Our feet and toes endure enormous amounts of stress and significant weight-bearing while dancing en pointe. As a result of this stress, there are certain foot conditions that may develop at any time. En Pointe Orthotics aims to prevent these foot problems rather than accepting them as part of a dancers life.


En pointe dancing is the culprit in many cases of bunions, hammertoes, sesamoiditis, bursitis, trigger toe, and stress fractures. (Reference :Dr. Kelsey Armstrong)


The rigors of pointe work are well known to contribute to a multitude of foot and toe problems which may include:



Bunions or hallux valgus

Bunions (sometimes referred to as Hallux abducto valgus) are enlargements of the inner portion of the metatarsophalangeal (MTP) joint at the base of your big toe.


The foot bunion is the result of changes that occur in the framework of the bones at the front of your foot. Instead of pointing straight ahead, your big toe begins to lean into your second toe, throwing the bones out of alignment.


En Pointe Orthotics support the toes improving the alignment as well as protecting the bunion area from added pressure.


A Partial En Pointe Orthotic can also be an alternative in this case and can be discussed with your En Pointe Orthotic Fitter.



Despite wearing shoes designed for this form of dance, dancing en pointe still may cause friction between the toes and the shoes themselves which can cause chaffing and blistering. With the perfect fit of the custom-made EPO, dancer’s claim that they no longer get blisters in their toes when wearing EPO’s.


Stress Fractures

Clients that claim to have suffered from stress fractures due to pointe work have said that they no longer suffered these fractures since wearing EPO’s


Toe Nail Damage

If you are a ballet dancer en pointe, issues involving the toes are probably nothing new. Considering that your entire body weight is balanced on your toes while dancing, it’s no wonder that your feet and toes look like they’ve taken a beating. Dancing on your toes day after day puts tremendous stress on them, and that stress is sometimes evident by the appearance of the toenails. Because of the pressure placed on the toenails while en pointe, some dancers develop bruising of the nails. Bruised toenails can cause intense pain (not to mention an unsightly appearance) for dancers. When the bruising is caused by dancing en pointe, it is usually the result of repeated pressure to your nail. Pressure strong enough to cause bleeding. Tiny blood clots form under the nail, causing pain to the dancer as the toenail is lifted away from the nail bed. In extreme cases, a portion or the whole nail can eventually be lost.


If your feet are weak, you may also be compensating by knuckling your toes which also causes too much pressure on your nails.


En Pointe Orthotics are made to fit like a glove to the exact contours of your toes, down to your toe prints, grooves and crevices.  This precision custom pointe pouch has been shown to eliminate any damage to toe nails in all reports from dancers in EPO’s when worn correctly and nails kept trimmed.


In all trials and client feedback, clients have reported that they have not sustained any occurrences of bruising, fungal infection, ingrown, or loss of toenails since wearing EPO’s


Calluses and Corns

With the joy of pointework usually comes the not-so-pleasant experience of having unsightly calluses. Ongoing rubbing and pressure on the toes may cause these calluses to form.  This may seem a protective measure for the rigors of pointe work however this may also lead to painful corns, infection, fissures, irritation under and around the calluses, discomfort and sometimes pain.


It has been suggested to maintain the calluses before you get to the pain.  En Pointe Orthotics philosophy is in prevention, so no need to “Maintain before Pain”




refers to a toe that bends in the middle and curls downward. It can make dancing en pointe painful.  EPO’s help aligns and support the toes, preventing or improving pre-existing hammertoes.


Trigger toe

Trigger toe is an injury that most commonly affects ballet dancers, due to the physical demands of dancing en pointe


Trigger toe symptoms are usually mild at first with only mild discomfort however progressively and eventually the dancer may find it difficult or impossible to dance en pointe, and will experience especially sharp pain when lowering the foot from the pointe position to a flat position.  If trigger toe is not diagnosed and treated properly (and in some cases even if it is), it can mean the end of a dancer’s career.


As the condition is rare ongoing research into the benefits of EPO’s are continuing.  If you do have this condition and would like to be included in our trials, please contact us


Fungal and bacterial infections

We have not had any reports of either fungal or bacterial infections of the toes in dancers wearing EPO’s despite it being a common occurrence among dancers.  The epo material does not harbor bacteria and can be easily washed.


As an experienced, long-term pointe shoe fitter I have seen many of the above afflictions in the feet and toes of the young through to the professional en pointe dancers.