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This private, general acute care boutique hospital has a comprehensive range of clinical specialties and subspecialties, including obstetrics and gynaecology, general surgery, orthopaedic surgery, ear, nose and throat (ENT), and ophthalmology. There are a few more injuries that are quite common in dancers including Achilles tendinopathy, plantar fasciitis, shin splints, posterior ankle impingement (commonly known as ‘dancers heel’), bunions and even ingrown toenails. Almost half of all injuries in professional ballet companies can be foot and ankle. This is known as an intermetatarsal bursal neuroma complex. But the fast footwork, acrobatic movements and jerking motions can put a lot of stress on the dancer’s body, leading to potential hip hop dance injuries in the spine, hips, knees, ankles and feet. Is your doctor using words you don’t understand? Dancers put in hours of work in training. A Guide To Diagnosing And Treating Common Dance Injuries. Ballet and Dance, although graceful and majestic, is notorious for how tough it can be on the body. Consequently, if you are not strong enough in your ankles it is more difficult to maintain balance and stability and there is a higher risk of an ankle sprain. Foot and ankle injuries in dancers Clin Sports Med. demi-pointe – where all your weight is on your forefoot), then they can get inflamed and cause pain. These tips can help you be more aware of how to avoid injuries while exercising at home. Bunions are one of the most common issues for dancers and is the result of an abnormality where instead of being straight, your big toe leans in towards your second toe. Left untreated, it can result in a permanent painful deformity that may even affect the second and third toes. (n.d.). “Over 50 percent of dance injuries occur in the foot and ankle. Ballet can cause foot pain, injury, and in some cases, even foot damage for dancers. In dancing injuries, it frequently occurs in the metatarsal bones of the foot, usually the second and third metatarsal bone. This may happen from landing awkwardly from … The best way to prevent these injuries is to make sure you have a good warm up, including self massage and stretching. What are the most common dance injuries? Dancing, while graceful and breathtakingly beautiful, requires flexibility, strength and stamina to perform. Hairline (Stress) Fracture. Most of the time, any pain you experience after dancing is due to sore muscles that usually goes away within 24 – 48 hours. The flexor hallucis longus and posterior tibialis tendons are commonly injured in dancers due to the repetitive motions performed in turnout and a plantar-flexed (or pointed) ankle and foot position. Rest assured we have implemented measures to safeguard the health of our patients, visitors and staff. In severe sprains an ankle fracture may occur causing increased pain and more comprehensive treatment. In ballet these injuries are most common in dancers who go en pointe or landing from a sauté or jeté. That niggling pain in your back or neck could be more than just muscle tension. Fractures of the Ankle. Have you ever wondered what goes on inside an ambulance? If you are a dancer reading this and you have pain, please do not ignore it. 37.3 million falls severe enough to require medical attention occur every year. Knee Injury; Hip Injury; Ankle Injury; Foot Injury; Fractures; Reduce your risk of dance related injuries by being mindful of these 5 risk factors: Sprains; The most affected area of a sprain are the ankles and knees. Article contributed by Dr Victor Seah, orthopaedic surgeon at Parkway East Hospital, Adcox, M. (2017, September 19). Dr Low Eu Hong, paediatrician from Parkway East Hospital, has advice for parents. A stress fracture is defined as a hairline crack within the bone and occurs due to  overuse or repetitive impact where damage is done to the bone over time. Common dance injuries include sprains and strains, where your muscles and ligaments are overstretched or twisted. When the time comes, how knowledgeable are you on the treatments available? Falls and accidents are part of growing up, but they can get serious. This article discusses some of the more common acute and chronic foot and ankle problems in dancers for the benefit of the treating physician. As a parent, when should you worry? Achilles Tendonitis. Lateral ankle sprains and metatarsal stress fractures (also known as ‘Dancer’s Fracture’ which affects the distal shaft of the fifth metatarsal) are closely related. The foot and ankle are the most common area to be injured in dancers. Ankle Sprain. We have also put together a few sneaky tips on how to avoid injury. A combination of conservative treatment modalities is always the first line the treatment when dealing with dance injuries. We decipher common but sometimes confusing medical jargon. Ankle tendinopathy can be treated with physical therapy. The Achilles tendon is the most powerful tendon in the human body. Common Dance Injuries. Depending on the severity and the location of the fracture, offloading can be in the form of a CAM boot and may require aids such as crutches to promote healing. 