The rear foot is in its anatomical neutral position when its joint spaces from front to back and side to side are uniform and even. That is, there is no deviation or variance in the thickness of the joint space from front to back and side to side (Subtalar Joint Congruity).
As a result of this elevated big toe, the foot must abnormally rotate (twist) inward, forward and downward (referred to as abnormal pronation) until the big toe and its' adjoining metatarsal rests on the ground (See Animation below).
The 1st metatarsal and hallux are elevated 20mm from the ground with the subtalar joint is placed in joint congruity (anatomical neutral position of the foot). Gravity forces this foot to drop 20mm downwards (abnormally pronate) before it rests on the ground
Left red arrow points to the incomplete torsional development of the talar head that places the 1st metatarsal and hallux in supinatus (twisted inwards and elevated off the ground)
Abnormal Foot Structures That Cause Chronic Pain
When weight is applied to this foot structure, gravity forces the heel bone to rotate (twist) until the entire bottom surface of the heel bone rests on the ground. This rotation of the heel bone causes the inner arch of the foot to flatten.
The result is that the foot rotation is much more severe in the PreClinical Clubfoot Deformity than it is in the Rothbarts Foot. The more severe the rotation (foot twist), the more severe the chronic pain.
Rothbart Proprioceptive Therapy is the only known cure for the Rothbarts Foot and the PreClinical Clubfoot Deformity. For information on this treatment that permanently greatly reduces or totally eliminates chronic muscle and joint pain that is caused by these foot structures, go to Rothbart's Therapy.
Learn more about the Rothbarts Foot and Rothbart Proprioceptive Therapy by reading Forever Free From Chronic Pain and The Foot's Connection To Chronic Pain.
If you have been from one doctor to another, trapped in an endless cycle of therapy and pain management programs, obviously no one has found the real cause of your chronic pain.
Unfortunately, many healthcare providers are not yet familiar with two common, inherited foot structures that predispose many people to chronic muscle and joint pain. They are the Primus Metatarsus Supinatus (now known as the Rothbarts Foot) and the PreClinical Clubfoot Deformity.
Through medical research, Professor/Dr. Rothbart discovered these two abnormal foot structures and he is the world´s expert on how to successfully treat them. If you are suffering with chronic muscle and joint pain, the probability is high that you were born with one of these two common foot structures.
The following is an introduction to the Rothbarts Foot and the PreClinical Clubfoot Deformity.
Primus Metatarsus Supinatus - The Rothbarts Foot
Rothbarts Foot is the result of an incomplete torsional development of the talus (the bone that sits on top of the heel bone) that occurs approximately between the eighth and ninth week of pregnancy.
The result of this incomplete development of the talus is that when the rear foot is placed into its anatomical neutral (correct) position, the big toe and its' adjoining metatarsal are inwardly twisted and elevated off the ground (See Photo below).
This abnormal pronation results in misalignments of all the weight-bearing joints in the body, foot to jaw (bad posture). If not successfully treated, the end result is chronic muscle and joint pain.
The PreClinical Clubfoot Deformity
Of these two abnormal foot structures, the PreClinical Clubfoot Deformity is by far the more severe. It is a devastating, malignant foot structure that creates chaos and misery in the entire body.
Hence, a PreClinical Clubfoot Deformity is a precursor or milder form of a Clubfoot Deformity.
The PreClinical Clubfoot Deformity is an embryological foot structure in which the calcaneus (heel), talus (bone sitting on top of the heel bone) and metatarsal bones (bones in the front part of the foot) are twisted inward (See Photo below).
Knee Bend Test - Interpreting Observations