responce leg length discrepency

responce leg length discrepency

asif ali

3/24/2007

Dear Friends
   
  I am thankful for all who give their attention & share the experiences
  i hope this will helpful for newcomers(Students)
  My strees that if any body observe any Leg length discrepency
  following are the responces
   
    
   Karen Lynch, CPO
  I doubt a true leg length discrepancy would develop; however, I usually remove the innersole of the shoe to compensate for the difference and I add a lift inside the contralateral shoe if the discrepancy is still significant or if the patient has hip or back issues.
 
    
   Jen Halliday BSc CO(c)
   
  Hi Asif,
The inner soling is removed usually on the brace side to help fit into the shoe. This should solve the problem of the leg descrepancy. If the patient is noticing anything, you could always put a small shim under the foot on the opposite side. I have only had to do this when the braced side requires a heel lift because of plantarflexion contracture.
I hope this helps,
  
 
  We usually do encourage the client to utilize an extra inner sole in
the opposite shoe to help compensate for the thickness of the footplate.
That levels their hips quite easily.

    
   Tom Wilson, C.Ped, CO
  
I have found that I usually have the foot bed of the shoe removed to
betteraccommodate the orthosis, which generally offsets any height
differences.When the foot bed is not removed, if the patient notices a height
differenceor if low back or other LLD related pain or occurs, I insert a thin
heellift to the opposite shoe.

I hope my methods help.


    
   Ron
  
If so you can remove the inner sole of the affected side. That could
reduce it 3 to 5 mm and negate the thickness of the device.


    
   Laurence Hughes
             S/R P&O UK


  90% of the population have a leg length difference.
  you need to check after fitting any device and correct as neccessary..... the device could actually correct any difference........unless the patient does not want any further correction.
   
   
    
   John Jacobs, CO,BECP
  You can accommodate for the increased height by removing the shoe
insert
on the affected side and further adjust by adding a lift in the
contra-lateral shoe. The leg lengths can usually be adjusted with only
a minor shoe modification. Hope this helps and good luck.

  Ross Jones CO
  
My experience has been to remove any factory inley in
the affected side ...insert, inley, ect to offset this
discrepancy. anything left over is more than likely
un-noticable by the patient. That applies to full
length devices only.
For 3/4 length devices, I add a 3/16 pad to the
Unaffected heel side to accomodate this discrepancy.
  
 
    
   J. Little C. P. S.
               Victoria, Canada

                     
    Have you considered a shoe insert / orthotic on the contralateral side to account for the length discrepancy?
   
    
   I. Lesko, LCPO
   
  must be a very thick plastic/padding to give that much. advise patient to use shoes with removable insole, and then just pull it out. usually, that covers LLD. also, if they have fairly lose shoe, adding a thin foam plate under the sound side insole equalizes it even better. you can fine tune it doing both tricks.
     
    
   mohammad taghi karimi
   
    Dear Asaf
  No the lifting less than 10 mm doesnt provide any significant leg discerepancy.
  best wishes


  

  





  
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