How to fix a SHORT LEG: Heel lift or not?
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- Опубліковано 17 сер 2020
- Do you REALLY have a short leg that needs a heel lift or is it just muscle imbalances of the quadratus lumborum? The first thing I like to find out is whether the "short leg" is functional or structural. Watch the video to learn more about trigger point work and stretching of the quadratus lumborum. Please let me know if you have any questions, thanks for watching!
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![One Leg Longer than the Other Pain? [FIX Leg Length Discrepancy & LLD]](http://i.ytimg.com/vi/eJNMHFnwQSM/mqdefault.jpg)
Learn more about the quadratus lumborum and how to stretch it! ua-cam.com/video/fbzub0TODBw/v-deo.htmlsi=HA0Sm09M9CqrRMIp
Awesome! Have a first time client tomorrow complaining of a short leg....was researching before hand and found ur video....this is perfect! I'm a massage therapist, so this'll help me tremendously (and her, of course).
You are welcome Angela, let me know how it turns out!
Thank you for assisting my practice, I have used your video to send to my patients with great results, I do in session trigger point release in their treatments and this video helps them with their home care.
Excellent, happy to help!
Great video! I'll try your suggestion! 😊
thanx Doc! perfect explanation
You are very welcome, Julia, happy to help!
one of the best videos thank you
You're very welcome!
This is a great video! Thanks!
You're very welcome!
Thanks Ed👍
You are very welcome!
Thanks so much. I’ve gotten different opinions on this. I definitely have right hip tightness and tenderness on my back under my rib. I was told that my leg is not anatomically shorter but was still told to wear the lift. I’m going to experiment and see how I feel. It’s tricky. Thanks again! Grateful for all these videos. ❤
You are very welcome, Christina!
@@FrontRowwithEdfake information
Great info
Thanks
This is true I can confirm from personal experience
Thank you. I found what I have right now. At first the muscles in my back under the last left rib was very painful when I twist my body. After a week, I can feel my knee that it's like pulling up, and a little ankle pain. All were explain in this video. 😊
Awesome!
My husband gave me nasty comments for the last few years about health healthy diet when I told him stop eating junk and sugar and start walking . No. I was the bad one now he had a blocked artery nearly died. I know how does it feel when someone leave nasty comments But don’t take it in 😁👍❤️❤️good video
Thanks Timea. I hope your husband feels better soon .
I had a torn Achilles which healed but reduced my flexibility on that side. I now have a tight QL. As I listened to your video about it tilting my hip higher, I realized that this contributes to my glut tendonitis when I run long distance. Wouldn't that tighten the glut tendon on that side? Thanks for the video. Great work.
Is scoliosis a strucrural problem and what do you recommend for that?
I’m surprised you didn’t go into mentioning why the QL becomes tight in the first place, and that’s because it’s compensating to provide stability that another muscle should be doing instead: the gluteus medius.
If the glutes are working like they should, then the QL is relaxed and doesn’t work extra hard. Sure releasing the trigger points will work, but that’s merely putting a bandaid on because the root cause hasn’t been tackled: weakness in glutes.
So, yes, a heel lift is not needed, but more importantly, strengthening of the glute medius is required to get rid of the problem forever.
Some great exercises include Banded Monster Walks, Single Touchdown Squats, or even something as simple as Hip Hikes. Any one of these exercises gets at tackling the root of the issue.
Hello there 7 months ago i injured my knee in gym i was working on upper leg machine, my knee was injured and i couldn't bend it for almost two weeks, after that I've been dealing with lower back pain on right side and now recently on left side(right side which is the side of the injured knee is much better now) and recently I've been having knee pain, my knee bones make voices (I've been told i have chondromalacia patella, and that has caused me unequal leg length) I've been told to do the pnf stretching and other kinds of stretching, but soon after an hour i can feel the pain again and soon after i have to do the stretchings again, I'm so desperate, i would look forward for your advice, thanks
Dr ed...is it possible to grow a bone after ossification?..would hgh help?...and at what age usually ossification happen for a healthy male....
