Proprioceptive Stimulation. An Effective Tool for Reversing Postural Distortions and Eliminating Chronic Pain
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Piriformis Syndrome - A Case History
Presenting Complaint: Pain radiating from buttocks down the foot (left side) becoming progressively worse. Responding poorly to medication.
Due to the poor response to drug therapy, the patient was referred to my studio for a postural evaluation and treatment (as needed):
Findings:
- Severe anterior rotation of the innominates, left > right
- Abnormal foot pronation
Discussion: In this case, the sciatic nerve is being mechanically compressed against the greater sciatic notch by the severe anterior rotation of the innominates (e.g., Piriformis Syndrome). The anterior rotation of the innominates is secondary to the abnormal foot motion resulting from the PreClinical Clubfoot Deformity.
Focus of Therapy: To reduce the anterior rotation of the innominates
Treatment:
Subjective Outcome: Patient states “The pain is becoming less frequent and less intense”
Objective Postural Outcome: Anterior rotation of the innominates has been reduced sufficiently to reduce the mechanical compression of the Sciatic nerve (See Animation below).
Further Therapy Planned: Pilates to strengthen the abdominal muscles, weight reduction
Prof/Dr Brian A Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot Structure and the PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Inventor and Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain
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