Ballet Shoes for Children

April is Foot Health Awareness month and the American Podiatric Medical Association has teamed up with First Lady Michelle Obama's "Let's Move" campaign to shine the spotlight on childhood obesity and the importance of keeping children healthy and active. This new campaign launched by APMA is called "Today's Podiatrist Keeps America Moving". Ballet is an excellent way for children to exercise but choosing the right ballet shoe is important.

Children have developing and growing feet, and a properly fitting ballet slipper is vital to keeping feet safe. Certain ballet positions can put excessive strain on the feet, so check with your podiatrist if your child complains of foot pain related to dancing.
A ballet slipper should:
*Have a slightly snup fit to prevent balance issues. The slipper should not be loose or overly snug.
*Have a sturdy heel area, and feature a flexible sole.

Dancingly,
Jenn
jenn@centralctfootcare.com
Dr. Tina Boucher, Dance Podiatrist

Dear Jenn: Bruised toenails

Dear Jenn,
I take advanced ballet class several times a week for several hours at a time. I'm getting a lot of bruised toenails, which are hindering my performance in class. What can I do to prevent this from happening in the future?

I've gotten this in the past and it is definitely painful and not pleasant to look at! Your pointe shoes are probably to blame for the bruising. Are you still wearing the same size shoe you were wearing a year ago? Our feet change over our lifetimes and what may have fit us last year may not fit us this year. Feet get flatter or wider. Take a look at your shoes. Are they too short or too narrow for your foot? This will add unnecessary pressure on your toes. If the shoes are too wide, your toes will shift every time you go on releve. You should probably go back to your pointe shoe supplier and get a professional fit.

Keeping good care of your toenails is important as well. Your toenails should be trimmed short and along its natural curve. If you are unsure how to do this, make an appointment with your podiatrist today so they can show you the proper method. If you are not wearing any toe pads, I highly recommend you wear them (no pointe [har har] in suffering!). There are many different options out there for you to try, including lambswool, the new green bamboo padding I posted yesterday, gel pads, and others. I would also try adding individual toe caps to the nails that are affected the most. You can also apply anesthetic like Neosporin to the toenail to help it heal. If the nail is raised or continues to look bloody, then a podiatrist may have to drain the blood from the nail.
Send your foot and ankle dance questions to: jenn@centralctfootcare.com.
Dancingly,
Jenn
Dr. Tina A. Boucher, Dance Podiatrist

Be A Green Ballerina!

I came across this product in an old issue of Pointe Magazine. If you are currently padding your pointe shoes with lambswool, try using instead Green Ballerina Bamboo Pointe Shoe Padding. Made from bamboo fiber, it's a 100% renewable resource that is also 100% recyclable. This material is soft (looks and feels like lambswool!), naturally wicks away moistures and has antibacterial properties. Find it online at places like: http://www.balletboutique.com/pointe-accessories/123-green-ballerina-bamboo-pointe-shoe-padding.html.

Dancingly,
Jenn
jenn@centralctfootcare.com
Dr. Tina Boucher, Dance Podiatrist CT

Blisters from Pointe Shoes

 Pointe shoes are shoes. Just like we get blisters from regular shoes, you can get blisters from pointe shoes as well. When I first started taking pointe, I frequently got blisters on the backs of my heels. Now that my skin has hardened in that area, I rarely get a blister from pointe shoes.
Blisters, while not always painful, are certainly irksome. You may have blisters that are large or small or even in clusters, depending on where your pointe shoes are irritating the skin. Common places of irritation are on the backs of the heels, on the toes, and on the toe joints.