Something chiropractors need to be aware of but do not get training for in school is not hip dysplasia is one of the most common reasons for short leg syndrome. I have been through so much trying to find relief for my hip on my longer leg and no answers. But at least I know what caused my short leg. It is because I have a hip dysplasia in that leg that I was born with. So please do add this to your list of reasons why this can happen. Because I worked for a chiropractor analyzed my x-rays and still had no clue that it was a hip dysplasia. I had to go to an orthopedic specialist and spend over $400 just for the diagnosis. And all they could tell me was to go to physical therapy. Anyways I still have a lot of SI joint pain and the hip of the longer leg and The sensation of it pulling out of socket when I am going on longer walks. I've had to forget about the hope of ever being able to run for jog.
So i have lumbar scoliosis, which the spine surgeon doc, based on x-rays, said was caused by a congenital leg length discrepancy. News to me! So, pretty obvious pelvis tilt, and as far as heel inserts go, which i might give a try to see how it feels, i just have one question: do you think a heel lift should be worn inside as well as outside? Otherwise the intrinsic forces of the body will be significantly different inside vs outside.
Mine left left is shorter by 2 inches and i have a s curve scoliosis should I wear a heel to balance that? Please suggest. Thanks
I feel pain in my left leg ( from hipbone to ankel) and tightness in right side of my back .
What should i do ??.
I'm 61 and I have mild scoliosis, wonder what path to take t have a customized heel lift
I'm 15 and I have one leg longer than the other, and am feeling a terrible pain on the knee of my shorter leg which makes me not to walk properly.
What should I do?
I have something strange going on that no practitioner has been able to help with. My hip is high on the right side. I have had some correction with chiropractic adjustment. Something that no one can explain is this.....if I do a wide leg forward bend my right leg does not seem to move in the socket like the left. My right side hikes up and my torso moves left. Not sure this makes any sense? I am about to turn 60 and have been able to run and cycle with no real pain. I would just like to correct this now that I have noticed it
My physical therapist and foot dr told me my right leg was off by a little so they told me to only wear one heel lift.
Well a year down the road after losing 50lbs, I started working with a trainer to build strength and working on stretching/mobility. I’ve found out that the heel lift made it worse causing my back pain to come back because my leg difference was minimal and could of been fixed by stretching. This does work indeed
Hey Chris, thanks for sharing your experience, but how about that 50 lbs weight loss!! Awesome job! Happy to hear the stretching helped, keep it going!
yes lots of them practice in some kind of all knowing authority, but in actual fact they are not master's of knowledge at all. just Rockefeller trained robots repeating a script.
which trainer did you go? I have the same problem! I used the lift for the shoes and made my condition worse!
How could a structural short leg could be even after stretching?
@@58looppoint. stretch, stretch, strech when there is a structural lld only 2 ways heel lift, surgery
My surgeon said that the 1.5cm leg increase after a hip replacement should not be a problem as it is the way the new joint was set in. Eventually the physiotherapist recommended a heel raiser. It is so uncomfortable and I hate it. Would these exercises help me walk without a limp and sort out my back ache?
Good video. My son has osgood schlatters on his right leg, and his right leg is visibly shorter, by about 1.5-2cm. At the beginning if the video you mentioned structural, would you consider Osgood as a structural cause in general?
Osgood Schlatters would not be considered structural. For example, structural would be a break affecting the growth plate . I would check the QL for an imbalance.
Thanks doc, but people still expect you to be calm and patient, the severity of the pain is through the roof!
Yes, it can be very painful. Also remember to strengthen with this exercise ua-cam.com/video/18BEaZWG5HY/v-deo.html Good luck
My hip is hiked on the right. My QL, and TFL are tight... But I step on a book with my left leg and my hips are level... Any advice?
I have a heel lift because of pain when I was walking for fitness. An osteopath suggested the heel lift. Later a chiropractor said my right hip was rotated forward. Is this the reason for my leg length discrepancy? Can this be helped? I'd love to get rid of the heel lift. It makes it very hard to find sandals and dress shoes and I often have to tape it on the sole of my shoe when the footbed is not removable.
