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Previously reported foot structure linked to chronic pain

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  • Previously reported foot structure linked to chronic pain

    Dear Colleague,

    Last year I have published a paper (JBMT, Jan 2002) describing a previously
    unreported foot structure, which is biomechanically dysfunctional. Termed
    Primus Metatarsus Supinatus (PMs), this forefoot structural aberration
    produces moderate to severe prolonged midstance hyperpronation (and the
    sequaelae of changes noted in force plate studies). Postural shifts, foot
    to jaw (very similar to the Common Compensatory Patterns described by Zink
    1979), are linked to this foot structure, which, in turn are linked to the
    development of chronic pain conditions. My paper is available on-line at
    the following website: www.PostureDyn.com Look under the white page
    section and download the file entitled MEDIAL COLUMN FOOT SYSTEMS. AN
    INNOVATIVE TOOL TO IMPROVE POSTURE (PDF Acrobat 5.0 format)

    Presently, we have concluded research describing adaptations (compensatory)
    in the postural muscles resulting from this foot type (PMs). We used
    pressure plate analysis (Medicapteurs) to help clarify these changes in the
    muscles. Our research suggests that the plantar surface of the 1st
    metatarsal and hallux act like a rheostat, adjusting the tonicity in the
    postural muscles, foot to jaw. If the plantar surface loading patterns are
    disturbed within the big toe and adjoining metatarsal (e.g.,
    hyperpronation), a profound rippling effect is triggered up the chain of
    postural muscles (adaptations/changes in postural tone).

    We have isolated two different compensatory patterns in the postural
    muscles: Bracing and Releasing. Bracing compensations (associated with
    cavus feet) are seen as increased tonicity in the postural muscles,
    Releasing compensations (associated with functional pes planus feet) are
    seen as decreased tonicity in the postural muscles. Using proprioceptive
    insoles, these skewed tonicity patterns are normalized.

    If you would like to review our research, please respond by Email.

    Sincerely,
    Brian A Rothbart DPM, PhD, FACFO

    Email: rothbart@prodigy.net.mx
    WebSite: www.PostureDyn.com
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