Common injuries
Each study counted injuries its own way (any complaint, an injury needing medical attention, or one that stopped dancing), so the figures in different lines aren't comparable.
How often dancers get hurtEmerging evidence
The numbers, by group:
- Ballet, across studies: 0.97 injuries per 1,000 dance hours in amateurs and 1.24 in professionals.
- All styles and levels, 16 studies: fewer than 5 per 1,000 dance hours, with no clear difference between recreational, student and professional dancers.
- Full-time ballet students aged 15 to 19 (266): 76% injured in a school year; 1.38 per 1,000 dance hours.
- Pre-professional ballet dancers (452, over 5 years): 32% to 67% injured each year, depending on whether only injuries that stopped dancing were counted.
- Contemporary dance students (130): 81% injured in a year; 1.9 per 1,000 dance hours.
- Professional ballet, 3 companies: musculoskeletal pain in 82% of weeks across a season.
- Irish dancers, 11 studies: 72% to 93% injured, depending on the study.
Sources 4, 1, 2, 35, 3, 36, 17
Feet and anklesEmerging evidence
In two professional ballet companies over 3 seasons, women had 1.20 foot and ankle injuries per dancer per season that needed medical attention, and men 0.83. Ankle impingement (pinching inside the joint) and inflamed joint linings were the commonest problems, pointe work and jumps were the commonest causes in women, and ankle sprains, mostly from jumps, were the commonest foot and ankle injury that stopped dancers dancing. Our sprained ankle, Achilles tendinopathy and flexor hallucis longus guides cover these, and our posterior ankle impingement guide covers pinching at the back of the ankle on pointe.
Our anterior ankle impingement guide covers the pinch at the front of the ankle in plié. Two other foot problems seen in dancers have their own guides too: cuboid syndrome on the outer midfoot, described mostly in ballet dancers and athletes, though the evidence is thin, and a plantar plate tear under the second toe, a joint that time on demi-pointe loads heavily.
Sources 22, 78, 79, 80
Stress fracturesEmerging evidence
In 54 professional ballerinas, 17 had had 27 stress fractures between them: 63% in the long bones of the foot, 22% in the shin and 7% in the spine. They went with dancing more than 5 hours a day and with longer spells without periods, both associations. Reviews link low energy availability, low bone density and heavy loads with them. Our stress fracture and sesamoiditis guides cover treatment.
Sources 10, 37
HipsEmerging evidence
Hip and groin injuries made up 17.2% of dancers' injuries across 13 studies, more in professionals than students. Painful snapping, labral tears and hip impingement are the common problems, and our splits guide explains why even professional dancers' hips reach a bony limit at the end of a split. Our snapping hip, hip labral tear and hip impingement guides cover them.
Source 24
BacksEmerging evidence
Low back pain is very common: across 50 studies, a median of 73% of dancers had it in a year, and the lower back accounted for about 11% of injuries that cost dance time. In young dancers, a stress fracture in the back of a vertebra (spondylolysis) was the commonest bone injury among dancers seen at a children's sports medicine clinic. Back pain that lasts, or is worse arching back, needs checking: see the warning signs below and our spondylolisthesis guide.
Sources 27, 38
KneesEmerging evidence
Knees lead in hip hop and youth street dance: 36% of hip hop dancers' injuries at a London dance clinic (men mostly tore a meniscus, women mostly had kneecap pain) and 47% of injuries in youth street dancers. Dancers tear an anterior cruciate ligament (ACL) far less often than team-sport players: 0.009 per 1,000 exposures in 298 elite dancers over 5 years, almost all landing on one leg. Our runner's knee, meniscus tear and ACL injury guides cover these.
Sources 25, 26, 39
HamstringsEmerging evidence
Slow, forced stretching can strain the hamstring tendon high near the sitting bone: 15 professional dancers injured this way took a median of 50 weeks to get back to their previous level. Our hamstring strain and high hamstring tendinopathy guides cover recovery.
Source 28
Breaking and street stylesEmerging evidence
In 42 break-dancers, 95% had been injured in more than one place: wrists 69%, fingers 62%, knees 62%, shoulders 52%, lower back 50% and neck 38%. 31% had broken or dislocated something, and only 19% had been taught under supervision. Case reports describe spins, freezes and landings injuring the wrists, head, neck and back. In 146 street dancers, breakers had the highest injury rates, mostly in the arms.
Sources 29, 16, 40
ConcussionEmerging evidence
Dancers get concussed too. In a case series of 11 dancers aged 12 to 20, causes included stunts and flips, being dropped in partnering, slips and falls, blows, and repeated head whipping, and symptoms lasted from under 3 weeks to over 2 years. See the warning signs below.
Source 41