Current Pedorthics | January-February 2019 | Vol.51, Issue 1 | Page 55

Athletes or Artists? to their form- fitting nature However, if a thin rigid orthotic is applicable, a Morton’s extension can be helpful to support the hallux. Conservative treatment in the young dancer will help to avoid surgical intervention in later life. Calcaneal Bursitis: Another typical overuse injury common to dancers. The main complaint is pain in the lower part of the Achilles tendon, often with localized swelling. The cause is friction on the lower part of the Achilles tendon between the tendon and the calcaneus, on the calcaneal bursa. Any pressure from the topline of the shoe or backstay can be painful and will eventually result in Haglund’s deformity if left untreated. An Achilles notch design at the posterior of the shoe was originally incorporated in athletic shoes to help this condition. Cutting the topline at the back and reinforcing the split with addition stitching will help relieve the pressure at the back of the heel. Rest, anti- inflammatory medication and gentle stretching will help. More serious cases may require excision of the bursa for relief. Calluses and Corns: Familiar words to dancers that need further explanation to be defined correctly. Corns as well as calluses appear as thickened areas of skin especially on the feet in response to continual mechanical stress. There are five subtypes of corn of which the hard corn (heloma durum) and the soft corn (heloma molle) are the most common in dancers. Hard corns present as translucent smooth yellow patches with a core that presses inward into softer tissue. Soft corns 4Flexor Hallucis Longus (FHL) 4Haglund’s Deformity 4Hallux Rigidus 4Interdigital Neuroma 4Medial Tibial Stress Syndrome 4Metatarsalgia Current Pedorthics | January/February 2019 53