Hi I have to accident 11 month before femur bone loos also after bone graft surgery now status walking fracture leg 1, inches shorter can correction pls let me know thanks 🙏
I broke my ai ordered a kle. i did not had surgery and now i am almost fully recovered there but due to about 2 mm leg dicrapancy. i feel it prevent me from learning walking. my question can that feeling that i never had before breakingmy ankle can be caused by short muscles ? After all i had quite in low to no physical activity for 3 months. anyway i orderd insole
Can’t see the link for the stretch exercise u refer to. U said u would share the link but lots of links but not that one?
Here you go ua-cam.com/video/fbzub0TODBw/v-deo.html
Just came across your video to which I can relate. I am dealing with the same problem. My left knee has came front as compared to normal due to which my body posture has been changed. I have pain all over my body due to my uneven body posture. I have been doing physiotherapy but it’s not working. My leg has sort of become like an elastic, when stretched it ok but after leaving the leg it again comes front. My leg do look short but it’s due to my uneven posture, when compared my both legs are of equal size. Can you suggest any exercises for me?
The reason the QL is tight and hiking the hip up is because it’s providing “extra” stability to the pelvis. This extra stability is a compensation due to another muscle that’s weak: the gluteus medius. If the glute does its job providing stability to the pelvis, then the QL relaxes.
Some great exercises to work on are banded monster walks, single touchdown squats, or hip hikes.
This will strengthen the glutes and over time you’ll notice the QL relax.
I’ve had this exact problem and fixed it by doing those exact exercises.
Best of luck.
Hi Ed, I’ve been having horrible ql pain for months now. Now on imaging it shows some levo scoliosis. Never had that before now. I know the ql attaches to the 12th rib and if dysfunctional it can pull the rib down, screw with the rib cage, cause sij pain. I do not have a structural deformity/shortness. I’ve been told the only way you can really tell is by x-ray. My legs have been measured and they are equal .. My question, this is all on my left side. My right side pain free, higher hip and everything is tight and leg feels shorter. Mostly , everyone says if you have a hip hike than that is the tight side that needs stretched, and the other side need strengthened. So in my case, should I stretch my right side, the higher hip side, the no pain side, and then strengthen the left painful ql side? It’s very confusing because most of the time people have pain with a higher hip, I don’t. This is just ruining my life because it’s pulling on that rib cage in that spot you speak of. It is extremely tender there on the left. Thank you in advance if you reply.
P.s…. I also forgot to mention, which you already know that if your QL is dysfunctional/weak you can also pull your vertebrae out of alignment, and that might be whats causing my scoliosis.
I had Perthes as a child and recently had a hip replacement on my left side, ( I’m 50 ). My right leg is now over an inch shorter. Do hip replacements usually require lifts on the opposite side, or is it maybe a tilted pelvis on that side that I’ve had over the years that needs correcting?
My legs always seemed even to me before the surgery, so I’m confused.
P. S. It’s been a year now since my hip replacement, so plenty of time to “settle” I would think.
I have short leg and may be it is structural , short one's side pelvic bome is not rised up its lower than the other side ans still it is short, could it be fix / cure😢??
What if it is not a short legs on the side the QL is tight, but the reverse. The side the QL is tight and the hip is high, is the longer leg?
I’m 42 and I have had five back surgeries in my first child two years ago. I’ve been trying to lose the last 10-15 pounds by walking a mile a day and just for the last two weeks I’ve noticed my calves, Buttocks and shin muscles getting tighter and more tender and especially when I wake up they are extremely painful. Ive been stretching, heat, ice and massaging the muscle fibers but nothing is changing. If anything, it’s only getting more uncomfortable. I wear a lift in my shoe and a knee brace bc of the difference between legs. I wear it on and off for weeks and it didn’t change anything. I also have scoliosis. Would the tightness and cramping feeling in my buttocks be the cause of the burning pain or is it sciatica or SI joint pain? I don’t believe Chiropractors can do much with fusion patients right? What do you advise? physical therapy, manipulation, massage, radio frequency ablation or is it possible to check the biomechanics first? Who do I need to see first?
