Etiology of Foot Hyperpronation: The Rothbart Foot Structure


I discovered a common but previously unknown embryological foot structure that is a common source of chronic musculoskeletal pain.  I published my discovery in the British Osteopathic Journal (Vol 26:16-17, 2003) and online in the Chiropractic archives.

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 redacted excerpt from the article, "Etiology of Foot Hyperpronatiojn – an embryological perspective: The Rothbart Foot Structure" published in the British Osteopathic Journal (Rothbart, 2003), that ultimately led to the development of Rothbart Proprioceptive Therapy:

"Within the orthopedic and podiatric literature the etiology of foot hyperpronation has remained controversial.  However, a study (Rothbart 2002) links foot hyperpronation to an inherited deformity underneath the ankle joint.  Specifically, in the developing fetus, the talar bone (bone setting on top of the heel bone) fails to complete it normal embryological development.  This affects the entire inside of the foot, heel to toe: referred to as Rothbarts Foot, the big toe remains structurally elevated and inverted relative to the second toe.  An uneven shoe wear pattern is a common finding.

The Rothbart Foot Structure is treated using a flexible insole with a proprioceptive stimulant incorporated underneath the bottom of the big toe and first metatarsal.  This tactile feedback system is based on the observation that small repetitive stimuli bring about significant changes (e.g., kinesthetic reposturing).  The foot-brain connection interprets this proprioceptive input and automatically makes a postural adjustment.  The posture becomes straighter, foot hyperpronation is reduced. 

This is distinctly different from standard orthotics which change foot mechanics by supporting the arch and by wedging the heel and/or forefoot.

In the author’s opinion, standard orthotics:
  • weaken the arch
  • which results in increased hyperpronation when barefooted,
  • which in turn, leads to increase joint pain."


Reference


Rothbart BA. 2002  Etiology of Foot Hyperpronation - An Embryological PerspectiveChiroZine (Chiro Org News), Published OnLine - May 7, 2002.


 
Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot and 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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