Objective: Irish dance is an athletic art form with a high rate of injuries with many dancers initially involved in competition, and then later proceeding to join professional groups. This systematic review compares previously recorded pain and injury incident rates for both competitive Irish dancers (CIDs) and professional Irish dancers (PIDs) with a focus on predominant injury areas to find out if there is a difference between these groups. Methods: A literature review of the incidence of Irish dance injuries was performed using databases, such as Medline, Embase, and Ingenta. The selected studies used surveys directly asking about pain and/or injury incidence of Irish dancers obtaining separate data for CIDs and PIDs. A chi-square analysis was performed to compare these groups and evaluate the significance. Bias was assessed using the QUIPS tool. Additionally, we developed an online questionnaire that explored the number of total injuries in both CIDs and PIDs groups. Results: A total of six studies met inclusion criteria for the final results of this systematic review. There were data available on 269 CIDs and 196 PIDs. A total of 214 CIDs (79.6%) reported dancing with pain while only a total of 70 PIDs (35.7%) reported that. This yielded a statistically significant difference between these groups with a p value of <0.00001, with PIDs having a lower pain incidence than CIDs. Several common areas were reported as most frequently affected by pain or injury with the foot and ankle leading. A similar observation regarding the incidence of injury was made using our preliminary online questionnaire. Conclusion: The importance of this study is to bring awareness to the significant differences in pain and injury rates between CIDs and PIDs. The factors that influence this difference may include the dance techniques used by PIDs but not CIDs.