5 Ways To Keep Injury From Ruining Your Dance Career

Many dancers fear injury, and worse, avoid fully addressing their pain or injury once it's happened. Unfortunately, this avoidance can escalate an injury and prolong pain, which makes the recovery process even more difficult. Having a focused and thoughtful approach to injury recovery can help you keep injury from ruining your dance career and can even help you become a stronger and healthier dancer. 

As I look forward to presenting at summer dance intensives for both Dancenter North and Millennium Dance Center this week, I am sharing my hands-down best advice possible to help you heal well after injury so you can keep your dancer career alive and thriving. I have seen these basic practices help many dancers get and stay healthy- I hope they will help you, too.

SEEK MEDICAL ADVICE. 

Many dancers avoid seeing a doctor or physical therapist because they fear being told to stop dancing. The problem is, NOT addressing a problem doesn’t make it go away- it makes it worse. If you are injured or in pain, get it checked out and don’t stop until you get the care you need to fully recover. The time you think you might lose from seeking care is nothing compared to the time you stand to lose if you don't get the help you need now. So, go out and...

FIND HELP THAT MEETS YOUR NEEDS.

Find a physician and/or therapist that will listen fully to your concerns and who will address them to your satisfaction. If your goal is to continue dancing, your doctor or physical therapist should do everything possible to help you do that. While finding the right person to help you can take some work, trying to recover from an injury completely on your own is even tougher. Don’t give up on yourself if you can’t get the answers you need- keep asking. 

DON’T OVERUSE ICE.

Ice can be helpful to reduce pain and swelling if you’ve overdone it. However, you should never need ice on a consistent basis. A much safer and more effective method of managing symptoms is to adjust how much and how hard you are dancing to a level that doesn’t cause you pain or swelling. Your dancing will actually progress much more quickly if you don’t have to spend so much time and effort recovering from it. 

STAY ACTIVE.

Movement is a critical part of the healing process. However, movement that puts you in pain or worsens your injury will not help you heal. Work with your physical therapist on ways that you can stay active and as safe as possible while you recover. If your doctor has not recommended physical therapy, ask for it. 

LISTEN TO YOUR BODY. 

While some aches and pains are a normal part of the experience of pushing your body to its limits, pain that is persistent or keeps you from moving and dancing normally should be addressed as quickly as possible. Ignoring pain or thinking that you can just “work through it” puts you on the path toward more severe injury and more time lost from dancing. Your body is smart- it knows how to take care of you. Listen to it. 

Defining Success

When I am teaching a new exercise to a client, I often modify the exercise to better suit that client's individual needs. My clients sometimes protest my suggested change. They resist making the modification and ask me some form of the question, "But if I do it this way... I'm not really doing it, am I?" 

I get it. We are usually working with a physical therapist because something is going wrong and we want to do all the right things to help ourselves get better. Doing an exercise with textbook form may seem like the right thing to do. However, if we pursue perfection before our body is ready for it, we put ourselves on the fast track to pain city. On the other hand, to not do an exercise the way we think it's supposed be done feels like failure. 

At the heart of this problem lies a key question: How do we define success? Is success based on outcome... or action? Even though the ultimate goal of rehab is to return to doing everything we love to do (outcome), the best way to reach that goal might be to simply find ways to move without pain (action). We can't reach our destination without traveling the path that leads to it.

Today, I encourage you to release yourself from the expectation of a perfect outcome and, instead, celebrate the success of taking action. 

---

Squat Success

Are you apprehensive about squatting because of knee pain or because you think that squatting may damage your knees? You are not alone. Although some people do experience knee pain when squatting, the squat itself is not to blame. 

A squat is simply a bending of the legs that brings our body closer to the ground. It's a worthwhile exercise because it helps us better able to reach things on the floor or under the counter, get up and down from chairs, and get up and down from the floor. Pain that occurs while squatting is most likely just a signal that our bodies need a little more help to be able to squat successfully. 

Please take a look at this video to learn how to find ways to build a more successful squat. 

