Fuel for Healing

Giving your body what it needs can keep you healthy, help you achieve or maintain your target weight, improve your physical and mental performance, and improve your mood. “Giving your body what it needs” can include resting from physical activity, staying hydrated, and eating nutritiously. Unfortunately, performing artists can have a difficult time integrating these healthy behaviors into their daily routine.

Rest and hydration guidelines have been presented previously, so this article focuses on the importance of nutrition on injury prevention and recovery.

The Best Way to Ice a Muscle

Putting ice on an acute soft tissue injury (like a strain or sprain) can prevent further tissue damage, limit the appearance of new swelling, and decrease pain. However, it’s important to remember that using ice, like most injury treatment techniques, is best utilized in moderation and in combination with complimentary treatment methods.

Concussions in the Performing Arts

March is National Brain Injury Awareness Month

The most common brain injury suffered by athletes and performers is a concussion. A concussion is a traumatic injury to the brain, and it comes with a plethora of symptoms that can affect nearly all of the systems in the body. Even with prompt and proper care and recovery, suffering a concussion can result in permanent or life-threatening consequences.

When people think of activity-related concussions, they typically think of high-impact sports like football, hockey, or boxing, but performing artists are at risk of suffering concussions, too. Most commonly, activity-related concussions are caused by collisions, falls, or blunt trauma to the head (getting hit in the head or hitting the head on something). In the performing arts, concussions are almost always caused by accidents or mistakes while executing choreographed movements.

How to Care for Your "Shin Splints" and Avoid Them in the Future

Pain in the shins, often referred to as “shin splints,” can be debilitating. But what exactly are “shin splints”? Medically speaking, “shin splints” don’t exist – the phrase is not a medical diagnosis.

The term is actually a catchall for any number of conditions that cause pain and inflammation in the lower leg, including tendinitis, muscle strains, stress fractures in the lower leg, medial tibial stress syndrome (MTSS), recurrent chronic anterior compartment syndrome, and inflammation of the connective tissue around and between the bones in the lower leg (called periosteitis and inflammation of the interosseous membrane, respectively).

Using RICE to Treat Your Acute Injury

In the sports medicine world, “RICE” is a well-known self-treatment for acute soft-tissue injuries. RICE stands for Rest, Ice, Compression, and Elevation. Like most things in life (especially performing arts medicine), RICE should be used in moderation, as too much of even just one of the segments can hinder healing and potentially cause additional tissue damage. The exact length of each segment depends on the severity, location, and stage of healing of your injury.

The best time to apply all four components of RICE is several hours after a severe acute injury before you have the injury evaluated by a medical professional. Unless you are specifically told to do so by a medical professional, you shouldn’t need to apply RICE more than 3-5 days following a severe acute injury (assuming you don’t re-injure yourself).

Why Medical Professionals Insist on Making You Describe Your Pain

Pain is your body’s way of telling you that something is wrong. It’s a protective mechanism (pain causing a recoil or limp prevents you from further injuring your already compromised body part). Not only does pain indicate that there is a problem, but it can also give you clues as to the extent and location of the injury and which type(s) of tissue are damaged.

Your Guide to Pain Medicine

Pain is the most common reason people seek medical attention, so it’s no surprise that there are so many different medicines designed to reduce or eliminate pain. Pain signals are sent to the brain through the body’s nerves after pain receptors on the nerve endings have been activated by chemical, mechanical, or thermal damage to tissue cells. Medication and therapeutic treatments aimed at reducing pain work through a variety of mechanisms, including removing/limiting the irritants that contribute to pain, raising the threshold of the nerve endings to delay pain signal transmission (you have to be in more pain before your nerves decide that it’s important enough to tell your brain about it), or preventing or removing the swelling that increases mechanical pressure on nerve endings.

Pain medicine covers a wide range of types of medication, including counterirritants, local anesthetics, analgesics (narcotic and non-narcotic), anti-inflammatories (including steroid-based and non-steroid-based), and antipyretics. This article only addresses oral medication (pills) that is available over the counter (OTC) (as opposed to prescription medications), focusing primarily on analgesics and anti-inflammatories.

7 Steps to Ensure Your Voice Survives the Royals' Postseason

After the Chiefs’ domination in Monday Night Football at Arrowhead and the Royals’ first postseason win in 29 years last night, more than a few Kansas Citians are likely to have vocal trauma and maybe a hoarse voice this week.

The vocal cords are bands of connective tissue that run across the trachea (“windpipe”) and vibrate when air is forcefully exhaled past them. Vocal pitch is controlled by contractions of tiny muscles attached to the ends of the vocal cords which tighten and flatten the vocal cords. When you scream or yell as loudly as you can and/or for an extended period of time, the vocal cords are exposed to a large amount of vibration, which can cause friction and irritation, leading to inflammation, swelling, damage, and pain.

Foot Care for Marchers

Marching band can be a great deal of fun, but it can also put your body at risk of developing injuries. Old, worn-out, or improperly-sized shoes, sweaty feet, standing for long hours, and a whole lot of marching can lead to a host of problems, including blisters, plantar fasciitis, ingrown toenails, skin or nail infections, and foot, ankle, lower leg, knee, hip, or even back pain. It isn’t just the shoes or the long hours that can take their toll; even the surfaces that bands typically march on can have negative consequences for your body: clumps of grass on football fields, curbs at parades, angled or uneven surfaces – even standing or marching on the bleachers/stairs.

"Dancer's Tendinitis"

Some injuries are so commonly seen in dancers – especially when compared to their incidence in non-dancers – that they earn a dance-specific nickname: Dancer’s Fracture, Dancer’s Tendinitis, Dancer’s Hip.

