Leg Length Discrepancy and Headaches

By Joel Fuhrman, M.D. www.drfuhrman.com

Headaches, back pain, and pelvic pain can be caused by or exacerbated by structural asymmetry and resultant nerve impingements. When evaluating and treating headache patients, it is beneficial to check for scoliosis and leg length discrepancy. Evaluating a significant leg length discrepancy with X rays and correcting appropriately with a shoe insert or thickened sole on the short side can be helpful for patients with headaches or other pain syndromes.1 This simple and safe treatment for significant leg length inequalities not only aids recovery and relieves symptoms, it helps prevent further bone asymmetry and arthritic and neurological deterioration with aging.


1. Timgren J; Soinila S. Reversible pelvic asymmetry: an overlooked syndrome manifesting as scoliosis, apparent leg-length difference, and neurologic symptoms. J Manipulative Physiol Ther. 2006; 29(7):561-5. Defrin R; Ben Benyamin S; Aldubi RD; Pick CG. Conservative correction of leg-length discrepancies of 10mm or less for the relief of chronic low back pain. Arch Phys Med Rehabil. 2005; 86(11):2075-80.


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