How to Measure and Fix a Leg Length Discrepancy
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- Опубликовано: 27 май 2019
- I give you for FREE, my opinion about how to best measure and fix a Leg Length Discrepancy. This measurement does NOT have to be perfect. Taking the measurement in standing can have more carryover into functional ADL's.
It's amazing that 3/8 discrepancy can offset or appear to cause an inch or more tilt in the body, and with stretching or muscle tightenss makes it even more challenging...good luck to all you come across this.
For years I had back pain!!!It turned out to be hip problems and my left leg was shorter than my right! When I got two new hips yay and now wear a heel lift on the left, no more back pain whatsoever. Thank you UCD orthopedic surgeons!!!!!!!!!!!
Thank you 🙏🏻 so much for this video! My left leg is longer than my right leg confirmed by a standing x-ray. I also have a fused 6th vertebrae on my left side, and I’ve been told I have Bertolotti Syndrome. I’ve been in pain since my late 20’s after child birth. It wasn’t until 7 years ago that a chiropractor took the standing x-ray. Up until then, various chiropractors would just adjust me which was always painful. Anyway, 7 years ago, a new chiropractor gave me a heel lift; and for the first time in 30 years, my lower back pain was relieved. But after a short time, as you so accurately stated in this video, my knee started hurting me first, and then both of my hips started hurting too. So I ended up in more pain and unable to sleep. So thanks 🙏🏻 to your video, I’m going to try and insert a full wedge in my shoe and see if that helps. Thank you!😊
Thank you. I got very painful metatarsal bursitis, because a podiatrist gave me heel lifts. I gradually lost my ability to walk and stand.
Putting any wedge and trying to adjust leg length can have huge impact on a body. The impact cab be positive or negative. The only accurate way of measuring is through scan (x-ray, MRI, CT). The rest of methods can cause more headache in longer term.
That evaluation does not take into account sacroiliac dysfunctions or pronation. As far as lifting the heel with or without the sole, without measuring dorsiflexion you don't know. Raising a heel only increases forefoot pressure when there is no equinus. There is a lot more that is missing in this evaluation.
Thank you for the video, however the method doesn't distinguish between a functional leg length discrepancy and actual leg length discrepancy. If you start adding heal raises etc for a functional then you're never going to address the real problem
I listen to your podcast!! Great material. Thank you to you and the staff for all you do!!
This method doesn't tell you if the leg length discrepancy is functional or structural. If you put a lift under a functional issue then you can exacerbate the problem.
Why can’t more drs be thorough like this not one dr has examed me physically. I’ve had PT, injections, MRIs, X-rays ect showing only some bursitis which drs think is no big deal. I am in so much shock that I’ve been left to rot like this for 21 years no help. I’ve had severe pain on the side of my hip and hamstring with severe tightness and snapping near my bum line like severe. I’ve been to so many drs have had so many MRIs it’s not funny my life ruined. I know whatever the problem it’s likely something rare or I just haven’t run into a skilled enough surgeon to diagnosis it. This all started around 21 I’m now 43 still going dr to dr to dr finally had to go on pain meds 4 years ago. The pain was so bad that I lost my job after 6 years at the age of 25. And I’ve basically been disabled ever since going dr to dr to dr with no answers. I haven’t slept in 21 years literally I’ve slept like 1-2 hrs wake 4-5 hrs sleep 1-2 hrs wake 4-5 hrs repeat. I feel like the lack of sleep is going to kill me eventually along with the pain and tightness. I never imagined when I first started going to drs that I would never be diagnosed and cured. I’m suffering so much mental unwellness from being left like this and I also know a lot has to do with money. Although I’m at least $100,000 over these years into going dr to dr basically the research to be diagnosed. I don’t know where to turn anymore I’ve seen every kind of surgeon there is. It’s obviously something extremely hard to diagnosed and drs rely heavily it seems on MRI’s unfortunately. I’ve begged for exploratory surgery but can’t get that either I don’t know what to do anymore the pain is so bad. I know there are 3 types of common snapping hip syndrome but I’ve found a few articles of rare case publishing’s by a few drs. That diagnosed a few other snapping hips that are supposedly rare which I think means under diagnosed not rare. One being snapping hip if they hamstring and also of the satorius muscle and the one next to it. And this area is exactly where the large deep snap occurs 50 times a day for the last 21 years. I’ve recently the last 3 years have become scared it may be hereditary. As my 16 year old started presenting with a very light snap in hip on some movements. I have asked her if she has any pain, tightness or awkward feeling like I do she says no. But I also didn’t have pain at 16 then suddenly at 21 the nightmare began. So I’m getting her checked over again soon as 3 years ago they said if no pain present just keep eye on her. This is the dumbest analogy I’ve heard when online it says snapping hip left untreated can disabled a person. Can you pls tell me if you have any tips as far as tests I can ask for that can help me finally be diagnosed. Oh and I also get a pop in my knee and ankle as well my whole leg just feels off. The tightness in the hamstring is so painful it burns like fire.
I have a leg lent discrepancy what type of person do I see to get properly measured
But if the lift is only in the shoe, doesn't it cause issues when walking with a different pair of shoes without lifts or barefoot/slippers? Doesn't changing leg length so frequently, possibly cause more issues long term if not always in correct shoe, with lift 24/7?
Can you please recommend a PT in Central Florida in The Villages who could measure me correctly??? Thank You!!! Donna
Everybody says to measure from the ASIS. But can't the ASIS be shifted higher or lower when one has lateral pelvic tilt? Thereby not being a reliable anchor for a "true leg length" measurement?
I have a functional leg length discrepancy. Do I just use a shoe lift for the rest of my life? There should be a way to reverse the muscular habits that cause the pelvic imbalance.
Some segments in the video are stamped not adjacent to each other
Hi sir, I'm a new physio and I appreciate your great work , sharing information with us. I have a question, I examined a patients foot and he has sensational spots under foot arch, some increases pain locally when pressed and especially one spot gives tingling to whole body even to hand and fingers!
My daughter has leg length dispererncy and it hurts her so much please what should I do
Where can I purchase the 3/4 length shoe lift?
Thank you for the video it helps a lot, I have a question, What is the difference between making the support insole or attach it to the planter surface of the shoe?