To solve chronic back and SI joint pain it is critical to determine the UNDERLYING CAUSE through a correct diagnosis. There are imbalances that can often go overlooked that can set a person up for years, even a lifetime, of chronic pain and disability.

In this video, Dr. Brant Pedersen (DC) dives deep into one such cause that is many times hiding in plain sight, leg length discrepancy, aka leg length difference. He shares the story of a patient who came to him with hip and ankle pain that she thought was coming from SI joint dysfunction.

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Links for products noted in this video (affiliate link):
* Clearly Adjustable Heel Lift: https://amzn.to/49HXaab

Chapters:
00:00 Introduction
02:34 What percentage of people have a leg length discrepancy?
03:40 How much of a leg length difference is a problem?
5:17 What health problems and symptoms can be caused by a structural leg length discrepancy?
6:19 How is a structural leg length discrepancy measured?
8:29 What are causes of an anatomical leg length discrepancy?
11:47 What is the difference between an anatomical leg length difference versus a functional leg length difference?
15:14 What can be done to treat a structural leg length difference?

In this video Dr. Pedersen covers many aspects of leg length discrepancy starting with how much of a leg length discrepancy can cause a problem? He looks at the medical literature to help you understand what percentage of people have a leg length difference. Then he talks about how much of a leg length difference can cause pain.

Methods for determining leg length discrepancy are demonstrated. These tests include a standing visualization of the iliac crests. Another test involves lying on your back and looking at relative knee heights. He also discusses measuring between the ASIS and the medial malleolus with a tape measure. Lastly, Dr. Pedersen talks about the gold standing test which is taking full limb x-rays.

Dr. Pedersen talks about the three most common causes of structural leg length difference. These include trauma to a long bone growth center prior to skeletal maturity. Also, severe trauma to a bone that when it is repaired or healed is no longer even with its paired limb. Lastly, structural leg length difference can be caused secondary to a total hip joint replacement surgery or a total knee joint replacement surgery.

The treatment solutions for leg length discrepancy are discussed including using a heel lift on the short leg side and when a modification to the sole of a shoe is necessary.

Articles referenced in this video:
📄 Harvey WF, Yang M, Cooke TDV, Segal NA, Lane N, Lewis CE. Association of Leg-Length Inequality With Knee Osteoarthritis. Ann Int Med. 2010; 152:287-295.
📄 Gordon JE, Davis LE. Leg Length Discrepancy: The Natural History (And What Do We Really Know). J Pediatr Orthop. Volume 39, #6 Supp 1, July 2019. S10-13.

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About Dr. Brant Pedersen, DC, CCSP

Dr. Brant is a sports chiropractor who founded Positive Motion Chiropractic in northern California (Los Gatos). He specializes in finding rapid and lasting solutions to muscle and joint pain issues. He received his first chiropractic adjustment when competing as a professional windsurfer and it opened his eyes to how quickly the body can heal when given targeted conservative care. Dr. Pedersen graduated valedictorian of his class from Palmer College of Chiropractic West and gives back through humanitarian chiropractic care. He enjoys sharing tips and tricks for how to stay active and pain-free and employs them daily to stay active as an extreme sports athlete.

👋🏼 Connect with Dr. Brant Pedersen, DC, CCSP
Web: https://www.positivemotionhealth.com/
Instagram:   / positivemotion  
Facebook:   / positivemotionhealth  
LinkedIn:   / drbrantpedersen  

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