Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags:

Ballet shoe Control

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 26th July 2010, 04:20 AM
ackers ackers is offline
Member
 
About:
Join Date: Feb 2006
Location: melbourne
Posts: 18
Join Date: Feb 2006
Marketplace reputation 0% (0)
Thanks: 12
Thanked 1 Time in 1 Post
Default Ballet shoe Control

Podiatry Arena members do not see these ads
Hi all,

I have a 16 year old patient that has been en pointe dancing since december 09. She has had Patella tendon pain since. Part of her successful pain management has been with the use of 38mm rigid strapping tape to her feet to control her STJ motion and Tibial Rotation. What has anyone else used as a more permanent fix as her skin integrity is starting to degrade?

Apart from a choice of 12 month or 365 day break that is??

Thanks

Vaughan
Reply With Quote
Sponsored Links
  #2  
Old 26th July 2010, 10:28 PM
mike weber's Avatar
mike weber mike weber is offline
Podiatry Arena Veteran
 
About:
Join Date: Apr 2009
Location: stockholm sweden
Posts: 3,824
Join Date: Apr 2009
Marketplace reputation 50% (0)
Thanks: 177
Thanked 586 Times in 423 Posts
Default Re: Ballet shoe Control

Quote:
Originally Posted by ackers View Post
Hi all,

I have a 16 year old patient that has been en pointe dancing since december 09. She has had Patella tendon pain since. Part of her successful pain management has been with the use of 38mm rigid strapping tape to her feet to control her STJ motion and Tibial Rotation. What has anyone else used as a more permanent fix as her skin integrity is starting to degrade?

Apart from a choice of 12 month or 365 day break that is??

Thanks

Vaughan
Vaughan,
I´m notsure there is anything you can do besides some felt in the pointe shoes which will not have much effect but worth a try.

Dance treatment for me often focus around when the patient is not dancing, ie icing after dance , NSAIDS, increase muscle strength length and balance , orthotics and good shoes when not dancing.
ps have you looked at taping the knee ? if this works you can tape the knee for awhile ,then foot, then knee gives the skin a rest.

Not sure if it helps

Goodluck
__________________
Mike Weber.



Arctic Monkeys - Do I Wanna Know?
Reply With Quote
The Following User Says Thank You to mike weber For This Useful Post:
ackers (28th July 2010)
  #3  
Old 27th July 2010, 12:41 AM
Admin2's Avatar
Admin2 Admin2 is offline
Administrator
 
About:
Join Date: May 2005
Location: Cyberspace
Posts: 3,901
Join Date: May 2005
Marketplace reputation 0% (0)
Thanks: 15
Thanked 139 Times in 123 Posts
Default Re: Ballet shoe Control

Related threads:
Other threads tagged with dancing
Reply With Quote
  #4  
Old 27th July 2010, 08:55 AM
Kevin Kirby's Avatar
Kevin Kirby Kevin Kirby is offline
Podiatry Arena Veteran
Most Valuable Poster (MVP)
 
About:
Join Date: Nov 2004
Posts: 7,488
Join Date: Nov 2004
Marketplace reputation 0% (0)
Thanks: 404
Thanked 2,134 Times in 1,175 Posts
Default Re: Ballet shoe Control

Quote:
Originally Posted by ackers View Post
Hi all,

I have a 16 year old patient that has been en pointe dancing since december 09. She has had Patella tendon pain since. Part of her successful pain management has been with the use of 38mm rigid strapping tape to her feet to control her STJ motion and Tibial Rotation. What has anyone else used as a more permanent fix as her skin integrity is starting to degrade?

Apart from a choice of 12 month or 365 day break that is??

