A previously undocumented foot type (Primus Metatarsus Supinatus) is linked to postural distortions and the development of Chronic Pain Syndrome
Abstract
Clinical studies have recently (2002) uncovered a foot in which the first metatarsal is structurally inverted and elevated relative to the second metatarsal. This foot type has been termed Primus Metatarsus Supinatus (or the Rothbart Foot Structure). Morphologically, this foot structure arises from an embryological retention of talar supinatus. Previously, Rothbart (1988) suggested that it is the structural "varum" in the forefoot that forces the foot to abnormally pronate. Abnormal pronation draws the posture forward. The body adapts. Slowly and progressively, strain and deformation patterns develop that can lead the patient into chronic pain.
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Rothbart BA 2004 Part I - Medial Column Foot Systems: An Innovative Tool for Improving Posture. Chiropody Review, Vol 61(1):20-23.
Rothbart BA 2004. Part II - Medial Column Foot Systems: An Innovative Tool for Improving Posture. Chiropody Review, Vol 61(2):20-23
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Rothbart BA. 2003 Etiology of Foot Hyperpronation - An Embryological Perspective. The Rothbart Foot Structure. British Journal of Osteopathy, Vol 26, pp 16-17
Complete published paper in the Journal of Bodywork and Movement Therapy