Hello Amanda, I would on this exercise first for about 4 weeks to see if it helps ua-cam.com/video/18BEaZWG5HY/v-deo.html Good luck
Stop eating pork that's the cure
Sir I have same problem
I have structural and functional short leg. So it’s stretching and full length shoe build up for me. Shoe is built up half the length of leg difference.
Excellent Thomas, looks like you’re getting some good care!
😮i am effected on same prablem, which type of doctor concert in my prablem,
Hi. Where are you located? Doctors, PT, and every doctor have been unsuccessful with resolving my uneven hips, right knee and heel pain, and right leg is close to 2 inches shorter than left leg. I did have a right compound tibia fracture 30 years ago. Currently 38. Thank you - appreciate it!
Good morning, we are located in Bellingham, Washington
Cool
I am 40yrs and diagnosed with uneven leg length.i have knee pain n shoulder pain .i was told it is due to leg length discrepancy.from childhood i was never able to squat n sit on the floor.hips very tight n dont open.do u think mine is structural short leg or is it functional short leg.pls help doctor.🙏
After a scooter hit me I have a shorter leg and the opposite knee started to hurt and grind. The British doctors are against chiro practitioners and after years still no help.
I believe I just found the solution to the lateral tilted pelvis I have been dealing with since 2019.
Hope it helps!
My Ortophed measured my legs simply by checking something around my hips on my back side. I think this measurament was incorrect because she said my left leg is longer by 0.5cm.
But I actually can feel it's my right leg that is longer, and my pain goes away when I put a heel lift in my left shoe.
While if I put it in my right shoe, my pain gets even worse.
I also do have a right side scoliosis.
Should I visit another doctor?
Also when I put a heel lift in my left shoe, it actually evens out my hips.
Yes, I would seek another opinion, good luck!
Your #1
My hip is clearly higher on the right side. But at the same time, my LEFT leg seems to be shorter! This would indicate some structural problem, and a heel lift should be considered, correct?
Hello Andrzej Great question. The first thing I would ask you is one QL tighter than the other when you do the stretch?
I had an ACL reconstruction surgery 5 years ago on my left knee, i definitely was more weight bearing on my right during recovery, which i feel has created some imbalances in my hips. I don't recall any structural issues in my youth. Looking at my SI joint dimples on my back my left is higher than my right. So my hips have a lateral tilt sloping to the right making my right leg is the shorter one.
I would have thought my right side would be the problem side but my left QL is tight tighter of the two. Why would my tighter side be the side with more length? I'm confused
Muscles are like contracting elastics . If you stretch an elastic to its limit, what happens? The elastic become tense. That's what people often think is there muscle being tight. When in reality its overstretched by the anatomical position but it is indeed tense. Stretching would only make things worse.
Ashley, I've been a chiropractor for 35 years and will have a go at answering your Questions.
I don't need your business, but I just wanted to help.
The theory goes that contracting the muscle on one side will lift your pelvis on that side. Is this possible? I will answer this question from a standing and lying down position.
The QL is a muscle that causes side bending to the same side in the upright position.
(The left QL bends you to the left )
In the lying down (recumbent) position, a tighter QL causes the hip to hike and induces an 'apparent' shorter leg. The leg becomes shorter on the side of the tighter QL side.
Take home point, and in summary: Your left long leg in the standing position will become your Left SHORT leg in the lying down position. Don't measure leg length when lying down.
This is often the case. I have a left short leg when standing and a right short leg when lying down.
My left hip is high but when I stand on my right leg I’m shorter. Does this mine I have a true lld?
Mine too! I would like to know this answer as well.
None of the chiros I went to before diagnosed my short leg. The X-ray actually showed a difference of 1 inch! My leg was twisted in the womb. Heel lifts have made a huge difference in the back pain. But my high hip still hurts when I'm barefoot cleaning the house
Same issue with me. Hope you are well! My right leg is almost 2
Inches shorter. I did have a right compound tibia fracture 30 years ago. My hips are way off too.
@@AntonioLiberato08 mine too is short by 2 inches and it's due to scoliosis of ,30 degree. Should I wear a heel lift shoe to balance it plz suggest
Have about a 1.5 inch difference caused from a short femur.
