Ongoing Monitoring and Retesting is an Important Part of Rothbart Proprioceptive Therapy


Rothbart Proprioceptive Therapy is a process that involves ongoing engagement with the patient over a period of time – not a single act of placing an insole beneath the foot. Without engaging fully with the process, complete and full recovery cannot be ensured.

Rothbart Proprioceptive Therapy involves the running of tests and proprietary computer analyses to determine the type of foot structure inherited and the exact prescription of the custom designed insole needed to give the fastest and best results for each patient.

Once the patient begins to use his prescriptive proprioceptive insoles, shifts in their posture begin to take place, providing immediate pain relief.  These shifts in posture creates shifts throughout the body and hence the entire body goes through changes during the therapy.  Because individualized attention is given and the patient is carefully and regularly monitored, these changes are handled as they occur and this insures the speediest possible recovery of the patient.

The following example shows the importance of close monitoring and specific testing throughout the therapy:

Osni D., a 30 year old male, came to me to eliminate his chronic knee and low back pain. After running the initial battery of tests and proprietary analyses, I found that not only were there problems coming from the feet, but also potential problems coming from the cranium. 

Osni informed me that 20 years earlier he had suffered head trauma, but had not experienced any pain after the incident. I suspected a locking of cranial sutures had taken place during the incident which could cause potential problems. (The cranial sutures are fibrous joints in the cranium (skull) that permit a tiny amount of movement to allow elasticity of the skull). I told Osni certain symptoms to watch for after starting therapy and to advise me of any changes lasting more than one or two days, with special attention to changes in the head and neck.

Within two weeks of Rothbart Proprioceptive Therapy, Osni indicated that his chronic knee and low back pain were dramatically reduced.  But he also informed me that he was starting to have severe headaches and jaw pain.
 
A re-examination of the patient revealed that the patient’s cranial sutures were indeed locked, likely a result of his head trauma of twenty years ago.  A second series of computer analyses were run, which revealed that the prescription of the proprioceptive insoles had to be changed to now address what was happening in the cranium.

I also determined that cranial sacral therapy was required to unlock the cranial sutures. The patient was referred to a cranial sacral therapist, who restored the elasticity (slight movement) between the cranial bones.  After several visits to the cranial sacral therapist, Osni’s headaches and jaw pain dramatically reduced.

As you can see, Rothbart Proprioceptive Therapy affects the entire posture, foot to head, including leveling of the cranial bones (Rothbart BA 2008. Vertical Facial Dimensions Linked to Abnormal Foot Motion  Journal American Podiatric Medical Association 98(3):01-08, May). In the case of this patient, this leveling of cranial bones could not occur because his cranial sutures were locked.  When the cranial sutures are locked and you are applying a force to move them (such as Rothbart Proprioceptive Therapy), the result is pain e.g. headaches and jaw pain.

Through close patient monitoring, ongoing tests and proprietary analyses, and through changing the prescription of the insoles when required, cranial symptoms were prevented from becoming a major problem. Through dealing with the patient holistically, not just focusing on the feet, I was able to help the patient achieve freedom from his pain.

This example also stresses the importance of being treated by a physician who has been fully trained (450 hours) and certified at the International Academy of Rothbart Proprioceptive Therapy (IARPT). This is particularly the case when a person has been suffering from chronic musculoskeletal pain for years and has had multiple treatments and/or surgery and significant damage to the body as a result.

Currently, there is a 30 minute video being sold and classes being taught on how to treat the Rothbarts Foot.  None of these are sanctioned by the International Academy of Rothbart Proprioceptive Therapy.  If your physician does not use Rothbart Proprioceptive Therapy and insoles as taught at the IARPT, the result of your therapy may not only be disappointing, but could actually make you worse. 

If you would like to read more about What is Rothbart Proprioceptive Therapy, go to What is Rothbart Proprioceptive Therapy? on Professor Rothbart's patient informational website.


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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