Joffrey Ballet Partners with MOR, RUMC

the joffrey ballet

Sports medicine and foot and ankle specialists from Midwest Orthopaedics at Rush (MOR), who are also on staff at Rush University Medical Center (RUMC), have been selected to serve as preferred medical providers for The Joffrey Ballet, the world-class dance company located in Chicago.

The Joffrey Ballet is the newest professional athletic organization for which this practice provides medical care. MOR physicians are also medical providers for Hubbard Street Dance Chicago, the Chicago White Sox, the Chicago Fire Soccer Club, and the Chicago Bulls.

Dr. Simon Lee, foot and ankle orthopedic surgeon and Dr. Leda Ghannad, sports medicine physician, will serve as head physicians for The Joffrey Ballet. Colleagues Drs. Johnny Lin and Kamran Hamid, also foot and ankle orthopedic specialists will round out the medical team for The Joffrey Ballet.

“We will work with the on-site ballet therapists to help the dancers perform in optimal condition, and if an injury does occur, we can immediately provide the required care to minimize time away from performing,” explains Dr. Lee.

An MOR physician will monitor the Joffrey’s on-site training room once a week and attend each of the Chicago performances in February, April and in the summer of 2018. If a higher level of medical care is needed, dancers will be treated at the MOR clinic or at RUMC. The Joffrey team physicians will also provide care for Joffrey staff members.

Approximately 40 percent of dancers’ injuries involve lower extremities, which are typically overuse injuries. “We understand ballet dancers who are a tough breed of elite athletes with rigorous and lengthy daily practice sessions,” says Dr. Ghannad. “While they may sustain acute injuries, dancers’ foot and ankle injuries are usually caused by repetitive movements.”

About The Joffrey Ballet

The Joffrey Ballet is a world-class, Chicago-based ballet company and dance education organization committed to artistic excellence and innovation, presenting a unique repertoire encompassing masterpieces of the past and cutting-edge works. The Joffrey is committed to providing arts education and accessible dance training through its Joffrey Academy of Dance and Community Engagement programs.

About Midwest Orthopaedics at Rush

Rush University Medical Center’s orthopedics program is ranked #1 in Illinois, according to U.S. News and World Report magazine’s 2017-2018 Best Hospitals issue. Rush also has one of the top sports medicine residency and fellowship training programs in the country.

After 8 Failed Surgeries, Athlete’s Foot Gets Proper Care by Dr. Lin

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Kelsie Hannigan, 17, was a typical high school student at Lincoln Way Central. She loved going shopping, hanging out with friends, and has been devoted to tumbling, gymnastics, and cheerleading since she was three years old.

While tumbling in cheer one day, Kelsie was practicing a full – a very impressive backflip with a twist – and abruptly landed on her left foot. She knew this was different from other times.

She sought advice from two or three doctors, all of whom told her to wait and see if it would heal on its own. Unfortunately, it didn’t.

One doctor diagnosed the damage as a Linsfrac fracture and agreed to perform surgery. About two weeks post-operation, however, she was still feeling severe pain in her foot and new pain in her ankle. Kelsie ended up being on and off crutches and in and out of the hospital for a year, unable to return to cheerleading, tumbling, or any physical activity. She underwent more surgeries to insert anchors, remove anchors, and repair bones.

One year and eight surgeries later, Kelsie had seen no improvement in her pain and didn’t know what to do. At this point, she had more injuries than she had started with, including recurrent popping in the lateral aspect of her ankle and chronic dislocation of her peroneal tendon.

Finally, six months after her last surgery, she discovered Dr. Johnny Lin at Midwest Orthopaedics at Rush. She was initially cautious about surgery, but refreshingly hopeful about this new surgeon.

“Dr. Lin told me everything he was going to do,” she explains. “I wasn’t scared about what was going to happen. He told me all the risks and reassured me that it would be okay.”

Earlier this year, Dr. Lin performed a left ankle fibular exostectomy, hardware removal, calcaneal hardware removal, peroneal tenolysis and debridement, peroneal groove deepening, and superior peroneal retinacularplication to repair Kelsie’s foot and ankle.

