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- There can be a true lower segment length discrepancy (LSLD) or an apparent incidence.
- In a true LSLD, the hemi-pelvis is taken into account during the measurement. Otherwise, the leg length is measured only from the approximate start of the femur (thigh bone), down to the ankle.
- Placing one end of the tape measurer at the umbilicus, and the other end at the ankle's medial malleolus (ankle bone), one obtains the R. and L. leg length by carefully measuring the distance to each medial malleolus. A discrepancy indicates that the right lower segment of the body is a different length than the left. This would be a true LSLD.
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- By measurement with tape measurer, or X-ray measurement.
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- The simplest treatment is a corrective rubber lift, attached to the heel of the shorter leg's shoe. An under-correction with the lift is commonly better than an over-correction.
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- The most notable complication is that the LLD causes a pelvic tilt while walking; and then a compensatory Scoliosis (curvature
of the spine); and a compensatory tilting of the head so that the two eyes will be level when viewing an object. This is because LLD tends to tilt the head toward the side of the shorter leg. Then, the eyes would be in different horizontal planes. The image seen by one eye would be higher then the image seen by the other eye.
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- Consult a physician. This condition can be painful, requiring appropriate treatment.
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