321 Joo Chiat Place Parkway East Hospital is accredited by the Joint Commission International (JCI), thus demonstrating the hospital's commitment towards excellence for its patients and staff. Shockwave therapy can help with healing stimulation. A coritsone injection can be useful to reduce inflammation. Read on to find out more. 2016). Achilles Tendonitis. A lateral ankle sprain is the result of tears to any of the lateral stabilizing ligaments. A sprain is the partial rift of ligaments (fibers of the connective tissue) that give support and … While experiencing foot injuries may be a common occurrence for ballet dancers, these issues are likely to result in serious or even permanent damage to the feet over time. What happens when you walk into our 24-hour A&E clinic? With each practice easily lasting several hours a day, dancers often risk stress fractures and other overuse injuries. With the most frequent joint injury being patellofemoral pain … If you experience pain or pass blood as you pee, you might have picked up a urinary tract infection. Plantar Fasciitis. Ankle sprains involve the lateral (outside) structures of the ankle and occur when the ankle is inverted (turned or rolled outwards). Lateral Ankle Sprain is a common injury among athletes. Dr Kannan Kaliyaperumal, orthopaedic surgeon, talks about foot problems that wearing high heels may lead to. In today’s fast-paced, competitive world of dance, the new catch phrase is injury prevention. Following the end of the circuit breaker period, Parkway East Hospital and our 24-hour A&E clinics will continue to deliver essential healthcare services to those in need. To book an Appointment Phone: If you want to find our more about what a dance assessment involves, read this blog. (Liederbach, 1985) Flexor Hallucis Longus (FHL) tendinopathy is seen in classical ballet, particularly those who go en pointe, because the FHL tendon is responsible for pointing the big toe. Working from home has limited the majority of Singaporeans to doing home workouts. 1988 Jan;7(1):143-73. Fatigued muscles transfer stress to the bone. Learn the signs of danger and what to do. Using ankle braces or crutches to avoid putting weight on the ankle is recommended. By clicking Submit, I agree to Parkway Group’s Terms & Conditions & Privacy Policy and understand that I may opt out of Parkway Group’s subscriptions at any time. Due to its physically demanding nature, dance injuries in the ankle and foot are especially common. Tendonitis Here is a helpful guide on the 3 most common foot injuries we see in dancers (of all ages). However, the most common injuries are lateral ankle sprains, achilles tendonitis, metatarsal stress fractures and tibialis posterior strain/tears (Prem et al. Unlike the small stress fractures in that can develop in the feet, a fracture in … Ensure you are using the correct technique and regularly strengthening your entire lower leg not just your ankles. Followed by strengthening the muscles around the ankle so they are able to combat the increase in load. In cases where the pain in the ankle is severe, it may be necessary to perform an X-ray to exclude the possibility of more severe injuries such as a fracture or complete ligament tear. Out of all medial side injuries, the flexor hallucis longus injury is by far the most common. Dancing is a way of life in many cultures all around the world. It is important that this injury is rehabilitated properly to decrease the likelihood of re-injury. Among the more severe sports injuries, stress fractures often occur when you overdo a high-impact activity like running, dance or basketball. The bursae are there to protect the bones from pressure and stop them from grinding against each other. What are kidney stones and are they a serious condition? Retrieved May 23, 2020, from https://www.healthline.com/health/ankle-sprain, Plantar fasciitis. This include strengthening glutes, hamstrings and quads so that they have the capacity to absorb the load and forces placed on the entire body. There are injuries that involve the anterior, posterior, medial and lateral sides of