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Doctor insights on: Leg Length Discrepancy

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What causes a slight leg length discrepancy?

What causes a slight leg length discrepancy?

Multiple reasons: One can be born with a short leg. Most of us have one leg, foot, arm slightly shorter than the other by a 1/4" or less. Injuries can cause a short leg such as breaking a leg and it heals shorter than the other. Muscle spasms can cause the hip to tilt and results in a short leg. I would see a podiatrist or orthopaedic doctor. Long term, a short leg can casue a lot of foot, leg, hip, low back pain. ...Read more

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What can be done for a leg length discrepancy?

What can be done for a leg length discrepancy?

Leg discrepancy: If it is significantly short, there are staged surgical procedures that can lengthen it. Otherwise, putting a heel lift on the short leg will level your pelvis and assist with walking normally. ...Read more

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If there is a leg length discrepancy which side of the intervertebral discs is worse off - the shorter or longer leg side?

If there is a leg length discrepancy which side of the intervertebral discs is worse off - the shorter or longer leg side?

Good question: The pelvis will be higher on the longer leg side. The spine has to create a concavity on this side to keep you balanced. For someone young, the loner leg side would have tighter spots for the nerves. However, typically, the convex side of the curve gets hypertrophied ligaments and this causes more symptoms on the short leg side in older folks. ...Read more

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Do leg length discrepancies increase/decrease over time? I'm 47; at 25 yrs I had x-ray determination of 0.66 discrepancy. In 22 yrs. could it change?

Do leg length discrepancies increase/decrease over time? I'm 47; at 25 yrs I had x-ray determination of 0.66 discrepancy. In 22 yrs. could it change?

Not usually: Once longitudinal growth has ended usually no change in lengths of legs unless intervening issue such as complicated fracture, arthritis with joint space narrowing, infection with bone and joint destruction, etc. ...Read more

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Scoliosis with a leg length discrepancy treatable?

Yes but: Sonetimes there is an apparent leg length change due to the scoliosis affecting the pelvis and othertimes a true large leg length discrepancy can lead to a pelvic tilt and a scoliosis that occurs to compensate for this keeping the head centered over the body. You need to see which is the case for the appropriate treatment. ...Read more

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Hip X-ray to diagnosis leg length discrepancy, what is this like?

Hip X-ray to diagnosis leg length discrepancy, what is this like?

Comparing 2 sides: Usually leg length discrepancy is usually diagnosed by weight bearing views of pelvis or pelvis and entire lower extremities. The difference either in height of one side of the pelvis versus the other is measured. The other method is measuring length of entire leg and comparing to opposite extremity.Generally a difference of greater than 1.5 cm is felt significant. ...Read more

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Can a leg length discrepancy in 10 yr old cause knee problems?

Can a leg length discrepancy in 10 yr old cause knee problems?

Definately: No question 100% it can. Anytime a 10 year old gets pain in a knee it warrants a visit to the orthopedist. ...Read more

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How is leg length discrepancy measured after total hip replacement? How long should one wait to evaluate?

How is leg length discrepancy measured after total hip replacement? How long should one wait to evaluate?

Let me explain: Limb length discrepancy can be measured by a physician during a physical examination and through x-rays. Usually, the physician measures the level of the hips when the patient is standing barefoot. A series of measured wooden blocks may be placed under the short leg until the hips are leveled.If the physician believes a more precise measurement is needed, he or she may use x-rays. (scanogram). ...Read more

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