Is a squat that doesn't conform to "correct squat form" still a squat? Yes! Is it still worth doing if it's not perfect? Yes!! Use this information to help you find a way of squatting that feels great to you. If you love squats and feel great doing them, please use these squat variations to build even more flexibility and strength. 

**Please do not continue any exercise that causes you pain or poses a risk to your safety. If pain is keeping you from moving normally or exercising, please seek individualized care from a physical therapist or physician so you can start feeling and moving better now.**  

---

This post originally appeared as a part of Kinesi, LLC's biweekly newsletter, "Movement Matters." If you would like to receive "Movement Matters" via email, please subscribe here. Thanks for reading!

The 1 Mindset Change That Can Revolutionize Your Rehab

The foundation of good medicine is in determining a correct diagnosis. Without knowing what we are treating, we can’t possibly choose the correct form of treatment. So, when we have musculoskeletal pain, it’s very important to know exactly what is causing it- be it a ligament tear, a tendonitis, a ruptured disk, etc, right?

Wrong. In fact, focusing too hard on understanding exactly what is causing our pain can drive us to seek out excessive medical tests and to spend too much time treating symptoms, rather than solving the underlying issues contributing to our pain. 

If we understand pain correctly, that it is a sign alerting us that there is potential danger (it does not reliably tell us the type or magnitude of the danger), we can understand that pain does not always equate to injury. What is important is that we rule out the potential for serious injury or illness requiring immediate medical intervention, which can often be accomplished by a doctor or physical therapist taking a complete history and conducting a thorough physical exam. With serious injury or illness ruled out, I believe that there is often very little value to determining the exact physical source of pain. What we know is that there is a movement problem and that’s all I think we need to know. 

With a specific musculoskeletal diagnosis, we sometimes become bound to protocols or site-specific treatments that, if ineffective in alleviating pain, leave us stranded or cause us to chase symptoms. If we simply look at painful movement as a movement problem, we are free to engage in problem solving- in finding and building on movements that are not painful in order to more quickly and effectively restore mobility and function.

As patients with movement problems, instead of injuries, we can let go of the fear of damaging our bodies and feel confident getting back to moving again. 

Cultivating Successful Turnout Part 6/6

Hello and welcome to the 6th and final post about “Turnout,” our workshop at Dancenter North. Last Saturday we reviewed some of the dancers’ favorite exercises and did some Q&A about turnout. Although I joked with the dancers about my elaborate “non-answers” to their questions (because the real answer to most questions is “It depends...”), we did cover some important ideas about turnout. I hope these Qs and As will be helpful to you, as well! 

Q: How can I improve my turnout without hurting myself?

A: The dancers themselves were able to answer this question beautifully. Their very correct answers highlight the fact that improving turnout is a process. Here are their answers: 

• Work slowly. 
• Stay where your body is comfortable. 
• Try to do a little more each day. 
• Push it when you can. 

I’d also add: 

• Work on improving strength and flexibility throughout your entire body, not just your hips. 
• Focus on good alignment and dance technique within your comfortable turnout range- don’t crank your turnout at the expense of the rest of your technique. 
• And finally, as we said in week 1: Start with success and your body will give you the rest. 

Q: How can I make sure I am turning out from my hips? 

A: First of all, don’t force your turnout by planting each foot separately feet with hips and knees flexed, then straightening both knees. This technique, called “screwing the knee” can cause excessive compensation through the knees and feet. Instead, gently place your feet where you think they can go without feeling excessive strain in your legs (keep legs fairly straight while you do this). Then, lift up one leg to passé. If you can keep your pelvis square and level, you are likely using the correct amount of turnout for your body, which will likely include a good amount from your hips. 

Also, if you are turning out from your hips, your knees will ideally glide right out over your toes, not toward the insides of your feet during a plié. If you have difficulty aligning your knees over your toes, get assistance from your instructor or physical therapist- some people do have alignment variances that prevent the knee from tracking straight over the toes. 

Finally, check with your dance teachers. An instructor who is knowledgeable about correct technique and alignment throughout a wide range of dance movement will be able to help you be sure that you are turning out from your hips appropriately. 

Q: How come it’s easier for others to achieve their turnout?

