Determining the Presence of Rothbarts Foot
In 2002, I published a paper (Medial Column Foot Systems: An Innovative Tool for Improving Posture) in the Journal Bodywork and Movement Therapies, describing a previously unreported embryological foot structure which I linked to the failed or an incomplete torsional development of the talar head. Technically referred to as Primus Metatarsus Supinatus (or Rothbarts Foot), this foot structure is characterized by an elevated first metatarsal and hallux (big toe) when the foot is placed in its anatomical neutral position.
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.
A deep first webspace, positive Knee Bend Test (See photos below) and uneven heel wear patterns, provide a 70-75% level of confidence that you are dealing with a Rothbarts Foot.
Microwedge Measurements
However, a definitive diagnosis for the Primus Metatarsus Supinatus (PMs) foot type is made by measuring the PMs values (See Figures Below). PMs values between 10mm and 25mm (approximately ½ to 1 inch) are pathognomonic of the PMs foot type (Rothbarts Foot).
A double blind ramdomized trial was conducted by George Cummings and Elizabeth Higbie at Georgia State University, School of Health Sciences (1996) to determine the accuracy and reliability of the PMs values. They concluded that Microwedge Measurements (referred to in their paper as the weight bearing method of measurement), when used to determine PMs values, is accurate and reliable.Microwedge Measurement
Reference
Rothbart BA, 2002. Medial Column Foot Systems: An Innovative Tool for Improving Posture. Journal of Bodywork and Movement Therapies (6)1:37-46
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
Sign Up Now to get your free chapter from Professor Rothbart's book, Forever Free From Chronic Pain
Posted by rothbart at 11/11/2010 5:58 PM 
Categories: Rothartsfoot PreClinical Clubfoot Flatfoot
Tags: Elevated Big Toe Microwedge Rothbarts Foot Primus Metatarsus Supinatus
Categories: Rothartsfoot PreClinical Clubfoot Flatfoot
Tags: Elevated Big Toe Microwedge Rothbarts Foot Primus Metatarsus Supinatus
I was just thinking about Foot Structure and you've really helped out. Thanks!
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That’s great, I never thought about Rothbarts Foot Structure like that before.
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That was inspiring,
I dont understand the Microwedge Measurement
Thanks for writing about it
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