We’ve all felt nagging pains in our lower backs, necks and shins—and we’ve all ignored them. It’s easy for dancers to chalk these seemingly minor afflictions up to nothing more than #dancerprobz. But there comes a point when it’s time to stop pretending everything’s fine. “Most bigger dance injuries occur because of overuse, so dancers need to be diligent about the little problems,” says Sean Gallagher, PT, founder of Performing Arts Physical Therapy in NYC. Dance Spirit spoke with Gallagher and Laura Hohm, PT, DPT, CFMT, of PhysioArts in NYC, about how to care for these unloved body parts.

Neck

You Feel: Sharp twinges of pain or stiffness when you turn your neck, especially when spotting or performing choreo with lots of head movements.

If Left Unaddressed: Neck symptoms are often indicative of overworked, strained muscles. Continued stress can cause irreversible tissue damage, loss of motion in the cervical spine and nerve pain.

Try This: “Stretching the neck muscles can make the pain worse in certain situations,” Hohm warns, so use caution when you feel the urge to stretch it out. Hohm recommends The Thinker pose: Make a fist with your right hand and place it under your chin, supporting your right arm by holding your left arm across your body and tucking it under your right elbow. You should feel the tension in your neck begin to release as you relax on your fist.

(Photo by Erin Baiano)

Shins

You Feel: Pain or soreness along the front of your lower leg, especially while jumping or in relevé—commonly known as shin splints.

If Left Unaddressed:

Shin splints can progress to stress fractures, which are twice as painful and difficult to heal.

Try This: A full calf and foot warm-up prior to dancing should do the trick, as well as gentle calf stretching and periodic icing when soreness occurs.

Lower Back

You Feel: Sharp, persistent lower back pain that worsens in arabesque, cambré back and with jumping.

(Photo by Erin Baiano)

If Left Unaddressed: Pain from prolonged and repetitive strain on the lower back and lower lumbar spine can be early symptoms of a stress fracture.

Try This: Abdominal strengthening exercises done while maintaining neutral spine alignment (Pilates is especially good) can help support the torso and back.

These solutions are potential fixes for minor problems. “But if symptoms last more than one to two weeks, it’s time to see the doctor,” Gallagher says. Hohm agrees: “If the pain persists and doesn’t change with warm-ups, cool-downs, rest and ice, it’s best to seek medical advice.”

An Ode to Dark Chocolate

Packed with antioxidants and heart-healthy flavonoids, dark chocolate is the perfect treat to keep in your dance bag. And in case you needed more reasons to indulge this Valentine’s Day, here’s our love letter to all things dark chocolate.

(Courtesy Yumehana/Thinkstock)

Dear Dark Chocolate,

Have we told you lately that we love you? When we’re feeling down, all it takes is one bite to boost our moods—you’re packed with phenylethylamine, a chemical that prompts our brains to release feel-good endorphins. When we’re feeling sluggish, all we need are a few squares of 70 percent cocoa for some extra oomph. Each bite of chocolate provides us with iron (to help fight off fatigue), magnesium (to help with energy production) and potassium (to help regulate blood pressure). The list goes on, and so does our love. We don’t need Valentine’s Day as a reason to indulge—you’ve got nutritional goodness to give every day of the year!

DS

Did You Know?

You’ve got the choreo on lock and your technique is on point. But you need one more thing to take your performance to the next level: eye contact, and lots of it. Studies show that holding someone’s gaze helps that person recall you more easily. So when you lock eyes with the judges at a competition or the teachers at a convention, make the moment count!

You’ve just completed petit allégro—and you want to scream. Your shins ache so much that you don’t think you can do another jeté, ever. What’s this debilitating pain? It’s probably shin splints.

“Shin splints” is the general term for pain around the tibia and fibula—the bones at the front of your leg that run from your ankle to your knee. Unfortunately, dancers are prone to shin splints because dance puts repeated stress on the lower leg, and dance shoes don’t offer much cushioning. But some dancers are more susceptible than others. “There is a genetic component—bone alignment, the laxity in the joints, the way you’re put together,” explains Dr. William Raasch, who treats dancers at Milwaukee Ballet. Pronation, or “rolling in” on your feet, also makes you likelier to develop shin splints.

From diagnosis and causes to treatment and prevention, here’s what you need to know about this condition.

Conditions

Photo by iStock

According to Dr. Donald J. Rose, director of the Harkness Center for Dance Injuries in NYC, shin splints is an umbrella term for several problems:

Stress fractures are tiny breaks in the bone. They occur when the muscles around the bone become too fatigued to absorb shock, such as the impact from landing a jump. If you have a stress fracture, you’ll probably have localized pain when you dance, but the pain should go away when you stop.

Periostitis is an inflammation of the periosteum, or outer lining of the bones. According to Dr. Rose, repeated stress on the muscles attached to the periosteum cause it to become inflamed. If you have this problem, Dr. Raasch says, you’ll usually feel pain when you start dancing that will ease up as you continue the activity and then flare up again after you stop, sometimes lasting for hours.

Chronic exertional compartment syndrome occurs when the muscles around the bone swell and the lining encasing those muscles gets too tight, cutting off the oxygen and blood supply, says Dr. Rose. If you have this condition, you’ll develop an achy feeling along your shins after 5 to 10 minutes of dancing. The pain can last up to 20 minutes after you stop moving.

Causes

The above conditions can be caused by similar factors. Dr. Raasch says that while genetics is part of the equation, your environment, shoes and activity level can also play a role. Here are some common reasons you might develop shin splints:

•    Dancing on surfaces that don’t provide shock absorption

•    Wearing shoes that lack proper arch support

•    Excessive jumping

•    Dancing on a raked stage

•    Overuse

•    Suddenly increasing the intensity of activity

According to Dr. Rose, if you have recurring pain in your shins that lasts more than two weeks, you should immediately see an orthopedist who specializes in dance or sports medicine.

Treatment

Depending on your condition, treatment and recovery times will vary. Resting, icing and elevating your legs for a few days may be enough in some cases. But dancers with more severe injuries may be required to undergo physical therapy or even surgery to recover from shin splints.

Prevention

When you’re not dancing, wear shoes with good arch support. Avoid dancing on concrete or unsprung floors. And if you’ve taken a break from dancing, ease back into training. Be kind to your body, and it will thank you!

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