A: Everyone is different. Our bodies, our histories, and our training can all influence how well we turn out. Hip socket depth, femur alignment, soft tissue flexibility, and strength are just a few of the reasons two people might dance with different amounts of turnout. Please remember: turnout is a process and a technique, not a static characteristic of a person. Respecting your body and putting the work it to make improvements will help you find your best turnout.  

Q: How long will it take to reach my goals?

A: This is another question that really “depends”. During this workshop, we were able to measure each dancer’s turnout before and after doing even just a few exercises, and they were all able to see a positive difference. So, in that case, we were able to see positive change in just a few minutes. More significant and permanent change will likely take longer. What your goals are, where you are starting, how much time you put in, how much focus you have, whether you stay safe and successful with your movement, what your injury history is, what your training history is, and how quickly your body adapts to change are all factors that contribute to how quickly you might reach your goals. The important part is putting in the work on a regular basis. Keep at it and you will likely see improvement. If you do not see any positive change over a period of weeks or months, your dance teacher or your physical therapist may be able to help you figure out why and help you make it better. 

Q: How can I hold my turnout longer?

A: Warm up before your start. Start by using your successful turnout, not by forcing it (see question 2 above). Practice using it throughout all movements you perform in class. Listen to your teachers and ask for individual help if you are unable to understand or execute the technical instructions they give you. Lather, rinse, repeat. Doing technically sound work, over and over, will help you build the endurance you need to hold your turnout longer. 

Q: What exercises should I do before class so that I am able to hold turnout from the beginning?

A: The simple, but not easy, answer is whatever exercise helps you the most. This requires that you be a scientist with your own body. Try different stretches or exercises that you already know, but test/retest your turnout before and after doing the exercise. Which one helps the most? Do THAT one before class. Not sure if a new exercise you saw will help? Try it, and test/retest your turnout as above. One size does not fit all for exercise.  Don’t worry if your friend, teacher, or even physical therapist, shows you an exercise that doesn’t feel good or doesn’t help you. Do what works for you and don’t think twice about it!

That being said, some of the dancers in this workshop really liked warming up before class with this exercise. Feel free to give it a shot and see if it works for you!

---

PLEASE READ FULLY: A 3D pivot matrix is a movement sequence that can help your feet, knees, and hips work together in a coordinated fashion. The 3D pivot matrix can be either a warm-up or conditioning exercise. For best results, step only in the directions that are comfortable and/or only step as far out as is comfortable for you.

** Please discontinue this exercise and consult with your doctor or physical therapist if you are experiencing pain or if you are unsure as to whether this exercise is right for you.**

---

Thanks so much again for joining us! Please comment below or write me at melissa@kinesipt.com if you have any questions- I'd be happy to help in any way possible. Happy Dancing!

Cultivating Successful Turnout Part 1/6

Last Saturday, I had the pleasure of working with a few dancers at Dancenter North on turnout. This was the first of 6 weekly sessions designed to help these dancers better understand and execute turnout while dancing. As a complement to this class, each Wednesday of the following week I will post a brief summary discussion of our time together. It is my hope that these posts will help even more dancers get a glimpse of the work we did and learn some concepts that might also help you improve your turnout. As with every physical endeavor, success is created with a process, which is why I have entitled these posts “Cultivating Successful Turnout”.

For our first week together, we discussed three concepts that will guide every exercise and activity we do together during this workshop. 

1. Turnout involves your whole body. From head to toe. Our bodies are made up of multiple segments that are interdependent and constantly interacting with each other. Although we focus on the hips and a primary source of turnout, the shoulder, spine, knees, ankles, and feet do influence how well the hips can turn out. We must address how each of these segments move in order to achieve our best turnout. 
2. Turnout involves multiple physical capacities, not just flexibility. Your body requires strength, balance, control, and endurance to achieve and maintain good turnout while you dance. Developing each one of these components to turnout can help you not only improve your ability to turn out while standing still, but during dynamic movements such as passé, développé, or grande jeté.  
3. Starting with success is critical. When our bodies perceive that they are under stress and in danger, they will likely react protectively. Therefore, forcing maximal turnout will likely contribute to more muscle tightness and less mobility, which is the opposite of our goal. Allowing our bodies to work from an initially comfortable position (we used the standards of little to no perceived joint strain and good stability when standing on one leg) enables a sense of safety and supports more movement and control as we progress. 

