Epidemiology
1. Most common leg Tendinopathy in ballet dancers (en pointe position)
Causes
1. Repetitive motion injury in dancers (related to the push off)
Signs
1. Pain and swelling over the posteromedial ankle
2. Pain on resisted plantar flexion of great toe
3. Deeper than achilles tendon
Differential Diagnosis
1. Achilles Tendonitis
2. Osteoarthritis
3. Talus Osteochondritis
4. Posterior Tibial Tendinopathy
Management
1. RICE-M
2. Short leg immobilization (e.g. CAM walker boot) for 2-3 weeks
  1. Indicated in prolonged or refractory course
Prevention
1. Reduce hip turnout (so dancer stays directly over foot)
2. Avoid hard floors as much as possible
3. Core strengthening
4. Firm supportive shoe

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 12/28/2011 and last published on 5/17/2012.

This is one of 5740 pages in the Family Practice Notebook

Family Practice Notebook

http://www.fpnotebook.com/