Excessive Pronation: A Major Biomechanical Determinant in Chondromalacia and Pelvic Lists
I was the first person to demonstrate that chronic musculoskeletal pain, specifically in the low back and knees, can be eliminated, not just managed using Rothbart Proprioceptive Therapy and Rothbart Proprioceptive Insoles.
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, "Excessive Pronation: A Major Biomechanical Determinant in the Development of Chrondromalacia and Pelvic Lists" published in the Journal of Manipulative Physiological Therapeutics (Rothbart and Estabrook, 1988), that supports this discovery:
“Based on statistical analysis of 97 chronic low back patients, a pelvic list model has been proposed explaining the correlation between leg length discrepancies (LLD) and sciatica. This model suggests that asymmetrical pronation patterns (one pedal arch dropping more than the contralateral pedal arch) initiate a forward downward rotation within the sacroiliac joint. Entrapment of the sciatic nerve between the piriformis muscle and sacrospinous ligament occurs. Clinically, paresis is observed: numbness, weakness and eventually paralysis of the affected limb.
Based on this work, the authors have comprised a classification dividing LLD into two main categories: functional and anatomical. Functional LLD have been subdivided into chiropractic and podiatric therapy is presented with a 6-month follow-up. Analysis of the success in this tandem approach is very promising. Concurrently, a chondromalacia model is proposed explaining the patho-mechanical events associated with oblique tracking patellar syndrome. The authors suggest that excessive pronation is the causative factor directing asynchronous rotation between the shank and femur. This forces the patella out of its normal tracking groove,which, in turn, generates erosion between the inferior margin of the patella and femoral epicondyles.”
Using a combination of Rothbart Proprioceptive Therapy, Proprioceptive Insoles and Chiropractic Intervention (in tandem), chronic knee and low back pain was eliminated, not just managed.
Reference:
Rothbart BA, Esterbrook L, 1988. Excessive Pronation: A Major Biomechanical Determinant in the Development of Chondromalacia and Pelvic Lists. Journal Manipulative Physiologic Therapeutics 11(5): 373-379.
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
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I was diagnosed with Piriformis sydrome and am curious about your images here of the feet. I have had my sacrum dislocated in an accind 10 yrs ago. Could my shoes and or periformis be causeing it to dislocate again? I also have spondilolithesis f5si with no issues for years. Now all of a sudden (since aug. it seems to be coming back. Also, I had an hysterectomy in 2 months ago...could it have been damaged our my vagina anchored near there?? Please advise.
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Dear Lori,
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