A wearable foot controller for a surgical instrument may include a body configured to be worn on a foot and including a heel portion and a ball portion on an opposite end of the body from the heel portion, a heel pressure sensor, a ball pressure sensor, a heel movement sensor, a ball movement sensor, and a processor. The processor may be configured to detect activation of the heel pressure sensor and generate control data for the surgical instrument based upon the ball movement sensor when the heel pressure sensor is activated using the processor, and detect activation of the ball pressure sensor and generate control data for the surgical instrument based upon the heel movement sensor when the ball pressure sensor is activated using the processor. The processor may also be configured to communicate the control data from the processor to the surgical instrument via a communications link.