@@glbwoodsbum2567I have 1 inch difference due to leg fracture in femur
@@Xavierzzzzu
Notice any problems because of it??
Would something like this also cause the shoulder on the short leg side to be lower than the other side?
Hey Jimmy, yes, it can play a role in shoulder height as well.
I'm confused, is it the hiked up side which requires the 'ball treatment' or the short leg side. I'm dyslexic so have trouble with too many word explanations. Can anyone clarify please.
I would check to see which side is tender and then stretch both sides to see if one side is tighter than the other.
Where is the link to the stretch?
Sorry about that, here you go! ua-cam.com/video/fbzub0TODBw/v-deo.htmlsi=HA0Sm09M9CqrRMIp
question...what if the hip on short side is low. is there another way to tell?
Put your index fingers on your pelvic bones and look in the mirror, or go to chiropractor and ask for x-ray.
I’m from wa and really would like to come see you
Another northwesterner, nice! I'm in Bellingham at Integrative Physical Therapy, would love to work with you
I had plate in femur my leg is short how to fix it ? 😭
i have very serious pain, muscle spasm on the left side QL, hip flexor, TFL all the way down to the outside of my ankle, walking is a pain for me. MRI shows I hip labrum tear, degeneration in the hip, but all the orthropedic doctor i saw refused to do operation. I have seen physio, personal trainer for 3 years...very little improvement. I was told however, that i have collapsed (high) arch on the left as well. I felt weakness for my toes on my left feet to grasp the floor because the leg muscles are very tight.... I have done many exercises and could not improve much, every step causes strain and pain of the muscles in the groin and hip...I have got a customer made insole 2 days ago......the tech told me i have short leg, I think it is due to QL spasm on my left QL.......he put a heel lift on my RIGHT insole. It feels so awkward on the right side..... it is now day 3, I feel sore on the QL of my right side, the left side feels a little less tight.......I agree with what you said about buiding strength, but in my case, the muscles are too tight every where, the insole seems like a short cut....and give me some breathing space.....may be it is too early to tell......
If you have a labrum tear in your hip please seek a second opinion 😢 I just had surgery for a hip labral tear only a month ago. I was also having a lot of pain in my QL above my bad hip, as well as a ton of pain in my foot on my "good side". It is a nightmare to deal with and only gets worse over time because a labrum cannot repair itself. And if you also have bone deformity in your femur, where it rests in your hip socket, the bone will continue to irritate the cartilage (labrum) literally every time you move. So it will get worse with time, and in fact cause arthritis. I have heard that if there is advanced arthritis, a lot of surgeons won't do the arthroscopic hip surgery, due to the weakness of the bone. So it's quite possible that's why they refused you? Has anyone suggested a full hip replacement surgery to you? I imagine that's probably the next step 😥 I hope this has resolved for you since you posted your comment. I wish you the best!
@@TL-tk2mo Thank you for the reply.... I have developed other more serious problem since.....nerve pain in my arms and fingers.....it seems that all these muscle spasm problem may have caused by my cervical problem......
@@billyhamlen9610 As someone with chronic myofascial pain, I high recommend you get yourself a tennis ball and start using it for self massage. I have also had numbness and tingling in my fingertips. Low and behold when I started getting serious about using the tennis ball on my shoulders, neck, upper arms and forearms, every day, I was able to get the numbness to go away after just a few weeks! It's one of the cheapest remedies out there and it certainly doesn't hurt to try!
I do appreciate this. My left QL has been tight since high school 08-11. I’ve been use racquetball trying to release it.
Feels like my left acl rehab 2019-2020 exacerbated it tho and my right side and hip are even more weak and imbalanced now. Struggle is real and getting help feels like a luxury I can’t afford.
Hey Stephanie, sorry to hear that. You may want to try this hip trigger point stretch ua-cam.com/video/8WvCRWq9iqM/v-deo.html Good luck, I hope you feel better.
Does your left ankle feel unstable?
Had hip replacement, been told the operative leg is now about a centimeter too long, had no issues before surgery….I am about 6 months out of surgery, what do you think? Shoe lift or not?
Good question. Do you have any QL tightness on either side?
