leg length discrepanc

[rayr]

My doctor sent me to a physical therapist for hip pain.  PT diagnosed Piriformis Syndrome.  Hip massage brought pain relief.  The PT suggested that problem and back pain might be caused by leg length discrepancy.  He says my left leg is about 3/8" shorter.  Hip pain is left hip, back muscle tightness is on right side, my left shoe wears much more on the left heel.  Are these findings consistent?  Does the short leg cause more heel wear on shoes?  I am trying a heel left on the left foot.  I am experiencing some soreness in left leg.  Is this adapting to a new situation or something to be concerned about.  I am 71 YO male and walk most days between 3 and 5 miles.

[rayr]

Thanks for the reply.  I glued a 3/8" external heel on my shoe.  I can now hike hip pain 10 miles with elevation change of 2500 feet.  My orthopedician only solution to my problem was pain pills that I would rather avoid.

Thanks

Ray

[S. Kaul, MD]

Hi there!

Discrepancy in length could cause wearing of shoes on either side depending on the stance one usually takes while walking. 3/8th of an inch is a very minor discrepancy and may not be the actual cause of the pain. You may still consider a review with your orthopedician before considering the changes suggested by your physiotherapist.
Hope this is helpful.

Take care!