Blisters are caused by increase rubbing of the skins against an object. If the skin rubs hard and often enough against that object, trauma will occur. The epidermis and dermis separate (gross, I know) and fluids seep into this gap. The fluid acts as a layer of protection for the skin underneath and remains as a cushioning agent until the skin has fully healed. Once healed, the fluid will be reabsorbed into the body and a scab will form and peel away to reveal the new skin.
The area surrounding the blister may become red and swollen, depending on how severe the blister is. The fluid within the blister is typically clear. If the fluid appears to be bloody, it is likely a sudden force caused the blister. Also, if the fluid is greenish or yellowish, the blister is probably infected. You may experience a fever as your body fights this infection.
It is best the leave blisters alone so they may heal properly. Apply an antibiotic on them and cover it with a soft bandage. To prevent blisters from occuring again, put petroleum jelly or talcum powder on the spots in your pointe shoes that are irritating you. If you do not wear toe pads and frequently get blisters on your toes or toe joints, it would be best to add these to your shoes. Applying bandaids or medical tape to the affected areas before class will also help prevent blisters. Moleskin is also used for treatment of blisters. Cut the moleskin to the appropriate size with a hole for the blister and place it on your skin and cover with a bandage.
Most blisters if they are small should be left alone and not popped. If a blister does pop then leave the flap of skin that was left behind. Large blisters should be drained. If you are uncertain of doing it yourself, make an appointment with a podiatrist so they can properly do it for you. Doing it at home requires a sterilzed needle soaked with alcohol. Using the needle, pop the blister and make the hole wide enough so it will not reseal. Apply antibiotic and put a bandaid on it.
If you are experiencing recurring blisters, visit a podiatrist. Your feet should be dry at all times, so it is important before and after you take your pointe shoes off to towel dry your feet, as blisters commonly occur on wet, moist skin.
Dancingly,
Jenn
jenn@centralctfootcare.com
Dr. Tina Boucher, Dance Podiatrist, Meriden CT

Back to Ballet!

Some things just work out the way they are supposed to work out. I was offered more hours here at Central CT Foot Care Center, so I was able to quit my other job. With this new schedule, I can go back to ballet! For right now I'm in Pointe 1 on Thursday nights, but I am hoping to get into another class on Wednesday or take Zumba classes on Monday nights.

I was terribly concerned about the large amount of time off from June to December. Anyone who has taken rigorous ballet classes for several years knows how hard it can be to get back into the swing of things. Every part of your body aches after class.

Here is how it went: The rest of the class had taken summer classes and been working on Standard 7 in our Cecchetti method and was limber and technically more advanced, which is to be expected. Their pointe work had dramatically improved since June. They had worked the previous week on pirouettes at the bar, something which still terrifies me after all this time. The first week back I did not wear pointe shoes. It would have been ridiculous to even attempt it! It would have been like attempting a dive off the 10 meter platform when you haven't practiced in months.

I was able to keep up, which was completely surprising. I was tuckered after class though! I had sweated through my leotard and tights. I joked around with my husband when I got home that I could give him a really good hug... with lots of sweat. My feet were feeling ok, but having not pointed my feet for an hour at a time since June, my feet kept cramping up. I had tried to drink plenty of water before class to prevent this, but next time I'll try to work with a Pinky ball instead.

The next week, I was a brave soul and put my pointe shoes on. I was determined to keep up with everyone else and not show any pain. Which I did! I was so proud. I am determined to work hard to catch up with the work everyone else has put in. We did a lot of bourres at the end of class and I did better than some of the girls who had been taking class consistently.

My feet however, after, felt like needles had been poked in them. All of my joints were red and inflamed, but that was about it. Classes begin again next week and I will be anxious to see how my feet deal with more strenuous pointe work (and pirouettes on pointe! Any suggestions for getting over the fear of turning on pointe?)

Dancingly,
Jenn

Time Off From Ballet and What is that Zumba Craze?

Well, unfortunately, due to my schedule this year and the schedule at my dance studio, I cannot take my ballet and pointe classes. After dancing since January 2003, it has been quite awful to not be going to the studio two or three times a week. I miss the material, the movement, the exercise, the satisfaction after a particularly difficult class, and my teachers. After chasing a childhood dream, it is almost like the dream has ended before it has begun. I was never going to be a prima ballerina, or be the lead in the Nutcracker, but boy did I love the experience. I ran into the mother of one of my former classmates recently and she told me that even though I wasn't in class, I could still do stretching at home. Yeah, and I could finally work on those yoga and New York City Ballet fitness DVDs that's I've had for ages. We all know that going to a regularly scheduled class and paying for it is miles different than doing something at home where you are likely to be distracted from the task at hand.