Thanks

Vaughan
Vaughan:

Even though it is not the same as adhesive tape, you could try an elastic or neoprene ankle sleeve or elasticized wrap on the foot and ankle to minimize skin irritation and give some mild arch and ankle support. Getting this young lady on a daily program of muscle strengthening exercises for the posterior tibial, peroneus longus, deep digital flexors and plantar intrinsics will also usually help in young dancers over time.
__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

E-mail: kevinakirby@comcast.net
Website: www.KirbyPodiatry.com

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************
Reply With Quote
The Following User Says Thank You to Kevin Kirby For This Useful Post:
ackers (28th July 2010)
  #5  
Old 29th July 2010, 06:05 AM
Chiropody girl's Avatar
Chiropody girl Chiropody girl is offline
Member
 
About:
Join Date: Apr 2007
Location: Ontario, Canada
Posts: 7
Join Date: Apr 2007
Marketplace reputation 0% (0)
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: Ballet shoe Control

This is my first time sumbitting a reply. Hopefully this is helpful.

As a past professional dancer, I'd like to add to to the discussion the idea that with recreational dancers, particularly en pointe, we need to be cognizant that there are many studios who do not condition dancers properly for the task. It is possible that this dancer is not ready to be en pointe. For example, in plie is she overpronating or do her knees roll in? If so, it's likely she's not turning out out from the hips and likely not using her legs correctly. How is her ankle alignment en pointe? Is she 'pulled up' in the shoe? Did she receive a professional pointe shoe fitting?
If any of these warning signs are present, getting 'back to basics' with technique in addition to the strengthening program recommended by Dr. kirby is going to be critical.

Good luck!

Chiropody Girl
Reply With Quote
  #6  
Old 29th July 2010, 11:17 AM
DTT's Avatar
DTT DTT is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Location: Beddington UK
Posts: 1,687
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 371
Thanked 270 Times in 199 Posts
Default Re: Ballet shoe Control

Hi Vaughan

I have had and have patients from the Royal Ballet Company.

Let me tell you they are a nightmare

The punishing practice / performance schedule will not give you any chance to resolve a clinical situation.

We are not designed to stand on our toes so... it is an unsolvable problem to resolve injury from our point of view IMHO....

Most of mine are taken for Physio and then surgery by the in house medical staff unless I can provide an instant cure ( latest example fractured sesamoid ) No chance..

The performers come back to me for routine care

BUT

I cannot hope to meet the in house facilities provided so...

I go with the flow

Good luck
Cheers
Derek
__________________
My location

http://www.surreyfootcare.co.uk

"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
Reply With Quote
  #7  
Old 29th July 2010, 03:29 PM
ackers ackers is offline
Member
 
About:
Join Date: Feb 2006
Location: melbourne
Posts: 18
Join Date: Feb 2006
Marketplace reputation 0% (0)
Thanks: 12
Thanked 1 Time in 1 Post
Default Re: Ballet shoe Control

Hi,
Thanks everyone for the responses,
After having the patient perform some of the basic stance positions in her en point shoes, (We have 2 ex ballet myotherapists for supervision), We will implement the treatment protocols provided here.

Thanks again

Vaughan
Thread Starter
Reply With Quote
  #8  
Old 29th July 2010, 04:50 PM
carolethecatlover's Avatar
carolethecatlover carolethecatlover is offline
Podiatry Arena Veteran
 
About:
Join Date: Aug 2005
Location: Newark on Trent UK
Posts: 209
Join Date: Aug 2005
Marketplace reputation 0% (0)
Thanks: 160
Thanked 22 Times in 21 Posts
Default Re: Ballet shoe Control

I agree, as serious ex dancer, with chiropody girl, not old enough in bone age, not enough muscle strength training prior.
Reply With Quote
  #9  
Old 3rd August 2010, 05:45 AM
Sally Smillie Sally Smillie is offline
Senior Member
 
About:
Join Date: Feb 2008
Location: Kent, UK (Aussie in exile)
Posts: 134
Join Date: Feb 2008
Marketplace reputation 0% (0)
Thanks: 19
Thanked 30 Times in 20 Posts
Default Re: Ballet shoe Control

