicate referred pain from the spine or other conditions that need to be ruled out first.
📱 @allenengle.pt
@allenengle.pt
Hip Program

Anterior Hip

Front-of-hip pain with bending and sitting — addressed at the root.

💡 Want the Best Results?

This program is built around current evidence for femoroacetabular impingement syndrome (FAIS) rehabilitation. Two things drive outcomes more than any exercise choice.

  • 1
    Load management first, then progressive strengthening. FAI-type pain is driven by a mismatch between hip joint load and the capacity of the surrounding musculature to share it. Temporarily modifying the positions that compress the joint gives irritability room to settle — then progressive strength work is what builds lasting tolerance.
  • 2
    Hip and core strength together — not in isolation. The four central goals in FAIS rehabilitation are consistent across the evidence: postural positioning, core strength, hip strength and motor control, and functional ROM. This program addresses all four progressively.
Enseki et al., JOSPT 2023 (Nonarthritic Hip Joint Pain CPG revision); Griffin et al., BJSM 2016 (Warwick Agreement on FAI syndrome); ESSKA-EHPA-ESMA consensus on hip and groin pain in physically active adults (2024).
📋 Before You Start

Avoid deep hip flexion past discomfort during Phase 1 — this is the position that provokes anterior impingement. The goal is to train the hip through a pain-free range and build the capacity to tolerate more range progressively, not to stretch into the pinch. Hip flexion ROM may be addressed alongside strengthening once irritability settles. If you have been diagnosed with cam or pincer impingement, this program applies directly.
Phase 1
Phase 2
Phase 3
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Elbow Program

Three evidence-based sub-tracks built around where your elbow pain is and what structure is involved.

Where is your elbow pain?

Pick the description that best matches your main symptom. Location is the most reliable starting point.

⬅️

Medial Elbow — Inner Tendon

Pain on the inside of the elbow — worse with wrist flexion, forearm pronation, or gripping. Often called "golfer's elbow." Common in throwing athletes, golfers, and those doing repetitive forearm work.

⚡

Nerve-Related — Cubital Tunnel

Tingling, numbness, or electric sensation in the ring and little fingers — especially with prolonged elbow bending. May have inner elbow aching. The "funny bone" area is often tender. Symptoms often worse at night or with phone use.

⚠️
If you have progressive hand weakness, significant muscle wasting in the hand, or symptoms that are rapidly worsening — get evaluated before starting. Moderate to severe nerve compression requires clinical assessment and may need surgical consultation.
📱 @allenengle.pt
@allenengle.pt
Elbow Program

Lateral Elbow — Outer Tendon

Progressive tendon loading to rebuild the capacity that gripping and lifting demands.

💡 Want the Best Results?

This program is built around the 2022 JOSPT Lateral Elbow Tendinopathy CPG — the most comprehensive elbow guideline from the Academy of Orthopaedic Physical Therapy. Two things drive outcomes.

  • 1
    Progressive loading is the treatment — not rest. The CPG recommends progressive resisted wrist extensor exercise — isometric, concentric, and/or eccentric — with the load matched to how irritable the elbow is (Grade B). Rest alone reliably reduces pain but does nothing to build the tendon's capacity to handle grip and wrist loading again — which is why lateral elbow tendinopathy has such high recurrence rates.
  • 2
    The kinetic chain matters. The 2022 CPG supports adding shoulder and scapular strengthening when those areas are weak (Grade C) — not just local wrist and forearm work. Shoulder and scapular strength deficits are often found alongside lateral elbow tendinopathy.
Lucado et al., JOSPT 2022 (Lateral Elbow Pain and Muscle Function Impairments CPG — Grade B: isometric, concentric, and/or eccentric wrist extensor exercise; Grade B: local elbow mobilization and rigid taping for an irritable elbow; Grade C: shoulder and scapular training when impairments are found; Grade A: track progress with the PRTEE or DASH); Bisset et al. (exercise + manual therapy for epicondylalgia).
📋 Before You Start

Pain during exercise is expected and acceptable — up to 4/10 during loading and returning to baseline by the following morning is the supported pain monitoring framework. If symptoms are significantly worse the next morning, reduce the load — not the frequency. The most common mistake in lateral elbow tendinopathy is stopping the program when pain improves rather than continuing to build capacity past the pain resolution point.

