Current Pedorthics | January-February 2019 | Vol.51, Issue 1 | Page 60

Athletes or Artists? in ballet), the inversion injury of the ankle with subsequent strain of the lateral ankle ligaments is the most frequently treated sports injury. Medial ankle sprains are much less common. If diagnosed as such, a medial ankle sprain is a sprain of the deltoid ligament. Most sprained ankle injuries are treated, depending on their severity, with one or more of the following – rest, crutches, strapping or a cast. A surgical boot with midfoot or toe rocker, along with crutches may be advised. Except for ballet slippers, most other categories of dance shoe will accommodate strapping or bracing, once the dancer is fit for activity. The key point in the shoe is stability. In sport shoes, a high-top over the ankle shoe, such as a basketball shoe, may be used, likewise in American football. Adidas experimented with a specially designed stability shoe to aid rehabilitation some years ago, but this was available only for elite athletes. Dance shoes are more specific and other than a high- top training shoe, only strapping or an elasticized brace will help to stabilize the foot and ankle inside the shoe. On certain shoes, an outside flange may be added on the lateral side for stability during rehab. Stress Fracture: Stress fractures below the knee are common in dancers involved in high impact pounding and landing from jumps on hard wooden flooring. A stress fracture is another type of overuse injury. It is classified as a spontaneous fracture of normal bone as a result of stress applied to the bone. Typically stress fractures in dancers occur in the neck or base of the second metatarsal, the lesser metatarsals and lower fibula. Stress fractures in the feet occasionally are diagnosed in the tarsal bones, calcaneum and navicular. Shoes with extreme cushioning and shock absorption can relieve the pain and pressure during everyday activities. If the dancer insists on performing, padded insoles will help to reduce impact. Impact reduction and the risk of further injury can be achieved by dancing on a “sprung floor” as opposed to an unyielding surface. —PFA PHOTO CREDITS: 12) Metatarsalgia - @Shutterstock.com/p_saranya 1) Achilles Tendinitis - @Shutterstock.com/catinsyrup 13) Nails - @iStock.com/Cunaplus_M.Faba 2) Anterior Ankle Osteophytes - http://footandankleinstitute. be/disorders/ankle/anterior-impingement-syndrome/ 14) Patella Femoral Syndrome - http:// angelasimpsonphysio.ca/patella-femoral-pain-syndrome/ 3) Blisters - @Shutterstock.com/Cristian Dobre 15) Plantar Fasciitis - @Shutterstock.com/TANAPAT LEK. JIW 4) Bunions - @Shutterstock.com/vasara 5) Calcaneal Bursitis - @Shutterstock.com/BlurryMe 6) Calluses and Corns - @Shutterstock.com/kunanon 7) Flexor Hallucis Longus - @Shutterstock.com/In The Light Photography 8) Haglund’s Deformity - @Shutterstock.com/Levent Konuk 9) Hallux Rigidus - http://rydepodiatry.com.au/wp-content/ uploads/2015/11/Halluxrigidusxray.jpg 10) Interdigital Neuroma - https://mortonsneuroma.surgery/ mortons-neuroma/mortons-neuroma/about-mortons- neuroma/ 11) Medial Tibial Stress Syndrome - @Shutterstock.com/ comzeal images 58 A good counter in any shoe helps to align the foot correctly and control lateral and medial movement inside the shoe. Pedorthic Footcare Association | www.pedorthics.org 16) Posterior Impingement Syndrome of the Ankle - http:// footandankleinstitute.be/wp-content/uploads/2010/08/ Fig-33.jpg 17) Sesamoiditis - https://images.radiopaedia.org/ images/5506848/b04416fbb0acf5e6360e4f92f4b27a_ jumbo.jpeg 18) Shin Splints - @Shutterstock.com/namtipStudio 19) Sprained Ankle - @Shutterstock.com/Luis Santos 20) Stress Fracture - https://www.michiganpodiatry.com/ wp-content/uploads/2015/06/stress-fractures.jpg