A foot or ankle injury: call 999 or go to A&E
Call 999 or go to A&E if, after an injury, you heard a crack, the foot or ankle has changed shape or points at an odd angle, a bone is sticking out, there is a bad cut over it, you're in severe pain, or the toes look blue or white, feel numb or are cold to touch. Don't drive yourself.
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Can't walk on it: the same day
Get an urgent GP appointment or help from NHS 111 if, after an injury, you can't put weight on it or walk more than a few steps, the pain is very bad or getting worse, or the swelling or bruising is large or getting worse. See a GP if it isn't better after 2 weeks of looking after it, keeps coming back or stops you doing normal things.
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Bone pain that builds
Pain in one spot of a bone that builds with each jump, then aches at rest or at night, can be a stress fracture: stop jumping and get it checked, even if an early X-ray looks normal. Our stress fracture guide explains.
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A pop high at the back of the thigh
Sudden pain or a pop high at the back of the thigh during a stretch needs checking the same day: stretching strains of the hamstring tendon can feel mild but take months to recover.
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Missed periods or worries about food: see a GP
See a GP if you've missed your period 3 times in a row, your periods haven't started by 15 or have become irregular, or you've had a stress fracture from ordinary activity or more than one. If you're worried about your eating, see a GP as soon as you can, or call the eating disorder charity Beat on 0808 801 0677.
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Signs of an eating disorder
The NHS lists spending a lot of time worrying about your weight and body shape, avoiding socialising when food might be involved, eating very little, making yourself sick or taking laxatives, exercising too much, very strict habits around food, and changes in mood. See a GP as soon as you can, or call Beat on 0808 801 0677.
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Joints that slip
See a GP if you think you have joint hypermobility syndrome: keeping getting sprains, joints that pop out, or pain and stiffness. A joint that has come out and stayed out needs A&E.
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A young dancer with back pain
Back pain that lasts more than a couple of weeks, is worse arching back or stops them dancing can be a stress fracture in the spine: see a GP or sports physiotherapist.
A knock to the head
Call 999 if someone has hit their head and has been knocked out and hasn't woken up, can't stay awake or keep their eyes open, has a fit, has fallen from a height of more than 1 metre or 5 stairs, has problems with their vision or hearing, has clear fluid coming from their ears or nose, has new numbness or weakness, has problems with walking, balance, understanding, speaking or writing, hit their head at high speed, or their behaviour has changed. Get help from NHS 111 if they're being sick, feel dizzy or take medicine that thins the blood. If you're told to go to A&E (accident and emergency), don't drive yourself there if you have hit your head.
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Chest pain or fainting while dancing: call 999
Call 999 if:
- You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
- The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
- You have chest pain and feel sweaty, sick, light-headed or short of breath.
- Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.
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Getting help
In many areas you can see an NHS physiotherapist through community musculoskeletal services without a GP referral. One Dance UK's Healthier Dancer Programme is a founding partner in the National Institute of Dance Medicine and Science, which provides free injury clinics for dancers through the NHS.
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During practice
Stop a stretch that pinches the front of the hip or the back of the ankle, never let anyone push you into the splits or turnout, and with hypermobile joints, stop a move if a joint feels about to slip (our hypermobility guide).