Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice

Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.

Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.

Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Medial Column Supinatus (Rothbarts Foot) – A Cadaver Study

Discussion in 'Break Room' started by Brian A. Rothbart, Aug 4, 2025.

< Crossfit | Mental health issues in former elite athletes >

Brian A. Rothbart Well-Known Member

Members do not see these Ads. Sign Up.
The below photo of a cadaver foot (Dibbern 2021) shows medial column supinatus. The degree of torsion (supinatus) is staggered, greatest in the 1st metatarsal, least in the internal cuneiform.

Medial column supinatus is the hallmark of Primus Metatarsus Supinatus deformity (aka Rothbarts Foot), first described in a 2002 paper published in the Journal Bodywork and Movement Therapies.

Dynamically, medial column supinatus forces the foot to rotate inward, forward and downward (i.e., gravity drive pronation) until the entire medial surface of the foot reaches the ground. It is gravity drive pronation that skews the foot’s sensory feedback to the brain stem and cerebellum. The cerebellum acts on the skewed sensory feedback, distorting the posture which ultimately leads to musculoskeletal pain (foot to jaw).

Dibbern K., Briggs H., Behrens A., et.al. Reliability of coronal plane rotation measurements in the medial column of the foot: a cadaveric study. Journal Foot Ankle. 2021;15(3):252-8.

Rothbart BA. Medial column foot systems: an innovative tool for improving posture. Journal Bodyworks Movement Therapies. 2002;6(1):37-46.

Brian A. Rothbart, Aug 4, 2025

#1