Rothbarts Foot Questionnaire

Complete the Rothbarts Foot Questionnaire to find out if you can be free

from a previously unknown, common source of chronic musculoskeletal pain  


                   (This questionnaire is not a replacement for a thorough medical examination 

                               nor should it serve as a tool for making a medical diagnosis.)
 

____  Are the heels on my oldest pair of shoes worn unevenly?  (See Fig. 1 below) 
        Note - Look for unevenly worn heels in shoes with soft rubber or foam-  like heels.                                    Hard rubber heels may not show this wear pattern.  

____  Do I have calluses on the bottom of my feet?

____  Do I have bunions?                                                      

____  Do I have a head forward position? (See Fig.2 below)

____  Do I have bad posture?

____  Do I have scoliosis (severely curved spine)?

____  Was I clumsy or awkward as a child?

____  Are my shoulders rounded?

____  Do I have crooked teeth?

____  Did I wear braces to straighten my teeth?

____  Do I have poor balance?

____  Do I have a tipped pelvis (swayback)?

____  When I walk with someone side by side, do I have a tendency to bump into them?

____  Has my chiropractor told me that I have one leg shorter than the other?

____  Do I have pains that come and go in different joints?

____  Do I prefer to walk barefoot around the house?

____  Do I have tight and/or stiff muscles?

____  Have I seen multiple healthcare practitioners in an effort to resolve my chronic musculoskeletal               pain?





                        

        Figure 1 - unevenly worn heels             Figure 2 - forward head position


If you answered Yes to 8 or more of the above questions, your chronic musculoskeletal pain can likely be eliminated by Rothbart Proprioceptive Therapy. 

To learn how Rothbart Proprioceptive Therapy can help you, go to the Rothbart Proprioceptive Therapy page.

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