Frequently Asked Questions

1.  How do I know if I have a Rothbarts Foot or PreClinical Clubfoot Deformity?

Professor/Dr. Rothbart's research suggests that 80% of the world's population have one of these inherited, abnormal foot structures that cause chronic muscle and joint pain.  If you have chronic pain, there is a great probability that you also have one of these foot structures.

2.  I have flat feet.  Can your therapy help me?

It depends on the type of flatfoot you have.

If you have a structural flatfoot (the arch is always flat), Rothbart Proprioceptive Therapy will not help you.

If you have the more common type of flatfoot, the flexible flatfoot (the arch is flat only when weight is placed on the foot), Professor/Dr. Rothbart's therapy will permanently greatly reduce or eliminate your pain.

3.  I injured my body playing sports.  The doctor tells me I'm healed.  Why do I still have pain?

If you have one of the two inherited, abnormal foot structures you will have bad posture. Bad posture results in misalignment of the weight-bearing joints. If you have an injury to one of these joints (such as a knee injury), the combination of the poor alignment and the injury to the joint results in pain that will not go away.

Even without the sports injury, if you have this abnormal foot structure you will still develop chronic pain. The injury just accelerates the process.

4.  Is it true that people in severe chronic pain can become suicidal?

A study conducted at John Hopkins University involving 1512 chronic-pain subjects reported that almost a third of the subjects reported strong suicidal thoughts (Arehart-Treichel J, 2006. Some Chronic Pain Patients At Increased Suicide Risk.  Psychiatric News (41)23, pp 25.)

Chronic pain can have a devastating psychological effect on the sufferer including: depression, anxiety and loss of hope for recovery. However, the loss of mobility (e.g., unable to move around comfortably, unable to enjoy normal relations with one's children without fear of injury, etc) leaves a damaging mark on the sufferer's emotions. The simple joys of life become a hardship. And it is this loss of mobility and joys of life that has the highest correlation to suicidal thoughts.

Without proper therapy, the psychological impact of chronic pain deepens and with it the risk of suicide. This is why it is so important that chronic pain be treated aggressively and effectively.

5.  I believe that the source of my pain is from a car accident.  It has been quite some time since the accident, why has my pain not gone away?

If you have a Rothbarts Foot, you can be pain free for many years depending on how well you take care of your body.  So, before your accident, you may not have yet experienced chronic pain stemming from this foot structure.

But, after a car accident (or other injury); if you have a Rothbarts Foot, the injuries will not heal because the distorted posture created from a Rothbarts Foot and the resulting stress and strain on the muscles and joints, do not allow the injured muscles to heal. Your doctor may tell you that you have healed, but in reality, if your body is well, you will not continue to have pain.

So, your pain may originally have started as a result of the car accident, but without this foot structure, the injuries (if not catastrophic) should have healed. If you find, that you are still having pain long after you have been told that your body is well again, this is a good sign that your muscles have not really healed and are continually being re-irritated.

It is important to note, that, provided that you have a Rothbarts Foot, the severity and location(s) of an injury will determine whether Rothbart Proprioceptive Therapy will work for you. Because each case is unique, this question requires a consultation with Professor/Dr. Rothbart.

6.  I have read about Morton's Foot.  Is it the same as Rothbarts Foot?  If so, is it treated in the same way?

Morton's Foot and Rothbarts Foot are entirely different foot structures.  Simply put, Morton's Foot is a short first metatarsal. Rothbarts Foot is an elevated big toe and first metatarsal.

They produce entirely different symptoms. Morton's Foot produces symptoms mainly in the foot, such as: calluses, corns and soreness under the ball of the foot. Rothbarts Foot produces symptoms throughout the body, including muscle and joint pain anywhere from the ankle to the jaw.

The two structures are treated very differently. Morton's Foot is treated by putting an extension pad underneath the big toe. Rothbarts Foot is treated using Rothbart Proprioceptive Therapy.

For more in depth information on these two foot structures, read my paper, Morton's Foot vs Rothbarts Foot published in Podiatry Review.

7.  Does your therapy deal with all types of chronic pain?

No, it does not. If the cause of your chronic pain is from either Rothbarts Foot or a PreClinical Clubfoot Deformity, Rothbart Proprioceptive Therapy will permanently eliminate your chronic pain. But if your chronic pain is coming from a disease and you do not have either of these abnormal foot structures, Rothbart Proprioceptive Therapy will not eliminate your pain.

For example: You have an infection or a malignancy, like osteosarcoma, an infected nerve tumor, a spinal herniation or stenosis or a primary muscle disease such as Myasthenia Gravis, which is causing your pain, but you do not have the abnormal foot structure. In this case, Rothbart Proprioceptive Therapy will not eliminate your pain.

If you have a disease and you also have the abnormal foot structure, Rothbart Proprioceptive Therapy will eliminate the pain that is coming specifically from the foot structure. Your disease will remain (which is unrelated to the foot structure) and any pain that is coming specifically from that disease will remain.