Dancer’s Tendinitis refers to Flexor Hallucis Longus tendinopathy (That’s quite a mouthful! No wonder it’s referred to as dancer’s tendinitis!).  The Flexor Hallucis Longus (FHL) muscle is located in the lower leg and its tendon runs down into the foot, attaching to the bottom of the big toe. As the name implies, it is responsible for flexing (pointing) the big toe. Tendinopathy simply means “an injury or disease related to a tendon,” making it a good term to use when discussing tendon-related conditions without worrying about what specific aspect of the tendon is injured (the actual tendon vs. the sheath of connective tissue surrounding it) or for how long it’s been injured (tendinitis vs. tendinosis – acute vs. chronic).

Pain on the Bottom of Your Foot: Plantar Fasciitis

Fascia is connective tissue that runs throughout the entire body, connecting, surrounding, and supporting muscles, tendons, and nerves. It also separates the skin and subcutaneous fat (body fat that’s just under the skin) from the underlying muscles and other soft tissues. Like all other connective tissue in the body, the fascia can develop adhesions, become inflamed, tear, or be subjected to some other kind of injury. Due to its interconnected nature, movement restrictions, tightness, or pain in the fascia in one region of the body can affect other parts of the body.

One place in the body that is particularly susceptible to irritation, chronic inflammation, dysfunction, and pain is the plantar fascia, located on the soles of the feet. Plantar fascia runs from the bottom of the heel to the ball of the foot. This fascia supports the foot’s main arch and stabilizes the foot during pushing-off (like during running and jumping). When this tissue becomes inflamed, the condition is called plantar fasciitis.

Exercising Doesn't Have to Hurt! Dealing with Muscle Soreness

Anyone who has exercised or participated in physical activity likely has experienced soreness associated with these activities at one point. Colloquially, “soreness” may be rather vague and used to describe a variety of sensations and conditions. So the physical fitness and medical fields use the term delayed-onset muscle soreness (DOMS) to describe the residual muscular pain or discomfort following unusual or excessive muscle use. As the name indicates, the soreness usually sets in anywhere from 1-5 days after exercise.

Stress Fractures

A stress fracture is a bone injury that occurs at a spot in the bone that is exposed to high or repetitive forces. These forces either come from external sources (like impact with the ground when you walk, run, or jump) or from internal sources (like muscles/tendons pulling on the bone). Specific spots of bones may be more susceptible to stress fractures than others due to mechanics/form while performing specific tasks or due to cyclical weaknesses that occur naturally as a part of the bone’s remodeling process.

Resting from Activity

Many injuries need time off from physical activity to heal. However, this does not always mean completely stopping all activities and losing conditioning simply due to an injury.

Orthotics

When the foot’s natural structure is compromised or the foot functions improperly, pain and injury can occur either in the foot itself or elsewhere in the body (usually in the knee, hip, or lower back). This pain and injury can be corrected – or even avoided – through the proper use of orthotics.

The orthotic accommodates for or corrects specific structural or mechanical problems, bringing the lower body into alignment and allowing for efficient joint mechanics and correct force transmission.

Hamstring Strains

The hamstring muscle group is located on the back of the thigh, running from the ischial tuberosity (the “butt bone”) to either side of the front of the tibia (shin bone), just below the knee joint. There are three muscles that make up the hamstrings muscle group (on each side) – the biceps femoris, semitendinosis, and semimembranosis. For the purposes of this article, “hamstrings” indicates all three of these muscles collectively. The hamstrings are 2-joint muscles, crossing and affecting movement at both the hip and knee joints.

Primary functions of the hamstrings are to:

• flex the knee (bend the knee by bringing the heel up toward the butt)
• extend the hip (bringing your leg backwards)
• control lowering the trunk when bending forward
• decelerate leg swing during walking and running

Four Great Reasons to do Pool Workouts

Performers often struggle with finding new and/or different ways to exercise without increasing their risk of developing an overuse injury.  Pool workouts offer an excellent alternative to working out in a gym with cardio equipment and weight training.

Here are 4 benefits to exercising in the pool:

Tendinitis

One of the most common injuries suffered by performers of all types is tendinitis. But what exactly is it? Quite simply, the suffix “-itis” means “inflammation of,” so tendinitis is an inflammation of the tendon. To be more precise, tendinitis is an overuse injury affecting a muscle’s tendon and the musculotendinous junction (the part where the muscle fibers join with the tendon fibers). [A side note: tendinitis and tendonitis are both correct spellings.]

Tips for Going to the Doctor's Office

Some dancers don’t like to go see the doctor (even when they really need to) because they feel that (a) they already know what the doctor is going to say [“Stop dancing!”] or (b) they think it will be a waste of time and they won’t actually get any personalized attention or advice. Or both.

If you fit into the first category, choosing the best type of physician for injured dancers may help you feel more comfortable seeing a physician. If you fit into the second category, make sure that you’re giving your doctor the most accurate and complete information to allow him or her to give you the most accurate diagnosis and the best treatment plan. Your diagnosis can only be as good as the information you provide your medical provider.

The following tips are designed to help you get the most out of your doctor’s visit, including an accurate diagnosis and an effective treatment plan.

My Dance Injury Needs to be Seen by a Doctor. What Type of Doctor should I See?

So, you’ve decided that you need to see a physician for your dance injury (or your injury that’s affecting your ability to dance). Here are some things to keep in mind.  There are a few options for selecting a type of physician to see for your dance-related injury:

• Your family practice physician/primary care provider
• A sports medicine physician
• An orthopedic surgeon (sports medicine and orthopedics may be in the same clinic or department)