The PreClinical Clubfoot Deformity (a flexible flatfoot) should never be treated using a proprioceptive insole designed to treat the Rothbarts Foot



In 2002, I published on two previously unknown embryological foot structures, the Primus Metatarsus Supinatus (known as Rothbarts Foot) and a source of the flexible flatfoot, the PreClinical Clubfoot Deformity (Medial Column Foot Systems. An Innovative Tool for Improving Posture. Journal of Bodyworks and Movement Therapy).    

The Rothbarts Foot and the PreClinical Clubfoot Deformity share some common characteristics (See: What is the Difference Between a Rothbarts Foot and the PreClinical Clubfoot Deformity) and so healthcare practitioners may mistakenly believe that they are one and same foot structure.  This results in treatment error, which leads to (at best) the patient not responding to therapy (or obtaining the results hoped for) or (at worst) the patient’s pain symptoms increasing.

Despite the commonalities shared by the Rothbarts Foot and the PreClinical Clubfoot Deformity, the PreClinical Clubfoot Deformity is notably a more severe foot structure because it is skeletally less developed.  Hence, there is a vast difference in the way each foot structure is treated. 

Specific prescriptive proprioceptive insoles are designed to treat a Rothbarts Foot.  Other  prescriptive proprioceptive insoles are designed to treat a PreClinical Clubfoot Deformity.
  Because you are dealing with two different foot structures, these insoles are not interchangeable from one foot structure to the other.

To insure that the pain sufferer is being correctly diagnosed and treated, the healthcare practitioner must have a sound knowledge on both the Rothbarts Foot and the PreClinical Clubfoot Deformity:
  • First, the practitioner must determine if the patient has an abnormal embryological foot structure. This is done through information obtained in the Pre-Consultation Questionnaire and the Initial Phone Consultation.
  • Second, they must identify which abnormal embryological foot structure the patient has (the Rothbarts Foot or the PreClinical Clubfoot Deformity).  This is done by running and interpreting specific tests and computer analyses (learned only in certified training offered at the International Academy of Rothbart Proprioceptive Therapy).
Only after having established which foot structure the patient has, can one design and fabricate the correct proprioceptive insole that will result in permanent elimination of the patient's pain.

To see the results of using the wrong proprioceptive insole
, go to:
The Consequences of Using an Incorrect Proprioceptive Insole - Joints.

To learn how the PreClinical Clubfoot Deformity can be successfully treated, go to:  The Flexible Flatfoot can be Successfully Treated using Rothbart Proprioceptive Therapy.



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


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