I'm hoping that after my wedding in October that I can make plans to get involved with either yoga, pilates, or Zumba to keep in shape. My even bigger wish is that someone at my studio will take pity on me and teach me a private lesson once a week. Hint, hint.

I hadn't heard about Zumba until somewhat recently and have to say that I was baffled. What is Zumba and why are so many people going crazy for it? Is this the new "Sweating to the Oldies?" or Jazzercise? My future sister-in-law takes Zumba classes once a week, and from what she says, it seems like a lot of fun and right up my alley.

Zumba was created in the 1990's by celebrity fitness trainer, Beto Perez, who fused Latin-inspired aerobics with nontraditional music. He used tapes of merengue and salsa music that he had in his backpack. After success in his native Colombia, Beto brought Zumba to the United States in 1999. After Beto's two business partners scored a huge video deal, the demand for instructors in the US rose dramatically. In 2003, the Kellogg company signed Beto on to develop programming for Latin countries. Since then, Zumba fitness programs have been featured on Special K cereal boxes world-wide.

I'm hoping to get into a class soon. If any of you currently take class, let me know how you like it!

Dancingly,
Jenn

Alex Wong and Ruptured Tendons

I came home from work last night at 9:15, all ready to watch one of my favorite shows, So You Think You Can Dance. I saw the beginning of the Bollywood routine, which was supposed to be a duet between AdeChike and Alex Wong, my pick to win the competition. However, AdeChike had to perform the routine with the choreographer's assistant since Alex had possibly ruptured his Achilles tendon during rehearsal. The step that caused the injury was the repeated jump straddle splits. An MRI had been performed, but as of the Live show last night, the results were not known. Alex was placed in the bottom three because of his injury.

A ruptured tendon can be devastating for anyone, but especially more so for a dancer. The Achilles tendon is the band of tissue that runs from your calf muscle to your heel and is responsible for the "push-off" action when you walk and raise your heel. It is also known as the "heel cord". When you rupture your Achilles tendon you have created either a full or partial tear of the muscle. This is caused by stretching the tendon past its ability, forceful jumping (like Alex was doing) or pivoting. When Alex pushed off for his jump, he most likely pivoted and exerted too much force, and upon landing, collapsed on the floor.

Besides dancers, Achilles tendon ruptures can happen to serious athletes as well as what are known as "weekend warriors"- middle-age people who play sports on the weekend.

Those who experience Achilles tendon ruptures may show the following signs or symptoms:

1. A sudden, severe pain in the calf muscle or in the heel bone area. This pain is often so severe that people will collapse on the ground in obvious pain.

2. A popping or snapping sound or sensation.

3. Swelling in the area of occurrence, typically between the calf and the heel.

4. Problems walking or rising on the toes.

If you think you have a ruptured Achilles tendon you should seek medical attention from a podiatrist immediately. While you are waiting to see a medical professional, you perform R.I.C.E. (Rest, Ice, Compression, and Elevation) to reduce swelling and prevent any further damage.

During your appointment with a podiatrist, the doctor will ask how you injured yourself and if this injury has happened in the past. They will check the range of motion of the injured foot and compare it to the uninjured foot, as well as check the degree of the tear. Patients will exhibit a difficulty pushing down, like you would when pressing the gas pedal in a car. Some patients, like Alex, will require a MRI to determine the exact extent of the injury.

Unfortunately, it appears that Alex's injury will require surgery due to his dance background and his professional dance future. Those who qualify for non-surgical treatments are patients with minor ruptures, those who are less active and have conditions that would prevent them from having surgery. Treatments at this level include casts, walking boots or braces to limit the patient's movement. Surgery will be beneficial for Alex, since it will help him regain strength in his push-off, necessary for any dance allegro movement. He would be placed either in a cast or walking boot and be immobilized for several months while he recovers.

The results of the MRI should be back within the next couple of days. Hopefully it is less serious than we think and he can get back to competing!

Dancingly,

Jenn

jenn@centralctfootcare.com