In many cases the pain coming from the abnormal foot structure is more severe than the pain coming from the disease. So when the pain from the inherited foot structure is eliminated, you feel dramatically better.

To give you another example: You have Rheumatoid Arthritis and you also have the abnormal foot structure, both of which can be causing you pain. Rothbart Proprioceptive Therapy will eliminate the pain that is coming from the foot structure, but you will still have whatever pain is remaining that is being caused specifically by the Rheumatoid Arthritis.

Without consulting with the patient and running the appropriate tests and analyses, it is impossible to determine how much of the person's pain is coming from the abnormal foot structure and how much is from the disease.

So in sum, it's the abnormal foot structure, or lack thereof, that determines if Rothbart Proprioceptive Therapy can help you and to what degree it can eliminate your pain.

8.  What is the difference between Rothbart Proprioceptive Insoles and other proprioceptive insoles?

Other types of proprioceptive insoles, as well as orthotics, arch supports and magnetic insoles are not designed to handle chronic jaw, neck, back, foot or knee pain problems arising from the Rothbarts Foot or the PreClinical Clubfoot Deformity.

If one uses other types of proprioceptive insoles or orthotics to treat these two specific foot structures, the results will be disappointing. 

9.  Why are Rothbart Proprioceptive Insoles made especially for me?

Everyone's body is different.  Their skeletal framework, history of injuries, type and severity of foot structure, physiological response to tactile stimulation underneath the feet, existence of mixed patterns (e.g., malocclusions, cranial trauma, visual impairments) all determine how the proprioceptive insole is designed and fabricated.

Rothbart Proprioceptive Insoles are prescribed only after results are obtained from specific tests and proprietary computer postural analyses.

10.  How is it possible to treat someone without seeing or examining him in person (a Long Distance patient)?

We know that certain tests can be run without the presence of the physician. Examples are X-rays, MRIs, blood tests or urinalyses. The results of these tests are then sent to the doctor to interpret and proceed with your treatment.

Similar to this, Professor/Dr. Rothbart has invented specific tests (postural photos) that can easily be run by the patient, without his presence. These photos are then emailed to Professor/Dr. Rothbart, who will then run computer analyses on them.  The results give him a wealth of information, including if you have one of the two abnormal foot structures that he treats and exactly what needs to be done to help you.

Professor/Dr. Rothbart then designs and mails to you, a custom proprioceptive insole that will start you on the road to recovery. From there, through telephone appointments, Professor/Dr. Rothbart answers your questions, monitors your progress, reevaluates as necessary and changes your insole prescription as needed. 

11.  Who qualifies for treatment by Professor/Dr. Rothbart?

Professor/Dr. Rothbart is deeply committed to healing people suffering from chronic muscle and joint pain.  Because of the considerable amount of time he spends caring for each patient, he is only able to accept twenty people into therapy at any time.

By limiting his practice to just twenty patients, Professor/Dr. Rothbart ensures that he is able to devote the time and attention needed in order to completely eliminate or dramatically reduce the patient's chronic pain.

Because space in his program is so limited, Professor/Dr. Rothbart only accepts people he is certain he can help.  He makes this determination after speaking with you and then analyzing specific material that you submit.

12.  How do I schedule an Initial Phone Consultation?

  • 2) The cost of your Initial Phone Consultation is 150 Euros.  If you are using a credit card (that bills you in currency other than euros) your card automatically makes the conversion from your country's currency into euros.

  • 3) Upon receipt of your payment, we will email you questionnaires to complete, providing us with information on your chronic pain problem(s).

  • 4) You will email us this information and we will then email you to schedule the date and time of your telephone consultation.

  • 5) Professor/Dr. Rothbart will call you at your scheduled time to discuss your chronic pain problem(s) and get you started on your road to recovery.

13.  I want to learn more about Rothbart Proprioceptive Therapy.  Where can I find more information?

Professor/Dr. Rothbart's book, The Foot's Connection To Chronic Pain, was written explicitly to answer peoples' questions about the source of most chronic muscle and joint pain and the treatment (Rothbart Proprioceptive Therapy) which permanently greatly reduces or completely eliminates musculoskeletal pain without drugs or surgery.

Click on the blue button to read a free excerpt (Chapter One) from The Foot's Connection to Chronic Pain. 

14.  I am a healthcare practitioner and want to study Professor/Dr. Rothbart's research.  Where can I find this information?

Go to Professor Rothbart research site on Researchgate

For additional FAQs, go to the More FAQ page.

If you are ready to take the next step towards freedom from chronic pain, go to the Schedule an Initial Phone Consultation page.

If you have more questions on how Professor/Dr. Rothbart treats patients long distance, go to the Treating Patients Long Distance page.

To learn more about Professor/Dr. Rothbart or his philosophy and approach to chronic pain elimination, go to the Professor/Dr. Rothbart's Philosophy and Approach page or the What is Rothbart Proprioceptive Therapy page.