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.

To learn how Rothbart Proprioceptive Therapy works and what is involved, go to the Rothbart Therapy and the Patient's Commitment pages.

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