LEG LENGTH INEQUALITY and LOW BACK PAINJournal of Rheumatology (1985)
rheumatologist J. Philip Gofton, MD.
A leg length difference of 12.5 mm will cause a lateral tilt of the sacrum of about 4° with a compensatory scoliosis in the lumbar spine.The resulting disparity of forces “must demand a counter effort from structures in the lower spine."
Common Symptoms
Gofton concludesThe effect of leg length disparity and hip arthritis has been documented. These observations suggest that distorted biomechanics and stresses throughout the body produced by what would initially seem to be a trivial asymmetry deserve more searching investigation.
One patient in the series, a physician, had a recalcitrant plantar wart which defied all treatment until his disparity was corrected. His back pain and the wart disappeared. Both reappeared when he omitted the lift in his shoe a year later and both disappeared on resumption of the correction.This somato-visceral anecdote from a respected medical journal is not without significance. Common practice in LEG LENGTH INEQUALITY and LOW BACK PAINStates Gofton "The suggestion that leg length disparity can produce low back pain has been known since before the turn of the century (20th) and although lip service has been paid to it by physicians it is not a matter taught in medical schools nor addressed seriously by most clinicians. Osteopaths make much of it and irregular healers of various kinds espouse it.”
In conclusionIn speaking of 'irregular' healers Gofton is almost certainly referring to the Chiropractic profession. Medicine has come a long way since 1985 in recognising Chiropractic, but even here Gofton is being complimentary to our profession.Has any Chiropractic research been done? What proportion of chiropractors still give only lip service to the importance of Leg Length Inequality and Low Back Pain. For myself, Gofton has given impetus to recent thoughts: Does a heel lift also have a place in the routine and regular Chiropractic management of recalcitrant neck pain? From Leg Length Inequality and Low Back Pain to More research about Leg Length Inequality.
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