Sickled Feet: Avoid Injury with Better Technique

By: Emory Orthopaedic & Spine Center
Date: Mar 26, 2021

If you’ve watched any of the ballet shows on TV that have risen in popularity, then you’ve likely seen a stern ballet teacher in the front of the class barking at students about “turnout” and “foot position.” While these shows are certainly a dramatization of what happens at ballet school, they are clear on one thing: the importance of proper technique.

A ballet dancer can create strong, clean, and graceful lines with their body. One place that illusion can become broken is with the foot. When a dancer “sickles” their foot, their toes break the line from the heel.

Sickling as a cause of Dance Injury

Sickled feet impact a dancer’s movement and lines, and it can also lead to ankle instability, tendonitis, and injury. There is even a medical term for it: supination.

“When your foot is in a supinated position, the peroneal tendons on the outer ankle are stretched,” explains Jason Bariteau, MD, an orthopedic surgeon at Emory Healthcare. “That can lead to pain, weakness, and injury.”

Over his experience working with dancers at the Atlanta Ballet and alongside physical therapists, he realizes some dancers may naturally sickle their feet.

“Sometimes chronic ankle instability leads to sickling and sometimes sickling causes those peroneal tendons to weaken. That, of course, leads to ankle instability,” says Dr. Bariteau. “It’s not always easy to say which came first.”

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Learn about Emory Orthopaedics & Spine care. Make an appointment online, find a provider or call 404-778-3350 to schedule an appointment.

Treating and Preventing Sickled Feet

Injury caused by sickling your feet needs to be diagnosed and treated by a medical professional. But, Dr. Bariteau recommends taking a proactive approach.

“If you or a parent, teacher, or coach notice you’re sickling your feet, you should start working with a physical therapist — one who has experience working with dancers,” he encourages.

Studies have shown that working with physical therapists and physicians familiar with dance and dance-related injury can help you return to dance and even help avoid future injury.

Your physical therapist can also offer at-home exercises for you to do to improve your strength and technique. You may also want to work on developing proprioception, which is your awareness of how your body is positioned. When you are more aware of each line and angle of your body, you can more easily recognize improper technique and correct it.

Here’s a simple way you can practice proprioception:

  • Sit down on the floor and extend your legs in front of you.
  • Close your eyes. Flex your feet and then slowly point your toes.
  • Now, open your eyes while your toes are still pointed. Notice how your feet are positioned and how that feels in your body.

Proprioception can help you improve your overall form and even notice early signs of any injury — making sure you get the experienced and proven care you need to get back to the studio.

“A knowledgeable physical therapist can pick up on subtle findings, identify the problem, and help correct habits. That early intervention will, hopefully, help you avoid serious injury.” - Jason Bariteau, MD

Leading orthopaedic and sports medicine treatments.

About Emory Orthopaedics & Spine Center

Emory Orthopaedics & Spine offers comprehensive orthopedic and spine care at multiple locations across the Atlanta metro area, and our orthopedic and spine programs are ranked among the top in the nation. Our highly trained orthopaedic and spine specialists work together to diagnose and treat a wide variety of orthopaedic, spine, and sports medicine conditions.

Our physicians use innovative approaches to care – many of them pioneered right here at Emory – to ease your pain and get you back to an active lifestyle.

Emory University Orthopaedics & Spine also has among the highest patient satisfaction and best outcome rates in the nation* for your surgery. By using advanced research techniques developed by our top surgeons, we can make sure your surgery is done right the first time.

*Results based on an average of 86% patient satisfaction rating compared to a national benchmark of similar facilities at 68%. Infection rates averages at .45% for primary hip and knee procedures compared to .58% nationally.


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