Pain Relief for Life

Copyright 2018  Al Skrobisch CNMT  All Rights Reserved.
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Info for Parents

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 1.3-1.9 cm (½-¾ in) leg-length discrepancies in children between 1½ and 15 years of age were outgrown (disappeared) in 7 of 11 children when leg length was equalized with a heel correction for 3-7 months. This evidence for need of a structural correction in growing children by the temporary addition of a compensatory heel lift was supported in a later 3-year study of elementary, junior and high school boys. Research is needed into the mechanism by which leg-length inequalities in children disappear with correction.

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, it’s certainly worth a try.  The techniques presented in Pain Relief for Life are easy to try - with the approval of your physician or other primary care health provider, naturally - at essentially zero cost, and if they work, they could save the child from either a lifetime of chronic pain if no lift is ever tried, or else a lifetime of having to use a lift to help prevent pain if the lift helps to equalize the bone lengths.

It’s understandable that this is probably a new concept to most parents, so if you’d like to know some possible signs of skeletal asymmetry to check for in your child, please click here.  If you recognize some of these signs in your child (or yourself!), you’ll find more detailed information in Pain Relief for Life.