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
PLEASE NOTE: 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)
____ 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.
If you are ready to take the next step towards freedom from chronic pain,
go to the Schedule an Initial Consultation page.