Current Pedorthics | January-February 2019 | Vol.51, Issue 1 | Page 52

Athletes or Artists? the shoe, the shank and toe boxes are made of an unbreakable elastomeric resin lined with Roger’s Corporations’ Poron® 4000, which carries the American Medical Podiatric Association’s Seal of Acceptance. Using modern cushioned materials in the toe and midsole areas of the shoe help to make the shoe less noisy on landing. A wide selection of shanks and boxes vary in stiffness and styles from soft and pliable to firm and extra-supportive to accommodate both the professional and the beginner. Unbreakable shanks can be adjusted by simply heating them to perfectly conform to the longitudinal arch of the foot. Additionally, the upper material made from satin is specially lined to wick perspiration away from the dancer’s feet. Due to the extreme athleticism of ballet and its techniques, no pointe shoe or toe pad can be guaranteed to eliminate the risk of injury in the lower extremities. However, by understanding the biomechanics of the art, shoemakers can increasingly use innovation and space-age materials to build better footwear in an attempt to alleviate the problems associated with pathomechanics in ballet. As we move further into the 21st century, perhaps the traditional show business expression to wish good luck, break a leg, will literally become a redundant phrase. 4Achilles Tendinitis 50 Pedorthic Footcare Association | www.pedorthics.org Various overuse injuries are common amongst professional and serious amateur dancers due to repeated rehearsals and performances. Although overuse injuries at the highest levels of dancing are typical, dancers do not always seek out trained doctors and clinicians. The pedorthist must understand the mind-set of dancers and be aware of their special needs in order to be more effective with treatment. Dancers have the mentality that they don’t want to stop dancing, because in many cases they are used to pain, they tend to dance through injuries. Often dancers don’t seek medical help for a minor injury and then the condition becomes chronic and harder to resolve. A thorough evaluation, which should include observing dance technique, can help the pedorthist understand the causes behind a specific injury. Approximately 50 percent of all dance injuries are foot and ankle related. The majority of dance injuries, 60–70 percent – can be classified as overuse injuries. A repertoire of typical injuries to dancers with appropriate shoe advice: Achilles Tendinitis: Many dance shoes have little to no heel elevation. This is often a factor in the development of Achilles 4Anterior Ankle Osteophytes 4Blisters