What is the difference between the Rothbarts Foot and the PreClinical Clubfoot Deformity
Rothbart Proprioceptive Therapy has become widely known as a non-drug, non-surgical treatment which permanently eliminates chronic musculoskeletal pain. It is based on my discovery of two inherited foot structures which predispose many people to chronic muscle and joint pain.
The first of my discoveries is known as the Rothbarts Foot. I have written a book, Forever Free From Chronic Pain, describing in detail my discovery of this foot structure and the treatment I developed which effectively handles it.
The second embryological foot structure that I discovered is called the PreClinical Clubfoot Deformity. It is one of the major causes of a flexible flatfoot and the chronic muscle and joint pain that results from it.
Until recently, I have published very little information on the PreClinical Clubfoot Deformity. But after having examined thousands of patients, I have frequently found that those who have the severest pain and most debilitating symptoms do not have a Rothbarts Foot, but instead, the more severe foot structure, the PreClinical Clubfoot Deformity. Hence, I have realized the importance of publishing more information on this second and more disabling inherited foot structure.
Rothbarts Foot vs the PreClinical Clubfoot Deformity
Let’s look at the commonalities, the differences and how these foot structures are treated using Rothbart Proprioceptive Therapy.
Commonalities
- In both the Rothbarts Foot and the PreClinical Clubfoot Deformity, the foot twists when you stand or walk.
- Both foot structures produce postural distortions and resulting muscle and joint pain.
- Both are treated and effectively handled using Rothbart Proprioceptive Therapy.
Differences
- The Rothbarts Foot is the result of an incomplete development of the talar bone in the foot.
- The PreClinical Clubfoot Deformity is the result of an incomplete development of the heel bone.
- The muscle and joint pain resulting from the Rothbarts Foot usually does not appear until the fourth of fifth decade of life.
- The muscle and joint pain resulting from the PreClinical Clubfoot Deformity can appear in children as young as five or six years of age, or may not develop until the second or third decade of life.
- The muscle and joint pain associated with the Rothbarts Foot is painful, but rarely debilitating.
- The muscle and joint pain associated with the PreClinical Clubfoot Deformity is typically debilitating and occasionally incapacitating.
Treatment
- Using Rothbart Proprioceptive Therapy for treatment of the Rothbarts Foot usually takes 6-12 months to complete, but can be longer if bad posture is the result of not only the foot structure, but other problems as well (such as malocclusion, cranial issues or visual problems).
- Treatment of the PreClinical Clubfoot Deformity usually takes 12-18 months to complete, but can be longer for the same reasons described above.
- Though both foot structures are effectively treated using Rothbart Proprioceptive Therapy, the proprioceptive insoles used to reverse the postural distortions (and resulting muscle and joint pain) in the Rothbarts Foot are very different from the proprioceptive insoles used to treat the PreClinical Clubfoot Deformity.
One should only treat the Rothbarts Foot (using proprioceptive insoles made for the Rothbarts Foot) if you are sure it is actually a Rothbarts Foot.
You, the chronic pain sufferer, may have purchased one (or more) pairs of insoles from a company that sells two or three different strengths of prefabricated proprioceptive insoles, advertised to treat a Rothbarts Foot. You may even have been told that you have a Rothbarts Foot and prescribed these same prefabricated insoles by a well-meaning healthcare practitioner who is not properly trained in the use of my therapy. Yet in spite of best intentions, your pain symptoms may have returned
It is important to know when using these insoles, if your pain symptoms return (or have even increased), it could be because you are using the wrong strength of insole (See my research blog: The Consequences of Using an Incorrect Proprioceptive Insole - Joints) as there are many, many prescription strengths to treat the Rothbarts Foot. Or it could be because you don’t have a Rothbarts Foot! (See my research blog: The PreClinical Clubfoot Deformity should never be treated using a proprioceptive insole designed to treat the Rothbarts Foot)
How to treat the foot structure that the patient really has
When healthcare practitioners treat people who have chronic muscle and joint pain, they must first determine whether or not the patient has one of these two inherited foot structures. Healthcare providers trained at the International Academy of Rothbart Proprioceptive Therapy do this by reviewing the responses obtained in the Pre-Consultation Questionnaire and by asking specific questions during the Initial (Phone) Consultation.
If it is determined that the patient does indeed have one of the two inherited foot structures, the second step is to run a series of tests and proprietary analyses in order to determine which of the two foot structures is present. Running and interpreting these tests and analyses is the only way that one can determine which of the two foot structures a person has.
Training on the diagnosis and treatment of the Rothbarts Foot is available to healthcare practitioners and is covered in the Level I certification course at the International Academy of Rothbart Proprioceptive Therapy.
Training on the diagnosis and treatment of the PreClinical Clubfoot Deformity is available to healthcare practitioners and is covered in the Level III certification course at the International Academy of Rothbart Proprioceptive Therapy.
Reference
Rothbart BA 2009. What exactly is a Flatfoot? Are there different types? Podiatry Review, Vol 66(6):4-6.
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 a free chapter from my book, Forever Free From Chronic Pain
Posted by rothbart at 10/14/2009 12:30 AM 
Categories: Rothbarts Foot PreClinical Clubfoot Deformity, Rothartsfoot PreClinical Clubfoot Flatfoot
Tags: Rothbart Proprioceptive Insole Rothbarts Foot PreClinical Clubfoot Deformity Rothbart Proprioceptive Therapy
Categories: Rothbarts Foot PreClinical Clubfoot Deformity, Rothartsfoot PreClinical Clubfoot Flatfoot
Tags: Rothbart Proprioceptive Insole Rothbarts Foot PreClinical Clubfoot Deformity Rothbart Proprioceptive Therapy
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