06/27/2026
We recently saw a dancer who sprained her ankle about 5 weeks ago:
Pain going en pointe
Can't leap without pain
Tried stretches and exercises
Had X‑rays, saw a podiatrist
The imaging showed an os trigonum – a small extra bone at the back of the ankle. But she'd been dancing en pointe for years with zero issues. That bone has likely been there the whole time.
If we only look at the test and blame the os trigonum, we miss the full story:
How did the sprain change the way she loads and stabilizes that foot‑ankle‑calf system?
How are her hip, pelvis, and spine now protecting that side?
In our holistic dance work at R3 Physio, we're not just treating what the image finds. We're looking at:
How the ankle, foot, and calf are sharing load now
What the hip, pelvis, and spine are doing to compensate
How to restore trust in the ankle and retrain movement so she isn't fighting her own body every time she goes en pointe
Dancers deserve care that looks beyond a single picture and actually solves the problem.
*this is not a blanket statement that if you have an os trigonum, you should continue en pointe. You need your individual circumstance evaluated by a dance knowledgeable professional.
📍 R3 Physio | Holistic physical therapy for dancers in Keller, TX
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