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Video – Long Distance Therapy For Chronic Pain
Long Distance Therapy Increases Options For Chronic Pain Patients
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Why A Consultation With Dr. Rothbart Is Different Than With Other Doctors
Profile Of A Typical Candidate For Therapy
The sports pages are replete with disturbing stories about professional athletes who have ruptured their Achilles tendons. The list includes Kobe Bryant of Los Angeles Lakers, Hall of Fame Nate Archibald of the Boston Celtics, Bulgarian World Class wrestler Anatoly Guidia and Dame Kelly Holmes; an Olympic Gold Medal Runner. Even Vice President Al Gore ruptured his Achilles tendon in 1994 merely by playing a pick-up game of basketball. In fact, athletes rupture their Achilles tendon quite frequently and strangely enough, there appears to be no apparent reason.
Before taking a closer look at this phenomena: we need to understand the anatomy of the Achilles tendon:
You have two calf muscles – the gastrocnemius and soleus – which extend your foot at the ankle joint (think of a ballerina pointing her toes). These two muscles come together just above your ankle to form the Achilles tendon, which is inserted into the heel bone.
The Achilles tendon is attached to your heel bone by thousands of strong hair-like fibers, called Sharpey’s fibers. If the tendon tears; some of the Sharpey’s fibers still anchor the tendon into the bone, whereas if the tendon ruptures; all of the Sharpey’s fibers are severed from the bone.
If you have a tear in your Achilles tendon, usually (depending on the severity) you can still walk. But if the tendon ruptures, you can not walk (because you can no longer push off your big toe).
A ruptured Achilles tendon is a difficult injury to recover from. The rehab is long and arduous and at times recovery is incomplete. Often, the tendon never fully regains its full strength and function and is more prone to rupture again under load demands (weight plus motion on the heel bone). Power and endurance in movement is lost. Sum all this up and you get an athlete whose career comes to an end.
What Causes Your Achilles Tendon To Rupture?
The above athletes had no injuries or symptoms prior to their Achilles tendon rupture so the cause seems a mystery. But I feel the cause is quite obvious. It is twofold: 1) They all have an abnormal foot twist. 2) They most likely have an irregular or sharp surface (enthesophyte) under or along the attachment of their Achilles tendon into their heel bone.
Although I don’t have access to Xrays of the athletes’ heel bones, I do currently have a patient (I’ll call her Diane) who has an abnormal foot twist and a partial tear of her Achilles tendon that was caused by a sharp surface under her heel bone. Her case is consistent with these other apparently spontaneous injuries of the Achilles tendon:
Diane, a preeminent cross country runner, developed a Haglund’s Deformity of her right heel bone, which was then surgically removed. Two years later, she developed heel pain at the site of the surgery. I saw Diane four years after and Xrays demonstrated that she had a small heterotopic ossification (a sharp bony projection) close to her Achilles tendon.
Diane also has a severe foot twist resulting from a diagnosed abnormal foot structure, called the PreClinical Clubfoot Deformity. (See this site for more information on this foot structure).
A recent MRI suggests that the undersurface of Diane’s Achilles tendon is delaminating (shredding), most likely from the sharp edge of her heel spur rubbing against the Achilles tendon as her foot is twisting. As a result when she tries to run, her pain becomes severe to the point of disabling. If left untreated, this most likely will result in a complete rupture of Diane’s tendon.
If you are an athlete and your feet twist as you walk, I recommend that you have Xrays taken to determine the presence of any sharp bony surfaces along your heel bones. If both these conditions co-exist (foot twist and bony projection) you are at higher risk for a spontaneous rupture of your Achilles tendon.
If you’re searching for sports performance enhancement, reading the Curing Chronic Pain website will give you more information about the abnormal foot structures I discovered that can hinder you from achieving your full potential in sports performance and help you to determine whether an Initial Phone Consultation with Professor/Dr. Rothbart might be helpful.
For a more complete explanation of the Rothbarts Foot and PreClinical Clubfoot Deformity, read:
Abnormal Foot Structures That Cause Chronic Pain
To find out if you may have one of two common inherited, abnormal foot structures that cause chronic muscle and joint pain, take the Rothbarts Foot Questionnaire.
As you learn more about my innovative therapy, you may find that addressing and effectively treating your foot structure may be the missing link to ending your long time battle with unrelenting muscle and joint pain.
If you have questions about what’s involved in being treated with Rothbart Proprioceptive Therapy by long distance, see our FAQ (Frequently Asked Questions) Page.
Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot and PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Inventor and Designer of Rothbart Proprioceptive Insoles
Founder of the International Academy RPT