How to Measure and Fix a Leg Length Discrepancy

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.

[azeemali]

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.

[phyllispetras]

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

[daisymae]

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!😊

[robinlillian]

Thank you. I got very painful metatarsal bursitis, because a podiatrist gave me heel lifts. I gradually lost my ability to walk and stand.

[mobleyMobley]

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?

[agnieszkasojka]

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.

[stan]

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.

[clairemills]

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

[Ropoc]

I have a leg lent discrepancy what type of person do I see to get properly measured

[Swapnil]

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.

[ivo]

I've been really scared about having als. I cannot go to the doc for economic reasons. Is there any test I can perform to discard this illness?

[bradleyd]

With heavier patients, do you use thicker or more insoles related to their weight at a certain point? Asking for my 300+ club

[kaiwh]

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.

[pamtebelman]

Where can I purchase the 3/4 length shoe lift?

[scottk]

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?

[amjedsenpai]

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?

[yumbeet]

Thanks for the demo! Just one thing I was thinking.. couldn't a tight QL also pull upwards on one side of a hip, causing the appearance of a shorter leg even if the leg isn't technically shorter? I thought this was a reason for the tape measurement. Thanks again :)

[mustafasarca]

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!
the question is he has a callosity on his right foots lateral malleus but left foot looks fine in terms of callosity, both feet lost eversion a little bit. what is significence of right foots callosity on lateral malleus?

[romitdas]

Thank you so much ❤️🙏🏻 sir for this video...My right leg is 3 inches longer than my left leg confirmed by a standing x-ray. I have a question that can I do workout with an orthopedic heel lift inside my it cause problem in future....???

[MindDrip]

How does the insole fix the problem? It's just treating the symptom