the foot/ankle/legs that dance clinicians commonly see. Sprains could lead to an increased risk of arthritis of the joints. dancing) and for healing to occur may require you to be non-weight bearing. An intermetatarsal neuroma occurs when the pressure on the nerve that runs between bones in the ball of the foot. Most people experience severe knee pain at some point in their lives. Common Dance Injuries and Prevention Tips. Platelet-rich plasma therapy, which is the injection of a concentrate of the patient’s own blood plasma rich in healing factors, has shown good results in many studies in the treatment of recurrent Achilles tendinitis or plantar fasciitis. Initially, involves offloading and reducing inflammation. Read more…, Hastings: (03) 5979 2255 Here are the facts. In youth, the most common structures to be injured are the joints, particularly the knees and ankles. Foot, knee and ankle ailments are common in percussive styles due to the repetitive and high-impact foot movements, says Sarah Plumer-Holzman, DPT, OCS, a physical therapist at the Harkness Center for … If your family member falls, what should you do? Treatment: Most ankle sprain injuries respond well to RICE therapy (which stands for rest, ice, compression and elevation), and patients can typically return to dancing in a few weeks. Plantar fasciitis is inflammation of the tissue that runs across the bottom of the foot and connects the toes to the heel bone. Dr Chua Soo Yong, orthopaedic surgeon, talks about back pain symptoms you should not ignore. Consequently, with significant load, bursitis and a neuroma can occur at the same time. +65 6377 3737, Following the end of the circuit breaker period, Parkway East Hospital and our, Rest assured we have implemented measures to safeguard the health of our patients, visitors and staff. Some stress fractures may require surgery where pins or screws are used to hold the bones together during the healing process. WHAT CAUSES DANCE INJURIES? Does your child’s walk and movement seem uncomfortable or unusual? Click HERE to book a Dance Assessment online. • The 5thmetatarsal is a small bone on the outside of the forefoot below the ankle. Injuries tend to occur in the low back, hips, and lower extremities (lower leg, ankle, foot). Retrieved May 23, 2020, from https://www.healthline.com/health/achilles-tendinitis, Hecht, M. (2017, April 13). click here to find out how we are protecting our patients and our team. Here’s what an orthopaedic surgeon would recommend when you’re waiting to recover. Practicing lifts. Appointment & Enquiry: So, rather than dancing through the pain, it is important to take preventative steps to avoid foot injuries and seek proper and immediate treatment if or when you get hurt. Intermetatarsal bursitis is foot injury where the fluid-filled sacs (bursa) between the bones in the ball of the foot become inflamed. Whatever your health concern may be, our specialists and nurses are here to help you achieve the best possible quality of life. Depending on the severity of the sprain, the ligament injury can vary from a partial to a complete tear of the ligament. Patients will experience pain when walking, and there is often swelling at the top or bottom of the foot. Frozen shoulder is a painful condition, but it can be treated. 7/489 Nepean Highway at LifeStrong Physiotherapy. Learn how to tell if your red, itchy eyes are due to an allergy or an infection and the different ways to treat them. Exercising when you’re injured sounds counterproductive. Additionally, dancers can also sustain impact injuries – such as bruises caused by falling, collisions or trips and slips. However, you may have suffered an injury if you experience pain that: If you do experience such pain, consult a medical specialist, preferably an orthopaedic specialist  or physical therapist with experience in treating dance injuries. … No matter the style of dance, if you are concerned about your strength, have suffered these sorts of injuries before or if you are a ballet dancer about to go en pointe then you must book in for a dance assessment. Surgery will involve removing some of the bone to correct the big toe’s position, and to remove swollen tissue from the affected joint. What is De Quervain's syndrome and how can you prevent and treat it? It often happens to people who suddenly increase the frequency, duration or intensity of their exercises without proper incremental training or sufficient rest in between exercises. These are more acutely traumatic than the other prevalent dance injuries. Here are 4 orthopaedic conditions in children to be aware of. Growing older may come with a host of bone