The Test That Holds Your Doctor To A Higher Standard Of Care

you were searching the internet for ways to find pain relief, you bought a pair of insoles that were touted to treat the Rothbarts Foot.

Whichever road you took, you aren’t feeling any better (demonstrated by the fact that you’re reading this website) and your insoles are not delivering the results that were assured. You still have the same painful symptoms, or maybe feel even worse than before using the insoles.

The reason is because in order to effectively treat the Rothbarts Foot, PreClinical Clubfoot Deformity  or pretty much any other abnormal foot structure, your doctor must follow specific diagnostic and treatment protocols (a series of specific steps to arrive at a resolution) which establish the cause of the problem and how to go about effectively treating it.

The diagnostic protocol involves using sophisticated computerized programs which analyze the postural distortions that are causing your pain and determine the type of insole – proprioceptive or biomechanical – that may be indicated to resolve your problem. The treatment protocol is the design and fabrication of an insole which will eliminate your pain.


If an insole is indicated, there are specific parameters which define its’ design and fabrication:

  • vertical dimension
  • surface area
  • slope angle
  • placement of materials
  • frictional characteristics of the material used

Even though you may not understand what these design and fabrication details are, you can see that making an insole that effectively addresses your individual body is a complicated and detail-oriented process, involving multiple considerations.

This explains why generic, off the shelf insoles or quasi-custom insoles don’t work if you have a complicated chronic pain problem.

A Higher Standard Of Care Is Crucial When Prescribing Insoles For Chronic Pain

If your healthcare provider takes a cavalier approach – not having the time nor wanting to spend the effort to go through the necessary steps to provide you with a pair of insoles that will actually address your specific individual needs – you could end up with insoles that not only don’t work, but could also cause you far more problems than you started with.

In the past, doctors could dispense insoles and orthotics with impunity because there was no specific test one could use to determine their level of effectiveness.  With the Modified DORA Test that I developed and wrote about (in the Journal of Cranial Mandibular Therapy, October 2013) all that has all changed.

The results obtained from running the Modified DORA Test indicate whether or not a pair of insoles are functioning correctly.  But the shameful fact is that many practitioners who are using prefabricated or quasi-custom made insoles are unaware of this test or simply do not want to run it. The reason for this is your guess and mine.

Both doctors and online businesses that sell insoles/orthotics should be accountable for the claims that they make.  While you may not be able to directly confront a website, you can certainly hold your practitioner up to a higher standard of care.  If, after using your insoles, your chronic pain is not going away, ask your doctor about the Modified DORA Test to find out if they’re working as they should be.

If you’re wearing insoles or orthotics that were claimed to get rid of your foot, knee, hip or back pain (yet don’t seem to be working as they should) wouldn’t it be great to have a test that holds your doctor to a higher standard of care and makes him/her more accountable for providing you with insoles that work?

Let’s say that you’ve been suffering with chronic muscle or joint pain and your healthcare provider told you that you have a Rothbarts Foot or some other abnormal foot structure. He then prescribed a pair of orthotics or insoles purported to get rid of your pain. Or perhaps, while