Leg length difference
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Leg length differences
How do leg length differences arise and what are the effects? How can microcurrent therapy be used here and what effects can be expected?
Medicine describes as a leg length difference a difference in length of the lower extremities from the foot to the hip. In the case of the real leg length difference, which is anatomically conditioned, a different bone length should be observed. In addition, there would be the functional form, which arises due to malpositions of individual joints or contractures (loss of length) of the capsule ligator and the muscles.
The anatomical leg length difference is caused by accelerated, delayed or missing growth. The shape of the pelvis may be changed or lower or thigh can be shortened. The anatomical leg length difference can be caused by congenital malformations.
Osteochondrodysplasia would be called the congenital growth disorders. In this group of diseases, the disorders in the metaphyses, epiphyses, enjunal or periostal may be localized. Overall, there is an increased or decreased growth of the bone.
But tumour-related diseases of the lower extremities would also lead to an anatomical leg length difference. Bacterial and non-bacterial inflammation could probably also be considered as a cause. This also applies to neuroorthopaedic diseases associated with paralysis, which affect bone care and thus growth. However, trauma to the lower limb is considered the most common cause. This includes injuries to the growth joint (epiphysis) and fractures.
Irradiation from cancer treatment or systemic disease, which involves altered metabolic processes, would also be considered as a trigger.
Different therapies are used for a functional and anatomical leg length difference.
Thus, in the case of the functional form, no surgical extension of the
Extremities. In addition to possible surgical soft tissue intervention, the main concern is the intensive treatment of soft tissues. An present leg length difference could also be corrected conservatively by means of orthopaedic inserts. In principle, a differential diagnosis based on a treadmill analysis is advisable. Minimal leg length differences would rarely be accompanied by discomfort, as they can be well compensated. In addition, a slight pelvic skew is hardly noticeable. However, even a slight pelvic skew level must not be underestimated, it can cause scoliosis or a shortening ham.
An individual deposit supply is a good idea to compensate for. A leg length difference of less than 1 cm is widespread. About two in three people would be affected. Larger leg length differences could have serious consequences for the skeletal and muscle systems and would lead to lumbar coliosis and significant pelvic skew. At a later stage, there could be a counter-curvature of the cervical and thoracic spine. This miscurvature of the spine is fixed in 90 of the cases and would therefore persist.
The heavy pelvic skew would cause the knee on the longer side to be permanently bent while it comes to a lacy footing on the shorter side. The faulty strains of the hip joint and spine would be joined by osteoarthritis on vertebral joints, osteophyte formation and increased wear and tear of the intervertebral discs.
A leg length difference can be accompanied by the following pain symptoms:
- Hip, neck, head, knee pain
- Discomfort to the spine and shoulder
- BWS and ISG blockages
- Dizziness, migraines
- Tennis elbow
- Eye pressure
In the case of significant pelvic skew due to large leg length differences, surgical interventions are considered, in which leg extensions are made-,-shortening or the replacement of bone parts.
Microcurrent therapy for leg length differences
Microcurrent therapy can be used in the treatment of biomechanische-fascial leg length differences. Due to the ability of the microcurrent to influence muscular fascia tubes, pelvic skewed rims can be discarded at short notice. It should be noted, however, that these effects are usually short-lived, since usually a leg length difference due to a pelvic slate level is only a symptomatic phenomenon. Thus, the biomechanical system will be able to grow, a few hours to max. A few days to develop back to the initial state.
However, it can be noted that microcurrent is a very good treatment method to treat myofascial problems, but such indications should always be carried out within the framework of a treatment complex. For example, adequate training therapy and/or the therapy of trigger points with LED light would be a conceivable addition here.