Most dancers start with ballet at an early age and generally continue with it as it is the foundation of most other dance styles. Some of the dance injury treatment options include: Chiropractic care, which can use manipulations and adjustments to help with the recovery process; Sports injury treatment, which might include physical therapy and corrective exercises; Rock tape, which can help remove stress from an injured body part Other treatments such as strapping, padding and taping can augment the treatment plan. J Dance Med Sci. Similar to treatment for our typical patients, the use of a higher heel can help alleviate pain and adding a small lift for dance shoes may be beneficial as well. The majority of dance injuries are chronic in nature Other conditions on the posterior side will induce pain when the dancer is in the en pointe position (plantarflexed). Trimming and filing down nail thickness can help with excessive pressures in the dance shoes. Dancers place high demands on the foot and ankle. This more typically occurs in a mature or retired dancer. With the aid of extra radiology testing, one can confirm the diagnosis. Podiatry Today is a trademark of HMP. Solomon, R The cost of injuries in a professional dance company: a five year study. Since dancers have to be experts in stabilizing the whole lower extremity while utilizing the upper extremity in unison, it is important to test dancers in the movements they have to perform. Although there are some factors in the extrinsic category that dancers may not have complete control of, they can modify many of the intrinsic factors. Although simple early youth fitting is straightforward, when the dancer advances into the pointe shoe, it is very important for a experienced fitter to do the job. It is imperative that dancers can handle the rigors of dance classes and show schedules, and be able to cope with the mental and competitive stresses as well as any possible injury potential. The doctor should feel comfortable communicating to the dancer, parents of minors, artistic staff and therapists. High energy and high impact dance styles, such as hip hop, may cause injury to these bones or the ligaments and tendons that run under the big toe. Anti-inflammatory medications such as ibuprofen, aspirin, and naproxen may help in reducing discomfort associated with this condition and also treat inflammation associated with inflamed bursa and osteoarthritis. Posterior ankle issues may include os trigonum impingement syndrome; an irregular posterior process of the talus causing impingement; posterior synovitis of the ankle and/or subtalar joint capsule; Achilles tendonitis and/or retrocalcaneal bursitis. Pay attention to your body and protect yourself from the first injury before it happens. Suggested Reading The doctor and therapist need to understand the language of dance. All rights reserved. Practitioners who treat dancers need to have a knowledge and understanding of the dynamics of dance. When it comes to surgeries for conditions like bunions, one should postpone these procedures until the patients dancing career is complete as a mere loss of 5 to 10 degrees of dorsiflexion at the metatarsophalangeal joint in the dancer could be career ending. If there is weak hip musculature, such as in the gluteus medius, it will predispose the dancer to internal leg rotation and excessive pronation of the foot. They may be insecure perfectionists who always strive to take themselves to the limit. Other treatment options include periods of immobilization (such as use of a cast/boot), orthotics, medication, or surgery. 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From the constant and extreme deep stretching of the posterior tissues, an unusual thickening of the posterior capsular tissues may occur. Out of all medial side injuries, the flexor hallucis longus injury is by far the most common. It is the job of the physician and physical therapist to educate all dancers, especially the youngest ones, so they can learn to manage their bodies more effectively. Dancers train daily for many years, investing time, focus and energy. If bony structures are involved, magnetic resonance imaging (MRI) or computed tomography (CT) are the best choices. These injuries show up with greater frequency in dancers as they age, so it is extremely important to emphasize what the young dancer can do to prevent future injuries. A very clear-cut discussion regarding the postoperative course will help with the psychological health of the dancers as well as for the dance company or studio in order to plan for their absence. Testing balance is also very important. Its important to work with a doctor or a podiatrist who specializes in working with dancers. This practice may also injure ligaments surrounding the tarsal or tarsometatarsal joints. Dance-related tests will help the practitioner see weaknesses that will be more relatable to the actual activity. Staying positive and on track with treatments will help patients reduce the despair that may settle in. Foot Ankle. More in-depth surgeries may predispose the dancer to extended layoff periods so this should be clear to all involved parties. However, jazz or modern dancers may have more flexibility in this regard as their shoes are slightly forgiving and some dance barefoot so jazz and modern dancers may use flesh-colored bandaging and taping. 4. It is still commonplace that studios expect their dancers to be at class and perform in dance shows on a regular basis. Dancers are a different breed of athlete because of the artistry needed in addition to the pure physicality, psychological makeup and high expectations from everyone. When this is combined with the tendency to overpronate either due to faulty technique or genetics, there will be a major eccentric strain on the medial ankle tendons, especially the flexor hallucis longus. There are ballet slippers, pointe shoes, jazz shoes, tap shoes and ballroom shoes. 1989; 20(4):621-627. Our discussions are not a substitute for seeking medical advice or care from your own doctor. Other pain due to overuse or mild injuries can be treated by rest and taking pain relievers such as ibuprofen or acetaminophen. These injuries are painful when the dancer is in pli positions (dorsiflexed). J Dance Med Sci. Metatarsalgia Accordingly, this author discusses the differentiation of common dance injuries, relevant psychological issues and pertinent keys to treatment. 1999; 3(1):34-35. Nail injuries are the norm due to the various techniques and shoe gear. Long-term instability can occur due to the continued pointed position already stressing those tissues. 1982; 3(2) 99-102. Please remember the opinions expressed on Patient Power are not necessarily the views of UCSF Medical Center, its medical staff or Patient Power. Participation in ballet declines with age because of a variety of factors, with injury frequently implicated. Dance Injury Diagnosis and Treatment Webcast February 2, 2009 Nancy Kadel, M.D. Rehabilitation for Performing Artists. Midfoot injuries in the dancer present a significant treatment dilemma because of the prolonged healing time required for stability of the foot and the difficulty of restoring the mobility required for dancing. Massage therapy is an excellent modality for muscle injury as it helps improve blood flow, increases range of motion, releases deep congestion and aids in chronic scar tissue repair. It's a book that every serious dancer and advanced dance student should have access to, either by owning it or by being able to borrow it or consult it in a school library. Depending on the degree of injury to the area some dancing may be allowed during the healing process. Poor Coaching. If one decides that os trigonum impingement is the only issue occurring and conservative therapy fails, excision may be the best option but the clinician should time this appropriately in such a way as to minimize downtime for class schedules, rehearsals or performances. An interesting fact is that dance as a sport is more popular for young children than Little League Baseball or even Pop Warner Football. Avoid putting weight on the affected area for 25-48 hours. Treatment for Dance Related Injuries The R.I.C.E. No pain, no gain blah, blah, blah. With this understanding, the doctor can properly evaluate the positions and movements that dancers need to execute the skills. 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