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Dance
Medicine, New York Style!
Winter 2001
Dear Dancers,
I've been meaning for quite a while to let you know about the
top health care professionals who treat New York City dancers. Now
I have a personal reason for sharing the information. Last June,
while I was guest teaching an open class at the American Ballet
Theatre, I blew out my right knee big time. The leg had
essentially been a reinjury waiting to happen during the twelve
years since I first tore my anterior cruciate ligament (ACL) in a
partnering accident. The options for reconstruction back then were
not attractive, involving an "autograft" (from the Greek
word for "self") fashioned from my own patellar tendon
or hamstring. Dr. William Hamilton performed an arthroscopy to
remove some torn cartilage, but I chose to leave the knee labile
(unstable). I strengthened it as much as possible with physical
therapy at Marika Molnar's West Side Dance PT. I danced after
that, but I had limitations.
That's why the second injury has proved to be a true blessing
in disguise. This time around, I was a candidate for a new
surgical technique called an "allograft" (from the Greek
word for "other"). Translation: A tendon from a deceased
donor. I learned that the grafted tissue soon acclimates to the
"host environment" as cells exchange through membranes,
and that it eventually becomes a kind of superligament. The
surgery is major, but it is performed with an epidural (a spinal
block) instead of general anesthesia. The patient is able to watch
the proceedings on the monitor and go home the same day. Because
there is no blood flow in the donor tissue, it is not recongnized
as foreign by the recipient's body and is not rejected. Therefore,
unlike people who get organ transplants, those who get tendons
don't have to take drugs to suppress the immune system. Also, all
cadavers (the indelicate way in which the medical exstablishment
refers to donors) are tested and certified as free of disease. The
possibility of contracting an illness as a result of a graft is
extremely remote. I decided to take my chances.
I'm immensely glad I did. The very talented Frank Cordsaco,
M.D. at the Hospital for Special
Surgery did the honors and Ellen Walker at Marika Molnar's
West Side Dance PT has been been my superb physical therapist.
Full rehabilitation takes several months, but the results are well
worth the work. By December, I was already back on the boards
doing character roles with my own company, Ballet
Ambassadors, and well as performing Flamenco and other ethnic
dances with a venerable folkloric troupe, The Phyllis Rose Dance
Company, which has been delighting audiences and teaching dance in
the tri-state area for 31 years. That I was able to accept Miss
Rose's invitation to join her company after over a decade of
compensating for my injury and doing only my own careful
choreography, is nothing short of miraculous. I find my comeback
particularly amazing in light of the fact that when my physical
therapist unlocked my brace three weeks after the surgery, she
said cheerfully, "And now it's time for gait training."
In other words, she was going to teach me how to walk! I had lost
my proprioception -- the knowledge of where you are in space -- in
that leg. We had to re-educate it, in effect recreating the
synapses -- the "message pathways" from the brain to the
muscles.
In addition, because I had also sustained what is referred to
as a "bucket handle tear" of my medical meniscus
(cartilage), I was feeling a good deal of soreness around the spot
where my surgeon had "debrised" (trimmed off) the
cartilage. I remember thinking, as I took those first uncertain
steps, that pirouettes were a very long way off. Yet in a matter
of two weeks, I was walking at a fine clip on a treadmill and soon
after that I was using the StairMaster. By post-op week six,
thanks to lifting ankle weights and using a resistance band among
other therapeutic measures, I was capable of balancing on my right
leg on a trampoline. That's when I first fully comprehended that
the leg is now absolutely stabile. I had to blink back tears of
joy. As of this writing, I am dancing full out and doing steps I
had thought I would never be capable of again. Not a day goes by
that I don't offer profound gratitude for the gift from my
anonymous benefactor that has made this new millennium, once more
with feeling, my time to dance.
So that's my tale. Those of you who have read my e-novel
"Gala Performance," in which there is speculation that
ballerina Samantha Sunderland may need a cadaver graft, will
appreciate the life-imitates-art twist! Now, here's that list of
NYC's dance healers extraordinaire. But first a warning: As with
any medical decision, use your own judgment. Even if your sister
Sue -- not to mention the entire membership of the New York City
Ballet or ABT -- raves about Dr. So-and-So, he may not be the
right physician for you. The same goes for any given physical
therapist. You must feel comfortable with your health care
professionals. Listen to your instincts when it comes to trusting
someone and to reacting positively to "bedside manner."
William
G. Hamilton, M.D.
Orthopedic Consultant to the New York City Ballet and
the American Ballet Theatre
345 West 58th St., New York, NY 10019
212.765.2262
Phillip
Bauman, M.D.
Assisting Orthopedist to the New York City Ballet and
American Ballet Theatre
345 West 58th St., New York, NY 10019
212.765.2260
David Weiss, M.D.
Vice President of the International
Association for Dance Medicine and Science (IADMS)
530 First Avenue, #5D, New York, NY 10016
212.263.7743
Lawrence E. DeMann Jr., D.C
Chiropractic Consultant to the New York City Ballet
300 East East 56th Street, New York, NY 10022
212.935.1700, 212.980.2181
Marika Molnar
Physical Therapist to the New York City Ballet, founder
of Wet Side Dance
Physical Therapy, and President of the International
Association for Dance Medicine and Science (IADMS)
53 Columbus Avenue between 61st and 62nd
New York, NY 10023
212.541.8450
Peter Marshall, M.A., P.T.
Physical Therpaist to the American Ballet Theatre
(Currently no private practice)
Olinda Cedeno, L.M.T.
Massage Therapist to the American Ballet Theatre
(Currently no private practice)
The Harkness
Center for Dance Injuries
Offical treatment center of the Dance Theatre of Harlem
301 East 17th Street
New York, NY 10003
212.598.6022
The Katherine
and Gilbert Miller Health Care Institute for Performing Artists
425 West 59th St.
New York, NY 10019
212.523.6200
The Hospital for Special
Surgery
(Not strictly a dance facility, but this is the hospital
of choice for many dancers because the staff of orthopedic
surgeons specializes in the reconstruction of joints such as hips,
shoulders, knees and ankles.)
535 East 70th Street between York and the East River
New York, NY 10021
212.606.1555, 800.796.0486
May 2001 be a year of healing and happy comebacks for those of
you who are injured now -- and an injury-free year for everyone
else!
Sondra |