Ditto Carole and Chiropody girl. Some schools/students/teachers are a bit too gung-ho with going to point too soon. I have many dancers as young as 13 en point locally. However back to the point in addtion to adequate preparation, I would be looking at muscular control at the knee, preferably jointly with a physio before fiddling excessively with feet. The sympotms are at the knee but yet you've not said how or why you've discounted the funtional elements there and focussed on the feet.
__________________
Patient (age 6) "Mum, I know you're pregnant, but why is your bum big too?"
Reply With Quote
  #10  
Old 3rd August 2010, 06:45 AM
Kerrie's Avatar
Kerrie Kerrie is offline
Senior Member
 
About:
Join Date: Mar 2009
Posts: 71
Join Date: Mar 2009
Marketplace reputation 0% (0)
Thanks: 7
Thanked 3 Times in 3 Posts
Default Re: Ballet shoe Control

Hi There,
Much like some other members who have commented here I am an ex ballet dancer. I did it for 14 years and was en pointe for a good few of them. So in a sense I feel your patients pain haha.
I have to say that I agree with chiropody girl in that she is probably not ready to be en pointe if she's getting pain, like everyone says she's probably not conditioned/trained appropraitely for it. I think I was 17 before aI tortured the tootsies and even then it was agony.
From personal experience I found that a neoprene ankle support helped me and lambs wool on the block for comfort. Admittedly a nice blue or white ankle support does not really go with the whole ballet ensemble but it does help alot. Alot more forgiving than tape and easier to apply :)
Hope this helps
Reply With Quote
  #11  
Old 17th September 2011, 01:47 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 13,622
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 14
Thanked 585 Times in 475 Posts
Default Re: Ballet shoe Control

From Lower Extremity Review:
Pointe shoes complicate biomechanics of ballet
Reply With Quote
  #12  
Old 9th October 2012, 04:56 PM
Jenene Lovell Jenene Lovell is offline
Senior Member
 
About:
Join Date: Nov 2009
Location: Australia
Posts: 31
Join Date: Nov 2009
Marketplace reputation 0% (0)
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: Ballet shoe Control

I am a podiatrist, dancer and fully qualified dance teacher. I know what the poor girl is going through from all aspects...

All the points above are valid, the foot en pointe has to be strong enough to suppport the entire body weight of the dancer, stretching and strengthening exercies are going to be your best friend with this case.

You do also need to consider seeking a physiotherapist that deals with ballet dancers frequently as they would understand the pressures that one would put on the body. It is not just about the feet, it is about the whole leg and body..

Unfortunately, most dancers are not trained to turn out (externally rotate) from the hip, and to be fair, most children (and I mean those around 5-6 years old) will have no idea what proper turn out means. To be honest, most teachers tell the students to "turn their feet out" and not demonstrate that the turn out has to come from the hips. It took me a while to fully comprehend what my dance teacher was on a bout, with the squeeze your bottom in knees to goes to the side walls, knees over feet, you get the picture.

Maybe we need to educate the dance teachers more on correct technique for externally rotating the hips, so that the prevention of injuries such as the one you describe above (and others) will not happen in the future... Having said that, I think that would be a huge undertaking and it would be hard to reach all teachers to tell them this.

Treating professional dancers is more than daunting as they are professional athletes. You will have to walk (or dance) a fine line of trying to heal and treat a problem, compared to managing it. The neoprene sleve will give her the suppport that she needs and temporary relief, but ultimately you will have to consider the full biomechanics of the foot, knee and hip, and core...
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Ballet Adrian Misseri Biomechanics, Sports and Foot orthoses 8 21st May 2010 01:55 PM
Motion Control Shoe Delays Fatigue of Shank Muscles in Runners With Overpronating Feet NewsBot Biomechanics, Sports and Foot orthoses 3 5th March 2010 12:35 AM
Motion control shoe affects temporal activity of quadriceps in runners NewsBot Biomechanics, Sports and Foot orthoses 5 11th November 2009 03:45 AM
Ballet School Students david meilak Biomechanics, Sports and Foot orthoses 4 28th November 2004 11:49 PM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 07:30 AM.