@@FrontRowwithEd doesn’t physically feel as though I have any QL tightness on either side.
try to get into the stretch position I talk about in the video and then let me know if either side feels much tighter than the other
@@blakemoore666
Sir I want to reduce my height its possible to reducing 2inches please reply sir 🥺 🙏
Is 1 cm alot
Where is the exercise? Thanks!
Here it is ua-cam.com/video/fbzub0TODBw/v-deo.html Let me know if it helps!
By using a heel, made with computer assistance of course, they have achieved that my spine to curve and even worse, I got twisted pelvis and unable to come to myself these two years. Muscle memory is something unbelievable. But the damage was done by those damn heels : lifted the wrong foot.
People! Be careful what you do. It can cost you a lot
Thanks for sharing your story.
I;m sorry to hear that story - so which foot should be lifted then? If I have short right leg should put heel lift on this leg or left one?
Was just given a heel lift today. My Chiropractor for the last year never mentioned it.... Two appointments in with new chiro and I'm wearing it as of today... I'd like another opinion as it feels like a rushed assessment. I'm also from Washington.
Hey Mathew, ask the chiro if it could be because your QL is tight on one side first. Also, how does it feel with the heel lift, is it helping?
@@FrontRowwithEd The area that led me to go in to get adjusted is still inflammed and hurting - So no I don't think it's helping, but it's hard to say if it's the lift agitating it or if I'm just not aligned yet.
I called one of my Chiropractor buddies and he said friend to friend he wouldn't recommend a heel lift, so it's just conflicting information.
@@hydrodad4263 As you heard in the video, I tend to not like the heel lift unless there is an actual structural difference (old broken bone affecting the actual growth of the bone) Otherwise, it could be a muscle imbalance that needs to be addressed first before putting in the heel lift that can "lock the dysfunction" in place. And yes, can get confusing at times.
@@FrontRowwithEd Are you taking new patients? I have recent xrays from last week or can take some new ones I suppose. Seems like you are well educated on this subject.... And too be honest my Chiropractor is great and I'm sure he's making the call he believes is right, but it seems a little premature.
@@hydrodad4263 Do you live near Bellingham, WA?
Please helpe me I have one feet longer ather wider and shorter please tell me what shall I m very bad crying just looking to my feet please I want talk to you please help
I’ve noticed my hips level out from switching to more minimalist shoes, but my legs still have a slight difference and some pain on the “longer side” I don’t if it just needs a slight more leveling out hoping that’s the case because I hate shoe lifts
I wish you were around 25 years ago. I had an accident and, once recovered, kept getting a tear in one calf. A podiatrist diagnosed one leg shorter than the other. I now know that whilst this was the case, it was an apparent not an actual short leg. Meaning I should have worked on a muscle imbalance rather than accept the heel lift he gave me. It caused more problems than not, because I was fixing the wrong thing. Nowadays I have hips that are rotated on one side forward and also upwards. Note to anyone wearing a heel lift: if you do have one leg that is structurally shorter than the other, the lift should actually be the same distance from heel to toe, NOT just the heel.
Sounds like you are on the right track now, good luck!
Hi, I have structural difference of 2.5 cm. One orthopaedic doctor suggested me to use 1.5cm heel lift and leave 1cm to naturally adjust and other orthopaedic doctor suggested me to use 2cm heel lift or above. Which one should I use?
Start with 1.5 bro
That is not the solution your opposite knee will hurt i recommend to see a osteopath
What if your right leg is shorter AND your right hip sits lower ?
Same as mine. Chiropracter ordered shoe lift of .5 cm for my 1 cm leg length difference. I wore it for many years and it took care of my lower back pain. I also have mild left lateral scoliosis and left hip higher by 1 cm. I don't know if one causes the other. Swimming and cross country skiing are the best for loosening my back. I am now interested in barefoot shoes and finding a good insert for the right shoe.
@@user-kw6yz1yt4pwhat are you saying for 1cm difference you are wearing 5 cm
Dude keep saying the same thing over & over get to the point
I have NO Cartilage in my right hip so I walk un EVEN with my right leg feeling like with every step, I'm limping.
Would a shoe lift insert, help me...?