Excellence in Pain Relief
© Advanced Therapeutics, Ltd. 2003-
When a bone length asymmetry is discovered in the legs or pelvis of an adult, the bones have already reached their final size and have stopped growing, so the only thing that can be done to address the situation and alleviate any resulting chronic pain is to use a lift on the shorter side, either in the shoe when standing or under the buttock when sitting, or both, as required.
However, if the bone length asymmetry is discovered in a child whose bones are still growing, research has shown that if a supporting lift is placed under the shorter side, in many cases the shorter bone tends to lengthen and often equal the longer bone, thus eliminating the need to use a supporting lift.
Here is a paragraph taken from a medical text, Myofascial Pain and Dysfunction: The Trigger Point Manual by Janet Travell, M.D. and David Simons, M.D. (Vol. 1, p. 107):
Noteworthy was Redler's observation that 1.3-
While not every child with a leg length difference benefited from having a lift,
the majority certainly did, so if it might be possible to help a child by using a
simple lift to help the leg lengths to equalize, we think it’s worth a try. It’s
easy to try, inexpensive, and if it works, it could save the child from either a
lifetime of chronic pain, if no lift is ever used, or a lifetime of having to use
a lift to help prevent pain. In our practice, whenever we discover a leg length
or pelvic asymmetry in a child, we explain to the parents how much lift to use, then
suggest that the parents bring the child in for a 15-
We understand that this is probably a new concept to most parents, so we welcome any questions you may have in this regard. If you’d like to know some possible signs of skeletal asymmetry to check for before you call us, please click here. Otherwise, please feel free to contact us at your convenience if you have a child you’re concerned about or might like to have evaluated. We’re always glad to help when we can.