An Innovative Mechanical Approach to Treating Chronic Knee Pain
I was the first person to demonstrate that chronic knee pain could be eliminated, not just managed.
This research was part of a series of discoveries that ultimately led to a therapy that, in many cases, permanently eliminates chronic musculoskeletal pain without the use of drugs or surgery. This therapy is called Rothbart Proprioceptive Therapy, in which I use a series of tests, proprietary computer analyses, custom designed Rothbart Proprioceptive Insoles and ongoing monitoring to address all of the changes in the patients condition and necessary changes in prescriptions, until the chronic muscle and/or joint pain is eliminated.
Here is an excerpt from the article, "An Innovative Mechanical Approach to Treating Chronic Knee Pain: A BioImplosion Model", published in the American Journal of Pain Management (Rothbart and Yerratt, 1994), that supports this discovery:
"Chronic knee pain in excessive pronators is a mechanical phenomenon. However, when it is treated in a non mechanical way, the results can be baffling and frustrating to both patient and practitioner. The theoretical construct of Bio-Implosion is the basis of an innovative, mechanical treatment model presented in this paper, the efficacy of which has only recently been clinically observed.
The authors present a new approach to the use of orthoses - serial posting. Treatment is based on bioengineering principles. With judicious posting, reactive ground forces through the foot are methodically and serially altered to reduce subtalar joint surface incongruity. In a closed kinetic chain, wedging the forefoot and, indirectly, the subtalar joint towards neutral, retroactively fosters joint surface congruity along the entire weight-bearing axis, much as stabilizing the foundation of a building stabilizes the entire superstructure. By maximizing joint surface fit, articular compressive forces are dissipated over a larger surface area.
Clinical evidence from the 1989-1992 knee study of 128 patients suggests that is this mechanism that allows articular caps to regenerate resulting in reduced arthritic symptoms.
Reference:
Rothbart BA, Yerratt M. 1994 An Innovative Mechanical Approach to Treating Chronic Knee Pain: A BioImplosion Model. The Pain Practitioner (formerly American Journal of Pain Management) 4(3): 13-18.
Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot and the PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain
Sign Up Now to get your free chapter from Professor Rothbart's book, Forever Free From Chronic Pain
Posted by rothbart at 3/1/2009 1:15 PM 
Categories: Symptoms
Tags: Rothbart Proprioceptive Insoles Proprioceptive Therapy Orthotics
Categories: Symptoms
Tags: Rothbart Proprioceptive Insoles Proprioceptive Therapy Orthotics
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