Written by Jill Lister-Martin, 3rd April 2011
Before I begin, let me tell you I'm not a doctor, physio or anyone with any formal qualifications in healing injuries, but it is something very relevant to my life as a dancer and dance teacher because I have to tread the thin line of knowing when to push myself and educate my students to where the line is. The problem is, is that there is no exact line.
I have injured myself this week. It was probably silly, I'd been for a run, was feeling fantastic and felt motivated to do some weights. It didn't hurt at the time, sure my shoulder was clicking when I did it, but bits click don't they? It was later that night the pain set in, and 5 days later it's still sore.
Ok, we all know the immediate action for an injury is RICE: Rest, Ice, Compression and Elevation. But what happens when life has to still go on and you can't rest? Fortunately the school holidays are only a week away, so I can stop teaching and look after it then, but in the mean time what do I do? What does a dancer do when they have an injury but need to perform that week? So I'm resorting to what most dancers do, drugs (Nurofen that is). It raises the question, when do you get to the point in your life that you take medication to work through the pain.
I think it goes in stages and it begins when you learn to stretch. I still struggle to help my fairies understand that there is a difference between stretching and hurting. I'm not forcing them to stretch beyond their capabilities, I don't even touch them. It is just as an introduction to the idea of stretching at the end of class by sitting on the floor, have a big yawn and we touch our toes with straight legs. "It hurts" is almost a weekly response I get from someone. I just say it stretches, not hurts but I know it is a concept that's hard to grasp.
With my older students I tell them we need to be intelligent dancers and know what is a good pain/stretch and what is bad. You begin with learning to push yourself for results. If you lift your leg in an arabesque and fight do it the best you can every time, it will get better and easier, and your arabesque improves. If you never push yourself you never improve. For the non dancers, it's like when you are trying to improve your fitness by running. You get tired and your legs/lungs hurt, but you look ahead and think I'll just make it to that pole up ahead. You might really struggle at first, bargain with yourself that maybe you'll make it to the tree a bit closer, but in the long run it makes running easier next time. No pain, no gain right?
That's when it starts to get messy. Back to my question, when do you reach the stage where you start medicating to get though pain? Obviously dancers who medicate to get though pain don't consider themselves recreational dancers, they have a goal and want to keep going. But what age do you consider yourself serious? If you decide that you want to be a dancer at 12 does that mean it's ok to start medicating? Is it a worry for a 12 year old to have a dance bag that resembles a pharmacy? I know that I definitely didn't know the difference between Panadol and Nurofen as a kid. Due to my good luck and lack of injuries, I don't think I actually realized that Panadol and Nurofen were different products until I'd left home to study full time. I just thought they were different brands of the same thing.
If a student has so many aches and pains they need to self medicate it raises other issues. Why are they in so much pain? If they have so many injuries is dancing the right vocational path for them? Or is it a way for students to say they are tired or don't want to be there.
The problem is that there are so many types of injured student. There are legitimate injuries and there are the injuries that miraculously disappear when it's time to do their favourite exercise or dance, or the injuries that suddenly appear when a parent walks in the room. The worst injured student is the' boy who cried wolf'', students who have so many injuries and problems that miraculously go away when it comes to something fun. How do you know when to let them sit out, and when to encourage them to keep going? And worse still, what if one day they do have a legitimate injury but you don't realize and you push them to keep going?
What is the one thing all aspiring ballerinas dream of? To go en pointe. We've all seen the images of bleeding toes and hideous blisters. Not all pointe work is pain and suffering like we've been led to believe, but it can still hurt. Luckily by the time students get to pointe work they are dedicated and educated enough to be able to understand their own pain tolerances and how to get through pointe work. Maybe I need to add "being able to suck it up and keeping going" to our list of pointe work eligibility requirements. Seriously though, I think that pain tolerence is a form of emotional maturity, and emotional maturity is certainly important for pointe work.
It is proven in studies that dancers have a higher pain tolerence than non dancers, so to end this post I'll add an interesting excerpt from
Complications: A Surgeon’s Notes on an Imperfect Science, by Atul Gawande
QUOTE
"In
one study… researchers measured pain threshold and tolerance levels in
fifty-two dancers from a British ballet company and fifty-three
university students using a standard method called the cold-pressor
test….
The results were striking. On average, female students
reported pain at sixteen seconds and pulled their hands out of the ice
water at thirty-seven seconds. Female dancers went almost three times as
long on both counts….
What explains the difference? Probably it
has something to do with the psychology of ballet dancers – a group
distinguished by self-discipline, physical fitness, and competitiveness,
as well as by a high rate of chronic injury. Their driven personalities
and competitive culture evidently inure them to pain: that’s why they
are able to perform through sprains and stress fractures, and why half
of all dancers develop long-term injuries….
Other studies along
these lines have shown that extroverts have greater pain tolerance than
introverts, that drug abusers have low pain tolerance and thresholds,
and that, with training, one can diminish one’s sensitivity to pain…."
If you would like to know more about Jill or Aspect Motion School of Dance, visit our website
www.aspectmotiondance.com or call (03) 98215885.
Classes are held at 28 Freeman St, Ringwood East, Victoria, Australia