Track your progress with the PRTEE questionnaire and pain-free grip strength. In-person care can add elbow mobilization with movement and rigid taping for an irritable elbow (both Grade B). A counterforce brace worn during aggravating activity may help short term (expert opinion). Exercise gives better long-term results than a steroid injection.
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt
@allenengle.pt

Shoulder Program

Five evidence-based sub-tracks built around how your shoulder actually presents — not a one-size-fits-all protocol.

Which describes your shoulder?

Pick the option that best matches your main complaint. If you're not sure, Rotator Cuff–Related Pain is the most common starting point.

🔒

Mobility Restriction

Shoulder feels stiff and hard to move in multiple directions. Getting worse over time, especially reaching behind the back or overhead. May have started without a clear injury.

⚡

Instability

Shoulder feels unstable, clicks, shifts, or has a history of dislocation or subluxation. Apprehension with certain positions. The joint doesn't feel trustworthy.

🏋️

Anterior Shoulder Overload

Pain in the front of the shoulder — mainly with pushing, pressing, or bench press. Often in people training heavily in the gym. Tenderness near the front of the shoulder or bicipital groove.

⚾

Overhead Athlete

Shoulder health for throwers, swimmers, volleyball, or overhead sport. Prevention and performance — built around what the literature actually says keeps overhead athletes healthy.

⚠️
If you have severe pain at rest, arm weakness that developed suddenly, or any numbness and tingling into the arm or hand, get evaluated before starting. Cervical spine and neurological causes of shoulder pain need to be ruled out first.
📱 @allenengle.pt
@allenengle.pt
Shoulder Program

Rotator Cuff–Related Pain

Pain with lifting, reaching, and overhead — addressed at the root.

💡 Want the Best Results?

This program is built around the 2025 JOSPT Clinical Practice Guideline for Rotator Cuff Tendinopathy — the most current and comprehensive evidence base for this condition. Two things determine your outcome more than any exercise selection.

  • 1
    Treat this as a load capacity problem, not a structural damage problem. Most rotator cuff pain is tendinopathy — a mismatch between load demand and the tendon's ability to handle it — not a tear requiring surgery. Imaging findings like "impingement" or partial tears often don't correlate with pain or prognosis. Exercise is first-line treatment.
  • 2
    Progressive loading — not rest — is the primary intervention. Tendons respond to load. Avoiding movement temporarily reduces pain, but it also reduces capacity. This program progressively builds the rotator cuff and scapular strength the shoulder needs to handle real-world demand again.
Desmeules et al., JOSPT 2025 (Rotator Cuff Tendinopathy CPG, which also emphasizes education and shared decision-making alongside exercise); Lafrance et al., JOSPT 2022 (RC Disorders CPG); Vandvik et al., BMJ 2019 (subacromial decompression surgery not superior to sham for most RC pain).
📋 Before You Start

RC-related shoulder pain is the umbrella term for subacromial pain, tendinopathy, and impingement syndrome — the underlying mechanism is similar across these labels. The program is built around rebuilding rotator cuff and scapular function progressively. Pain during early exercise is expected to settle within 24 hours; symptoms should not worsen day over day. If sharp or radiating symptoms develop into the arm, stop and get evaluated.
Phase 1
Phase 2
Phase 3
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@allenengle.pt

Foot Program

Five evidence-based sub-tracks built around where your foot pain actually is — and what the research says drives it.

Where is your foot pain?

Pick the description that best matches your main complaint. Location and symptom pattern are the most reliable guide to the right program.

⬆️

Achilles Tendinopathy

Pain and stiffness in the back of the heel or lower calf — worse after rest, then eases into activity, then may worsen again with prolonged loading. Tender to pinch the tendon directly.

⬇️

Ball-of-Foot Pain — Metatarsalgia

Aching, burning, or sharp pain across the ball of the foot or under the metatarsal heads. Worse with prolonged standing, walking, or running in hard-soled shoes.

🔻

Arch Pain / Flat Foot — PTTD

Pain along the inner ankle and arch — worse with walking, standing, or single-leg heel raises. Arch may be flattening or already flat. Weakness or fatigue on the inside of the foot.