Kelsie was impressed at how capable Dr. Lin was and how quickly her recovery progressed – this experience was much different than her past surgeries. She spent six weeks on crutches and two more in a boot.

“It was amazing having just one surgery,” she says. “Before, we never knew if it would be the last one. This time, even right afterward, we knew.”

Kelsie continued with six weeks of physical therapy to get stronger and to rebuild the physical stability in her foot and ankle. She has gone running a couple times but is still cautious when it comes to cheer and tumbling.

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Instead, she spends more time coaching gymnastics and tumbling for kids up to 11 years old. She has a blast teaching and is happy that she can be more involved in the physical requirements of her job.

Kelsie is relieved to be in less pain and looking forward to returning to her very active life. She is finally able to enjoy doing everyday things, such as going shopping or going out to eat with friends, that she missed out on because of severe foot and ankle pain. Less than two months post-operation, she even made it out of the boot for her mother’s wedding.

She is grateful to be progressing in recovery and returning to her life.

“Dr. Lin knew what he was talking about and knew he could make it better. He went in and fixed everything.”

The 6 Main Causes of Dance Injuries

Dance Injuries

Dance injury rates are significantly statistically higher than that of other sports. A study by Wolverhampton University found that professional dancers are more likely to suffer injuries than rugby players.

Statistics show that 80 per cent of dancers incur at least one injury a year that affects their ability to perform – compared to a 20 per cent injury rate for rugby or football players. Whilst not a contact sport or explicitly high-impact, dance training is intensively challenging and highly demanding for even the most conditioned and able athlete. Here we look at the six main causative factors that result in dance injury.

1. Anatomical Causes

Natural physical limitations and constraints may limit the development of a perfectly correct technique. Correct technique – beyond being prerequisite for professional success – is a fundamental element of avoiding dance injury. This is evident in the fact that the communist anatomical cause of potential problems and injuries is limitation of turn-outs (external rotation) of the hips. As such it is vital that the dance student and teacher recognise any potential physical limitations early on, so that the dancer may learn to work within their true physical range.

2. Incorrect Technique

When dancers allow their technique to slip – usually due to fatigue – they put themselves at a much higher risk of injury. Commonly this becomes an issue towards the end of a long tour or performance run. Slipping technique is why, typically, injury rates among cast dancers increase throughout the duration of a tour. Quickly learning and performing new, unknown choreography can also create injury issues, as regardless of the ability of the dancer, they have had insufficient time to become accustomed to the movements and fine-tune their technique accordingly.

3. Poor Coaching

As with all sports and athletic disciplines, expert teaching and coaching for the development of technical knowledge is vital. It is the responsibility of an excellent and highly knowledgeable dance teacher to be able to recognise, and react accordingly to, any anatomical weaknesses, physical limitations or onset of injury evident in the dance pupil. Furthermore it is imperative that they correctly relay and instill the fundamentals of correct technique and advise upon supporting lifestyle and cross-training that ensure optimum health, well-being and physical performance of the dancer.

4. The Floor

The floor is an extremely important environmental factor to the health and performance of a dancer. Purpose-built dance floors are vital in rehearsal and performance spaces. Floors that are not built for purpose do not provide sufficient supportive impact. Sprung wood floors support dynamic movement; reinforced, concrete or non-sprung wood floors create unsupportive and unsustainable support for the joints, which is highly detrimental to the physical health of the dancer in the long term. Lack of spring in the floor can produce many injuries, notably foot problems, injuries in the lumbar region of the spine, and in the muscles which are associated with take off and landing – mainly the tibia and metatarsals, which may result in stress fractures.

5. Temperature

Ambient temperature of rehearsal studio and performance space is of utmost performance in avoiding dance injury. Dancers have to take extra care to not get too cold before or after practice in order to avoid muscular injury. A standard advised temperature for a training and performance space is 68-70 degrees Fahrenheit, and should not be allowed to drop below this range.

