To The Pointe… Shoe

On this weeks Episode of The Dance Docs I sit down with pointe shoe fitter and owner of The Pointe Shop Josephine Lee to talk about pointe shoes.  Whether you want to know a little more about how a pointe shoe should fit, what to consider when going into a fitting or what’s up with padding and ribbon’s these days this episode is for you. I hope that this episode leaves you wanting to take a deeper look at your shoes whether it’s your first pair or your hundredth.

To The Pointe... Shoe
Dr. Kat Bower PT, DPT and Josephine Lee

Lets Chat All things Pointe shoes

Little background about Josephine Lee

  • Her mom owned a dance store in Southern California and Josephine began learning about pointe shoes, and fittings

  • After college she decided to open a dancewear store and focus on pointe shoe fittings

How many shoes are on the market these days?

  • A lot more than are popular

  • 8-9 brands that are proper pointe shoe companies

    • Each company has 10-40 models

    • 4-5 of each brand are really good models 

Are most shoes still handmade?

  • Yes

  • This is why shoes can still be so variable

  • Some have more machinery involved

Fitting a shoe

  • Dr Kat will primarily look at the following areas of a shoe when assessing

  • Shank

  • Toe box

  • Wings

  • Vamp

  • Platform 

  • Josephine will look at:

    • Not looking at the shoe itself first

    • Their fitting method looks at the dancer and their skill level and not just the shape of the foot 

    • Look for the technique, muscle imbalance, mechanical issues, weight, flexibility and strength

    • Different parts of the show will do different things for different dancers 

    • Fitting a pointe shoe is a dynamic process for each dancer

Common imbalances that you see:

  • Sickling

  • Beveling

  • Hamstrings

  • Gluteals

  • Imbalances between how flexible your two feet are

  • Difference in sizes between your two feet

Common fitting errors

  • Dancers not getting over the box

    • Could be due to multiple factors including:

      • Shape of the shoe

      • Width of the box

      • The shank

      • Height of the fabric

  • Many times dancer will come in with a solution, but it may not actually be the correct one

    • Hard to determine when a dancer is static

Shoe fittings for a dancer with stress injuries in their foot

  • Very common

    • Biggest problem is that almost everyone has 2 different size feet

  • Many dancers are wearing shoes that are incorrect on the larger foot

    • Could be a length or width issue constantly causing increased stress

  • Some dancers may develop issue due to shoes that are cut down too far or are too big

    • Or whenever you are having to grip the toes to hold the shoe on

Are there certain assessments that you do on a dancer’s foot before you put them in a shoe?

  • ROM MTP and ankle

  • Arch height

  • How compressive the foot is

What do you look for when a dancer is standing in a shoe

  • Alignment

  • Rely on the information that the dancer tells the fitter

    • Have to learn to ask younger dancers questions so they can articulate what is happening

  • A pair of shoes may feel great when you first put them on, but as a dancer uses that shoe it will begin to break in

  • Shoes break in differently depending on the floor that you are dancing on.

    • Sometimes you will not know how a shoe will be until its been worn for a while

    • Some shoes wear in well, some will stay hard the whole time

What about breaking in shoes

  • Professional dancers who have worn their shoes for a long time and receive multiple pairs of shoes a month know how to bend/break in their shoes when they are new

  • Hard to explain the breaking in process

  • Bending and molding new shoes decreases the life span of the shoe

  • A younger dancers needs to make a pair of shoes last, so we do not recommend breaking in a pair of shoes

How long does a pair of shoes tend to last

  • 10-15 hours

  • Really depends on the dancers skill level

Glue/shellac shoes

  • Great thing to do

  • Try not to overdue it

  • Recommend to glue at the beginning when the shoe is new

  • Or wear once or twice and then glue

  • Do not wait until your shoe is dead to glue it

  • Every dancer will be different in how they need to glue the shoe

    • Consider where your shoe is breaking first and glue that area

Understanding shanks

  • Each company is different

  • The shape of the shank is different as well

    • Pre-arched

    • Flat shanks

    • Elevated shank

  • Full, ¾  , ½

    • More experienced dancers can make a ¾ shank last longer

    • newer/weaker dancer may break a ¾ shank break quicker

Soft shoes/Hard shoes

  • See the same problems as when you are dancing in a shoe that is too dead

  • She is not giving the dancer enough support

    • Foot structure

    • Arch of the foot

  • Begin to see an increase in injuries such as

    • Metatarsal stress fractures

    • Tendonitis 

  • There is not one solution for everyone, individual care is very important

Ribbons and Elastic

  • *listener question- Hi Dance Docs, I am a ballet student who has been on pointe for 4 years.  I have noticed that more dancers are switching to elastic ribbons.  Can I just switch over to them, or is there a time that you would recommend it?

    • For younger dancer gear a little more towards a satin ribbon

    • Ribbons and elastic can be a personal choice

    • Depends on if you want a ribbon that will offer lots of extra support or you are ok with something that gives a little more

    • May benefit from a stretch ribbon if you have posterior ankle problems

      • Can also consider a flexor ribbon that has a small patch of elastic in in that goes over the achilles

  • Stretch ribbon is more comfortable and easy to put on if you have a quick change

Padding and Toe Spacers

  • Many of the professional dancers use just a thin paper towel, or very thin  foam toe pads

  • They have come a long way since my first pair of lambs wool toe pads

  • Now it seems like dancers are starting with a lot of cushions and padding

  • Less is better most of the time because you have a better fit on the shoe, more control, and your feet toughen up faster

  • Padding exists because your feet are asymmetrical and your shoes are asymmetrical

  • There can be a lot of negative spaces and pressure points

  • The more padding you have the less control you have over your foot in you shoe thus less control over the shoe

  • Want to give a dancer as much as necessary as little as possible

  • When a dancer is in pain they will begin compensating and causing further problems that could lead to an injury

  • Toe spacers are good for dancers dealing with big toe alignment issues

    • Can use a gel spacer or something like a make-up sponge

  • Perfect fit toe pads can be great, want to try to avoid using all of the putty

    • Don’t want to cement the foot/toes into place

What to look for in an initial fitting

  • Pain is your greatest indicator

  • Speak up if something doesn’t feel right or hurts

  • We understand that the shoes are expensive but don’t wear your shoes once they are dead or are no longer stable

How often should a dancer have a pointe shoe fitting

  • Young dancer- you should have a shoe fitting for every pair for the first 2 years

    • Feet, technique and skills are changing rapidly during this time

  • Professional dancers- should be fit more often when given the option (every 6 months)

    • Your bones and feet change throughout your career and will need different shoes throughout

    • You will also need to change your padding 

    • Your feet are your tools and you need to take care of them

  • Many dancers don’t have the resources to be fit as frequently

  • If you have access to a greater range of shoes dancers do not need as much customization

Is there any specific foot care or strengthening that you recommend to dancers?

  • Just like a pointe shoe it should be individualized

  • Often if there is a problem or future problem send them to a PT

Find Josephine Lee

YouTube

Instagram

Thepointeshop.com




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Footwear to Preserve Your Body & Passion Meet Apolla

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If The Shoe Fits