🔒

Stiff, Aching Foot — Mobility Restriction

Overall foot stiffness — tight, achy, or restricted in multiple areas. May include limited toe extension, reduced ankle bend, or general morning stiffness that improves with movement.

⚠️
If you have numbness, tingling, or burning in the foot or toes — especially at night or spreading up the leg — get evaluated before starting. These can indicate nerve involvement that needs to be distinguished from a mechanical foot problem first.
📱 @allenengle.pt
@allenengle.pt
Foot Program

Heel Pain — Plantar Fasciitis

Morning heel pain and first-step stiffness — addressed at the root.

💡 Want the Best Results?

This program is built around the 2023 JOSPT Plantar Fasciitis CPG — the most current revision of the landmark Martin et al. guidelines. Two things drive outcomes more than any single exercise.

  • 1
    Stretching and loading together — not rest alone. The CPG consistently supports plantar fascia-specific stretching, calf stretching, and progressive loading as first-line interventions. Complete rest reliably slows recovery by reducing the mechanical stimulus the fascia needs to adapt.
  • 2
    Night splints for morning pain — they work. If the first few steps in the morning are your worst symptom, a night splint worn for 1–3 months is one of the most evidence-supported interventions in the CPG. It maintains a mild stretch on the fascia overnight, easing the sharp first-step pain.
Koc et al., JOSPT 2023 (Plantar Fasciitis CPG Revision 2023); Martin et al., JOSPT 2014 (Plantar Fasciitis CPG Revision 2014).
📋 Before You Start

Pain during exercise is not a red flag here — mild discomfort (3/10 or less) during and immediately after exercise is acceptable. Symptoms should not be significantly worse the following morning. If they are, reduce the intensity of the loading exercises — not the stretching frequency. Footwear matters: avoid walking barefoot on hard floors, especially in the morning. Supportive shoes from the first step of the day help many people. Orthotic insoles are only recommended alongside other treatment, not on their own (2023 CPG: Grade C as an add-on; Grade B against stand-alone use). Hands-on manual therapy (Grade A) and dry needling (Grade B) from a PT can also help.
Phase 1
Phase 2
Phase 3
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Ankle Program

Evidence-based rehabilitation for lateral ankle sprain and chronic ankle instability — based on the 2021 JOSPT Clinical Practice Guidelines.

Which describes you?

Choose the track that best matches your situation. If you're not sure, Acute Sprain is the right starting point.

🔄

Chronic Ankle Instability

Ongoing giving way, recurrent sprains, or a feeling the ankle can't be trusted — lasting more than 12 months. The program emphasis shifts to neuromuscular control and recurrence prevention.

⚠️
If your ankle is severely swollen, you cannot bear any weight, or you heard a pop with this injury — get evaluated by a clinician before starting. A fracture needs to be ruled out first. Get an X-ray first if you could not take four steps right after the injury, or if pressing on the back edge or tip of either ankle bone, the base of the bone behind your little toe, or the navicular bone on the inner midfoot is painful (Ottawa ankle rules).
📱 @allenengle.pt
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Ankle Program

Acute Lateral Ankle Sprain

Progressive loading and balance retraining to get you moving safely and prevent future sprains.

💡 Want the Best Results?

This program follows the 2021 JOSPT Clinical Practice Guidelines for Lateral Ankle Sprain. Two things make the biggest difference.

  • 1
    Get moving early — protected, not prolonged rest. Short immobilization may be appropriate in the first few days for severe sprains, but extended rest makes outcomes worse. Progressive weight bearing and movement as tolerated is the evidence-based standard.
  • 2
    Don't stop when the pain stops. About 40% of people who sprain an ankle go on to develop chronic instability. Finishing Phase 3 is what separates recovery from recurrence.
📋 Before You Start

Bracing or taping is appropriate for acute sprains — it supports the joint during early loading and reduces reinjury risk. It is not a substitute for rebuilding strength and balance. This program targets both the ankle and the hip, because hip weakness consistently shows up in ankle instability research and needs to be addressed for full recovery. — Martin et al., JOSPT 2021
Phase 1
Phase 2
Phase 3
📱 @allenengle.pt