STRUCTURAL ALIGNMENT SERVICES
Assessment and Treatment of
Leg Length Inequality
What is a structural leg length inequality (LLI)?
A structural leg length inequality results when one or more of the bones in one lower extremity differ in length from those of the opposite extremity. This situation may exist as a result of congenital development, trauma, or surgery. The occurrence of an LLI is more frequent and pervasive than is appreciated, and often implicated as the cause or primary contributing factor in many musculoskeletal dysfunctions. The sensitive neurological control utilized by our vestibular (inner ear balance mechanism) system seeks to establish and maintain balanced upright postures and positions against the force of gravity. If the foundation of our structure is asymmetrical, our nervous and musculoskeletal systems will create adaptive postures and movement patterns to create a functional symmetry allowing balanced and coordinated existence within gravitational forces.
Through careful structural analysis and evaluation techniques I am able to discern the presence of this asymmetry accurately and determine the need for confirmation and quantification by radiographic imaging. Capturing these images requires a unique radiographic protocol different from those commonly used in orthopedic and chiropractic medical practice. It has been demonstrated that only by accurate radiographic analysis can a true structural leg length inequality be differentiated from a functional asymmetry created by factors other than actual bone length. Once diagnosed, specific treatment options and strategies unique to each individual are explored and a treatment plan developed.