Leg Length Difference

LLD can be structural or functional – see below for both types.

Signs to look for both types of LLD – one foot rolling in or one foot rolling out more than the other, uneven wear patterns on shoes and one-sided pain in the foot, ankle knee or hip. A full assessment with your podiatrist will determine the type and likely cause allowing them to discuss your best treatment options.

What is the difference between functional and structural LLD?

Functional LLD is typically caused by a tight joint or muscles on one side of the body, often the hip, or a pelvic imbalance. This type of LLD can be resolved by addressing the underlying muscle imbalances and joint tightness. On the other hand, structural LLD is a result of a true anatomical difference in the length of the bones in the legs. Structural LLD may require a different approach, such as the use of orthotics or lifts, to provide appropriate support and alignment.

Can LLD cause foot pain in both functional and structural cases?

Yes, LLD can cause foot pain in both functional and structural cases. In functional LLD, the compensatory mechanisms adopted by the feet to address the imbalance can lead to altered foot mechanics and increased stress on specific areas, resulting in discomfort and pain. Structural LLD can also cause foot pain as the uneven leg length affects the distribution of forces and can lead to biomechanical issues.

How does Blueprint Podiatry approach functional and structural LLD?

For functional LLD, Blueprint Podiatry takes a comprehensive approach. We assess and address the underlying muscle imbalances and joint tightness, using stretches and exercises to rebalance the affected areas when possible and promote optimal body alignment. For structural LLD, we utilise orthotic therapy and footwear modifications to provide support and improve alignment.

Can Blueprint Podiatry help with both functional and structural LLD?

Yes, Blueprint Podiatry can help with both functional and structural LLD. Our team of experienced podiatrists specialise in assessing and treating leg length discrepancies. By providing personalised treatment plans, including exercises, orthotic therapy, and collaboration with other healthcare professionals, we aim to address the underlying causes and promote optimal alignment and foot function in both functional and structural cases.