and joint health issues, such as osteoporosis and osteoarthritis, which can lead to falls among the elderly. The foot/ankle/lower leg area is vulnerable to a wide range of injuries, including stress fractures, tendon injuries, sprains, and strains. But could it be beneficial for you? This unpleasant condition can be effectively treated if discovered early. Pain and discomfort is your body’s way of telling you that there is something wrong. Retrieved May 23, 2020, from https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846, Raj, D., Lasner, A., & Greene, A. Ankle sprains can occur when a dancer lands from a jump or rolls their ankles incorrectly, over-stretching or even tearing the ankle ligaments. Stress fractures can be quite prevalent in dancers as they perform repetitive movements and put a lot of stress through the bones in their feet during class and practice. Minor burns are usually not serious and can be treated at home. Treatment: Treatment involves stretching exercises to the ankle and foot, as well as ultrasound or shockwave therapy to the injured tendon or fascia. The rehabilitation program and duration of rehab from a lateral ankle sprain depends on its severity. If a stress fracture is confirmed, it requires ceasing activity (ie. Total knee replacement could well ease the pain and suffering from long-term conditions such as osteoarthritis. The normal cough can be harmless, but whooping cough can be deadly. Singapore 427990 In cases where significant instability of the ankle is present, surgery for reconstruction of the torn ankle ligaments may be necessary to restore stability to the ankle joint. If you are unlucky and there is a confirmed fracture, then similar to a stress fracture, a CAM boot may be required for offloading until healing has taken place. A small, hairline crack forms, causing potentially severe pain. Narre Warren: (03) 8790 3755 Stress fractures usually heal in 1 – 2 months. To make an appointment and book your child in for a pre-pointe ballet assessment with our dance expert Sarah, please phone 5141 6147. To the Pointe: Common Foot and Ankle Injuries Among Dancers. Stretching … Learning routines. Various ancillary services such as rehabilitation therapy and imaging services are also available. Achilles Tendonitis. What happens when your baby has taken too much medicine? A stress fracture is micro fracture that occurs due to repetitive force on a bone. 511 Princes Highway, opposite KFC. Retrieved May 23, 2020, from https://www.healthline.com/health/hairline-fracture, Badii, C., & Boskey, E. (2017, June 8). Most of these are related to the exceptional amount of force that goes through a dancer’s body, particularly their feet on a daily basis. In this video, we break down the steps in a typical patient’s journey to the accident and emergency department at our hospitals. Underlying the beauty of dancing is a series of complex and dynamic footwork, performed repetitively to achieve pinpoint finesse in its execution. Retrieved May 23, 2020, from https://www.healthline.com/health/metatarsalgia, Luo, E. (2017, April 20). Read on to find out how to care for your burn. Bunions may progressively worsen where the pain and swelling cannot be relieved completely with non-surgical treatment. Injuries and common conditions can fall into a few categories. Open 6 days a week. Dr Victor Seah is an orthopaedic surgeon at Mount Elizabeth Novena Hospital and Parkway East Hospital, Singapore. Ankle sprains can occur when a dancer lands from a jump or rolls their ankles incorrectly, over-stretching or even tearing the ankle ligaments. A neuroma can occur from an external force (i.e. Falling when trying to land from a jump or tripping over the feet during dance make ankle sprains a common dancing injury. There are a few more injuries that are quite common in dancers including Achilles tendinopathy, plantar fasciitis, shin splints, posterior ankle impingement (commonly known as ‘dancers heel’), bunions and even ingrown toenails. Dr Kevin Lee, orthopaedic surgeon, talks about how to identify and treat arthritis, a condition that is increasingly seen in young people. in tight dance shoes) and/or a lot of pressure placed upon it (ie. For instance, dancers have the potential to fracture a bone in their foot simply from landing incorrectly during a jump. Learn more about how we keep our hospitals safe. A bunion is a growth on the side of the big toe and can be painful. Ill-fitting shoes can cause foot and toes injuries. Oral anti-inflammatories such as ibuprofen can also help to reduce the inflammation of the bursa or neuroma. 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