lying on your treatment table

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lying on your treatment table
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Approximately 75% of us present with one leg longer than the other. It’s staggering, literally, that so many people walk about with an imbalance. Yet to have one leg longer than the other doesn’t seem to create pain for everyone but for those that it does it brings pain in a myriad of dysfunction from TMJ, headaches, low back pain, IBS, bladder problems, sexual dysfunction, sacroiliac joint pain, pubis dysfunction, groin strain, gluteal dysfunction as well as the formation of trigger points.

by Ruth Duncan

I’ve got one leg longer than the other
Approximately 75% of us present with one leg longer than the other. It’s staggering, literally, that so many people walk about with an imbalance. Yet to have one leg longer than the other doesn’t seem to create pain for everyone but for those that it does it brings pain in a myriad of dysfunction from TMJ, headaches, low back pain, IBS, bladder problems, sexual dysfunction, sacroiliac joint pain, pubis dysfunction, groin strain, gluteal dysfunction as well as the formation of trigger points.

Let me just be clear here when I say ‘leg length discrepancy’. This is when we measure the difference between the foot and the greater trochanter on both legs. This is a true test and really can only be performed by use of an x-ray. When the test is performed correctly the two legs will be the same length unless there has been a fracture or disease affecting the leg that will distort its length. Factually, very few people have a true leg length discrepancy.

So what is the difference when someone is lying on your treatment table and you can clearly see that one leg looks longer than the other? Many patients will complain of having to take up the hem on one leg of their trousers or that their waistband or belt seems to creep around their waist in one direction only. This is because the pelvis has twisted or torqued around itself affecting the position of the acetabulum where the leg articulates with the pelvis making it look like the legs are two different lengths. This is what we call a presenting leg length discrepancy but not a true leg length discrepancy.

The pelvis is like a bowl. It carries, supports and protects many vital visceral organs as well as being a base of support for the upper body. When this bowl becomes imbalanced it moves in order to find the best point of gravity and support for the body above. The upper body then compensates to accommodate in order to maintain as much balance and propreoception as possible. This is when we see upper and lower cross syndromes and trigger points appear and it is very common for a pelvic imbalance and leg length discrepancy to cause pain in a somewhat unrelated area.

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