How much leg length difference is normal? (2023)

How much leg length difference is normal?

Leg length discrepancies are very common. In fact, many of us have a small difference in our leg lengths. However, most people don't notice the difference or require any treatment. When the difference measures more than 1.5 to 2.0 cm (5/8 of an inch), most physicians recommend having the discrepancy evaluated.

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What is a clinically significant leg length discrepancy?

Subsequent content in this paper, however, will indicate that many authors consider limb length inequalities of less than 25 mm as clinically significant.

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What are the 3 types of leg length discrepancy?

There are three types of LLD: structural, functional and environmental. The structural or anatomic type is due to a difference in the actual length of the tibia or femur. This may be of congenital, post-trauma or post-surgery etiology as LLD commonly occurs following hip or knee replacement.

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How much longer is your leg than the other?

What is a limb-length discrepancy? A limb-length discrepancy is when one leg or arm is shorter than the other leg or arm. The difference in length can range from a fraction of an inch to several inches. Some children are born with congenital limb differences that cause their legs or arms to grow at different rates.

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How much leg length discrepancy is normal in adults?

How much leg length discrepancy is normal? A leg length discrepancy of less than 10 mm is often well tolerated and rarely requires surgical treatment. Having a 10-mm or greater difference in leg length creates an asymmetry in the body that may cause lower back pain, hip pain and other problems.

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What is an acceptable leg length discrepancy after hip surgery?

Patients with a true shortening of 10 mm may not need any treatment as the 10 mm difference is well tolerated by the body (through tilt in the pelvis and the spine) and the patient may report resolution of symptoms as the body adapts. Rarely, patients may need a shoe insert or a shoe lift after 6 months of the surgery.

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Is 2cm leg length discrepancy?

It is generally recommended that if your leg length discrepancy is greater than 1.5 to 2.0 cm (5/8 inch) then it should be treated. The concern is that walking with your pelvis out of alignment can start to cause low back pain, hip pain, or knee pain over time.

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Is a 3 cm leg length discrepancy?

LLD of greater than 2cm is relatively rare, however, and the greater the discrepancy, the greater the chances of having a clinical problem down the road. A limp generally begins when LLD exceeds 2cm and becomes extremely noticeable above 3cm.

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Does exercise help leg length discrepancy?

Certain exercises and stretches may help minimize leg length discrepancy and ease any related symptoms. As with most forms of exercise, you should begin slowly and increase power only if it's comfortable for your body to do so.

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What to do if one leg is slightly longer than the other?

What are the treatments for leg length discrepancy? Small leg length difference can be observed or treated with a shoe lift. Larger leg length differences may require surgery. Options for this include slowing down or stopping the growth of the longer leg or lengthening the shorter leg.

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What happens if one leg is slightly longer than the other?

A leg length discrepancy may be functional or structural in nature. Minor discrepancies often cause no symptoms or problems. However, moderate-to-severe asymmetry may cause issues with walking and posture, and it can contribute to hip and back pain.

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How do chiropractors fix leg length?

A Chiropractor Can Help with Leg Length Discrepancy

However, if you suffer from leg length discrepancy, your chiropractor will address the various misalignments he or she finds throughout your legs, hips, pelvis and spine by administering very specific chiropractic adjustments. He or she may also prescribe orthotics.

How much leg length difference is normal? (2023)
How do you know if your leg length is different?

Symptoms and Signs

while a slight difference in leg length may not cause any symptoms, a significant difference can cause a noticeable limp and make it difficult for a child to run and play. Sometimes the child will stand with one hip higher than the other or with one knee bent.

How long should legs be compared to height?

Leg length must approximate 50 percent of total stature to achieve the biomechanical efficiency of the human striding bipedal gait.

Does leg length discrepancy get worse with age?

Depending on how old a child is and the cause of the discrepancy, the difference may stay the same or get worse as the child grows.

Is 6mm leg length discrepancy?

It varies from person to person and depends on your body, too. In our clinic, when we suspect a limb length difference because a patient has come to us with pain, we usually measure a difference of at least ~6mm. With this said, we've also seen patients with a 6mm that don't experience any symptoms.

Why My right leg is longer than left?

There is also structural leg length discrepancy, which can occur at birth when the femur or tibia is shorter than the other. Other causes of structural leg length discrepancy can be: Bone injuries. This can lead to a slowing of bone growth in one leg.

What happens if one leg is longer than the other after hip replacement?

The fix for a leg that is too long is a lift in the other shoe. There's no medical reason not to use a shoe lift, and it can be an affordable and useful way to correct the disparity. If you feel more comfortable with a shoe lift in your shoe, use it.

Is it normal to feel like one leg is longer after hip replacement?

As a result, “true” lengthening of the leg is uncommon after hip replacement. However, it's not uncommon for patients to feel like their leg is too long after hip replacement. This is what we consider an apparent leg length discrepancy. Your operative leg is not actually longer after surgery.

What is the average length of stay for a hip replacement?

The typical hospital stay after hip replacement is one night, but some patients stay longer, while others go home on their surgery day. Please contact our office if you're interested in our outpatient program.

How do you compensate for leg length discrepancy?

Leg length discrepancy between 2 and 5 cm can be equalized. This can be achieved by shoe lift and/or insoles. Alternatively, an intramedullary lengthening nail can be used for leg length equalization. In skeletally immature patients, it is possible to treat differences in leg length by growth arrest.

Can uneven leg length cause back pain?

If there is a difference in length of leg, then the distance between each stride will be uneven and this will affect the manner of walking. The symptom that causes the biggest problem is pain in the lower back as well as pain in other lower limb joints such as knees, hips and ankles.

Can Massage Help leg length discrepancy?

Muscle and bone compensation may also affect leg length, but these asymmetries are functional in nature. They are usually fixable by manual therapy (structural integration, massage, chiropractic adjustment), muscle activation, retraining, and strengthening (physical therapy).

Why do chiropractors check leg length?

Some chiropractors check the leg length in the supine position (lying on your back) and some in the prone position (lying on your stomach). The main purpose of checking leg length is to determine potential postural distortions in the overall structure of the body.

What is the most accurate way to determine a leg length discrepancy?

A “direct” measurement using a tape measure can be utilized to measure the “true” leg length from the anterior superior iliac spine (ASIS) to the medial malleolus. The “apparent” leg length is measured from the umbilicus to the medial malleolus.

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