As described here: hxtxtp://rothbartsfoot.es/RFS.hxtmxl (remove X's)
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I know this DPM's work and practices are very controversial on this forum, but I am a person with myofascial pain, headaches, weakness and numbess among other symptoms. I've seen a lot of healthcare providers and specialists ranging from podiatrists to a neurologist and many others, but PCIs are the only thing that provided lasting improvement so far.
I wore the 3.5 mm at first and now have been wearing the 6 mm for around a year and they're still comfortable and providing me with relief. Some people here have speculated that a few millimeters cannot make a difference but this is not true. I have never studied podiatric medicine but the difference between how the 3.5 and 6 mm insoles make me walk and stand is incredible. Without the 6 mm insole I have pain in my heals and increased pain and audible noises in my MTP joints. My stamina, balance, and walking speed is noticeably increased. I feel like I know I could improve my condition much more with the right sized medial column.
Any advice or suggestions would be very welcome, and I apologize for posting something that's probably off-topic. There's nowhere else I can think to ask. Should I make these microwedges myself out of wood, or is there an online retailer that sells tools like this?
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why r u not asking Rothbart?
Steven -
I don't think he shares information outside of his policy of only trained professionals being capable of taking the measurement and prescribing an insole with the appropriate medial wedge (proprioceptive stimulus:morning:).
He did publish a paper where he says the height of the wedge should be 30% of the first metatarsal deficit. According to Rothbart this is only effective for PSMv values up to 25 or 30mm. When the first metatarsal is elevated further than this the calcaneus and talus are also held in supinatus and he calls this the "preclinical clubfoot". He only shares information for how to treat this condition with those who've completed the last level of his course. I have suspicions that he treats this condition in the same way as the other foot type, but what can I do besides try and see what's effective?
edit- For clarity what I would like is know where to buy microwedges as used in the link at the top of this thread.
hxtxtp://www.posturedyn.com/manual/Navigator.hxtxm (remove X's) - This is a link explaining GRD Biotech's (manufacturer of insole) approach to fitting patients with either the 3.5 or 6 mm insoles. Under "Measure the First Metatarsal Deficit" they show a tool for approximating the distance to around 5 mm. -
http://www.algeos.com/3_5_Degrees_posting_Wedge_Strip___950mm_x_80mm_.html
http://www.algeos.com/blue-medical-grade-poron-insoles.html
There is no magic here. Its a little wedge stuck on a flat insole. DIY. Add a dremmel you can fine tune your wedging height to your hearts content.
However there will be an element you cannot duplicate in PCI's
http://people.duke.edu/~dandan/Papers/PI/commercialFeatures.pdf -
Thanks for the links, I'll see about making my own if the EVA foam is firm enough.
I'm not sure what part of my experience you think is placebo. From looking at pictures I know my posture has improved since wearing the insoles and my pain is reduced and overall well-being improved. It's hard to call it placebo when so many other therapies and treatments didn't work, why did they not cast their placebo spell on me?
If there is nothing to Brian's theories then why do these insoles work so well for so many people, some of whom started out with very limited daily mobility? The average person is not a fool, these are real people seeking solutions for their real pain. -
High density EVA is very firm.
I can show you testimonials for drinking pee, homeopathy, drinking bleach trepanning, hanging a poo around your neck on a bit of string and yogic bouncing. They're all apparently real people in real pain claiming real improvements. However I am unconvinced that there is any genuine benefit from any of those!
Why do these treatments work? Lots of reasons, most notably regression to the mean.
And as to "all the people" who have benefited, have you met them? Or are you working off of testimonials on websites and such. Because there is a thriving business of people who wrote positive reviews...
Sometimes they even go on professional forums posing as patients to promote products! ;)
Why do you get improvement? I don't know. Regression to the mean or ascribing a normal fluctuation to an intervention would be the most likely. Placebo a close second. -
Anthony, do you think that maybe. No, can`t be. Well, just maybe some people post on here pretending to be pods with an interest in learning/sharing, in order to promote products?
I'm shocked, shocked to find that such deception is going on here! -
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An endorphin rush. That's a new one!
So nobody in real life then. If I provided you details of one of the dozens of groups who have hundreds of people who swear blind that magic water cured them, together with glowing feedback and huge sales by the companies which sell them, how convinced would you be?
Impressive that you know so much about the numbers sold and the relative price points of pci's compared to other available treatment options. Coupled with your knowledge of where these devices have be sold you seem to know a great deal about this company!
Well, you have the information you came for. Have fun making your own. -
Here are some locations outside the US and Canada that import them,
http://www.mortonsfoot.com/international.shtml -
What I disbelieve is that these insoles do what they claim to do. And that every claim for efficacy is genuine, rather than cynical promotion to increase the perceived efficacy of the product among the gullible. I also disbelieve that those genuine cases gain the clinical benefits they believe they do from the devices.
What was your op again? -
Busted!
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His first post had all the signs that he was posing as a patient to plug the product. His subsequent posts only served to validate it.
Snake Oil salesmen are Green Wizards and have no conscious.
Steven -
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Oh that! Used to be called a bio vector.
No, that you make yourself. Short bit of wood with the end cut at an angle (any angle) then draw on graduations for depth.
You won't find them to buy because its absurdly inaccurate. Leave alone the difficulty of soft tissue under the 1st mh, the fact that the mh is not square etc, finding and holding sub talar neutral in weight bearing with any degree of accuracy is impossible. Doubly so if you're trying to do your own!
There's a business oppertunity for someone with a saw, a ruler and a piece of one 'be one.
How were you going to hold your own foot in neutral and measure it at the same time? -
Someone else can hold my foot or measure. The measurement is supposed to be taken when light resistance is felt, I'm hoping the soft tissue won't make it impossible to estimate within a few mm, just necessitate some trial and error.
What were bio vectors used for? -
Just this. It's not caught on with anyone outside the pci community because of the accuracy / repeatability issues.
To be honest, you'd be better off with trial and error. If you truly believe the few mm makes a difference. A 6mm height difference equates to a 2mm extra wedge, just add 1mm at a time until you think it's right for you.
Bear in mind though that a degree or 2 difference in the camber of the road or wear on the shoes, or the cushioning of the inside of the shoe can make far more than a few mm difference to the surface of the ground as presented to your foot. And if you can find and hold stj neutral within a mm or 2 of accuracy, or find a friend who's never done it before and get them to, you're doing much better than anyone else has managed to! -
Interesting discussion from 2013. I missed it, otherwise, I would have suggested contacting the company in Tacoma Washington. I believe they still sell the micro wedges.
I have stopped using micro wedges. The Leg Rotation Test is more accurate and provides more information on the strength of the signal to use in the proprioceptive insole.
Greenwizard has touched on a very germane observation: the sheer number of people helped using these insoles and the sizeable number of healthcare providers dispensing them.
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