6. Excessive Practice

Unavoidably, dancers often adhere to grueling training schedules – a necessary requisite to master the art, and a mainstay of rehearsals for dance productions and tours. Obviously this presents a high risk factor for creating overuse injuries, particularly when a dancer must continue to train at high intensity with an existing injury. Clearly the combination aforementioned factors – excellent physical cardiovascular fitness, diet, training, technique, ability and training environment – greatly reduces the risk of injury under the demanding training schedules of a professional dancer, however dancers at the top of their game still frequently incur significant injury.

By SportsInjuryClinic

What is that Bump on My Heel?

By Tara Hackney for Athletico Physical Therapy

Haglund's Deformity - What's that Bump on my Heel

Our feet literally take us places all day long, and foot pain is a fairly common issue. For some people, the pain is located more in the heel. That heel pain can also lead to the discovery of a bump on the back of the heel.  This could be a condition known as a Haglund’s deformity.


What is a Haglund’s Deformity?

A Haglund’s deformity is a bump located at the back of the heel. This is the location where the Achilles tendon attaches to the bone of the heel. The deformity is an enlargement of the bony prominence. Other common names for this issue include “pump bump” because of the frequency of this condition in women who wear pump-style shoes. The occurrence of this condition is more common in those age 15-30.

What are the causes?

Haglund’s deformity occurs with frequent pressure on the back of the heel, possibly by wearing shoes that are too tight or too stiff. There is also an increased risk of developing this condition if there is extra tightness in the Achilles tendon, or a very high arch in the foot.

Symptoms:

  • A bony bump on back of the heel
  • Pain in the area where your Achilles tendon attaches to the heel
  • Swelling in the back of the heel
  • Redness near the back of the heel
  • Pain with pressure or tight fitting shoes

What is the treatment?

Treatment is focused on relieving pain and decreasing irritation of the heel not necessarily getting rid of the bump. Treatments for the symptoms of Haglund’s deformity include:

  • Wearing open back shoes
  • Icing the bump to reduce swelling
  • Wearing shoe orthotics
  • Wearing heel pads to reduce pressure from shoes
  • Soft tissue massage
  • Stretching of the calf muscles and Achilles tendon

It is also important to note that surgery can be an option for removal of the bony prominence on the heel if it continues to be problematic. Should you discover foot or heel pain, take the first step in developing a treatment plan by clicking the link below to schedule a complimentary injury screening at your nearest Athletico location.

Schedule a Complimentary Injury Screen

Proper Training Shoe Selection; When is Surgery not an Option?; Bone Loss & Osteoporosis

Episode 17.16 with Hosts Steve Kashul and Dr. Brian Cole. Broadcasting on ESPN Chicago 1000 WMVP-AM Radio, Saturdays from 8:30 to 9:00 AM/c.

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Segment One (01:31): Steve and Dr. Cole talk with Perry Miroballi, the Co-Owner of New Balance Fresh Foam 822v3 Trainer, Pisces with Black & Poisonberryfour New Balance Stores, about proper athletic shoe selection; providing video analysis and foot scans to determine pressure points and arch type; the wide variety of sports specific shoes that are now available from New Balance and the advancements in New Balance shoe technology. More than 500 major league baseball players now wear New Balance Shoes and they now make a golf shoe that is only 7 ounces, the lightest shoe in golf.


Segment Two (12:52): Steve and Dr. Cole talk about a wide range of non-surgical options for pain and orthopedic problems and how the art of medicine serves to determine the right approach to treating injuries.


Segment Three (20:08): Steve and Dr. Cole talk with Dr. Chris Stout, Vice President of Research and Data Analytics at ATI Physical therapy. The discussion centers around bone loss,  osteoporosis and calcium deficiency; the importance of proper life style, exercise and nutrition to minimize the effects of bone loss. Dr. Stout is also on faculty of the College of Medicine at the University of Illinois, Chicago. He has published over 35 books and been translated into eight languages. He founded a 501(c)(3) to work on international humanitarian projects, and subsequently has won five international humanitarian awards and four additional honorary doctorates.