Success Tip: In your next dance class, start with only as much turnout is completely comfortable. Then watch your comfortable turnout gradually increase as you warm up. 

Next week, we will explore the role of the feet in turnout and will work on some exercises to enhance the contribution of our feet to our turnout. I will be reviewing comments and questions about turnout submitted by the dancers participating in this workshop and encourage you to comment below to join the conversation. We hope you will join us as we continue our journey toward success!

Letting Up Is Not Giving Up

2011 Marathon

My husband is currently in his 3rd week of training for a marathon he is planning to run in early May. This will be his fourth marathon and is already putting up bigger numbers in weekly mileage than he has ever before. He is feeling great, primed and ready for the long arduous journey that is marathon training. 

Flashback to last month, about mid-December. He was struggling with a back tweak he acquired after sleeping on an uncomfortable bed while we were out of town. He was hardly running at all. He was working on gaining some comfort and movement one step at a time, but was still on the losing end of the battle. As we were talking one afternoon, he told me that although he was frustrated about the pain in his back, he was patient and hopeful about the future. He said, 

“I just know that when I get through this problem, I’ll be stronger.” 

And he has a lot of experience to prove it. He has faced many tweaks, injuries, set backs, and detours in his life and running career. But I have witnessed, over the years, that rather than getting more frustrated or anxious about his ability to run, he grows more patient and more peaceful, more invested in process of running than in the outcome. He knows that each injury, pain, or set back is an opportunity to grow, to become more in-tune with what his body needs, and to get better at doing what he loves to do. Each measure of patience he gives his body and his running pays dividends in his performance, comfort, and happiness as he pursues his goals. 

When someone comes to me with an injury, their current outlook is, quite understandably, dismal. They are usually feeling anxious, frustrated, and fearful that they have not been able and may not be able to do what is most precious to them in life. Their inability to move well is an inability to live well and the effects are often devastating. 

But time and time again, when these individuals take the time to regroup, reset, and dedicate themselves to really getting better, the results are astounding. I have seen many people sidelined by injury and fearing falling behind their peers, only to emerge stronger, more comfortable, more confident, and more capable after their recovery. They have taken time to understand their bodies and how to take care of them. They have taken time to rest (which is an often overlooked component of growth). And they have taken time to work on the fundamental movement qualities that are foundational to their success in their sport or activity.

They have embraced, or at least tolerated, the process of recovery and they are stronger for it.  

So, if you are currently working toward a goal or suffering a set back, please take heart. Take a moment to thank your body for this opportunity to rebuild. Invest in yourself and invest in the process of recovery. Know that letting up is not giving up. And know that when you get better, you will be stronger. 

2015 Training

We Are Not Broken

In a world with the blessings of science and technology that give us medications, braces, orthotics, and MRIs, we have gained tremendous ability to understand and help our bodies when they are in serious need of help. But there is another side to this blessing that motivates me to speak up and to toss away this technology whenever possible. 

It’s the belief that we are not inherently broken. We humans are built exactly and miraculously how we should be.  We are meant to stand upright, our feet are meant to pronate, and pain is not a sign of failure, but a sign of success. Furthermore, it’s the belief that when we do break down, our bodies are knowledgeable and well equipped to lead the healing process.

Although this belief may stand in opposition to many medical and therapeutic practices that are common today, the research is mounting to support it. We are finding that our brains and bodies have tremendous protective and corrective capabilities that, when respected, light the path toward healing and growth. Gary Gray, David Butler, Brian Mulligan, and Barefoot Ted have been onto this for years, and I have learned this lesson time and time again from the patients who have been gracious enough to let me try to help them.

We are powerful. We are meant to move. And we are capable of healing.

When we respect our body’s inherent wisdom, we can more easily step away from tests and treatments that don't work in harmony with our needs. If we make ourselves students of our bodies, and if we listen with humility, we may more readily reach our fullest potential.