How to Treat Achilles Tendon Injuries in a dancer

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How to Treat Achilles Tendon Injuries in Dancers


Achilles tendon injuries are common yet often misunderstood in the dance world. This guide, inspired by the insights of Lisa Howell, outlines key steps for effective rehabilitation. The focus is on eccentric strengthening, alongside identifying predisposing factors and offering advice for a safe return to dance. Remember, this information is general and should not replace professional medical advice.

Understanding Achilles Tendon Injuries


Achilles tendon issues often arise in dancers due to prolonged strain and improper technique. Before pursuing treatment, rule out other causes of ankle pain, such as an ‘os trigonum’ or posterior impingement syndrome. Consult with a sports doctor or physiotherapist for a proper diagnosis.

Key Steps for Rehabilitation


Early Diagnosis and Initial Treatment


Early detection coupled with RICE (Rest, Ice, Compression, Elevation) is crucial to prevent further damage.

Eccentric Strengthening Program


Incorporate eccentric exercises where muscles lengthen while contracting. Proper technique is essential to avoid further injury:

1. Bilateral Heel Drop
- Stand on a step's edge, feet in demi-pointe. Lower heels below step level slowly.
- Perform 3 sets of 15 reps, twice daily. Maintain proper foot position and use a barre for support.
- Avoid rising from the lowered position; return to start instead. Alternate sets with straight and bent knees to work different calf muscles.

2. Single Leg Heel Drop
- Rise onto demi-pointe with both feet, then transfer weight to one foot, lowering the heel below the step.
- Gradually increase weight on the injured leg and add weights as strength improves.

Addressing Predisposing Factors


To ensure a comprehensive recovery, correct contributing factors:

- Calf muscle tightness
- Limited ankle or midfoot motion
- Control of arches and small toe muscles
- Pelvic stability
- Abdominal strength

Gradual Return to Dance


Return to dancing only when tenderness has subsided. Start with gentle activities like ‘Floor Barre’ to maintain mobility without overloading the tendons. Integrate Pilates to enhance strength and facilitate a quicker return. A small heel lift in shoes can ease Achilles tendon stress during the transition back to normal activity.

Conclusion


Achilles tendon rehabilitation in dancers requires patience and a structured program. Emphasizing eccentric strengthening and correcting underlying imbalances are key to a full recovery. Always consult with a healthcare professional for tailored advice and guidance.

You can find the original non-AI version of this article here: How to Treat Achilles Tendon Injuries in a dancer.

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