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By Debra Young


Some people have differences in leg length that are large enough which they could not adapt from causing them ill effects. These range from sacroiliac or low back pain to foot, knee or hip problems. The discrepancy might be caused by broken leg bones, uneven growth, diseases like polio, hip surgery and to compensate for other problems like spinal or pelvic scoliosis.

This could be treated with shoe lifts that are firm inserts for shoes which adds length on the shorter leg to have the lower body a better balance. There are companies which manufactures custom shoe lifts in order to have the exact needed height. They can be either internal or external depending on your preference and the difference between legs.

Wearing them can make each of the shoe feel differently due to some lifts having cushions while shoes normally does not have cushions. It is important to have long term comfort as well as minimum foot stress because they would usually be permanently needed. If possible, have the same elevation across all your shoes that you regularly wear.

Half an inch is the maximum elevation generally accepted for use without the stability being affected when worn. The style, fit and size of your shoes would affect the maximum height usable on them with laced ones permitting more. Because of this, more than one type of lift will be needed for the different footwear you have.

When the compensation required is more than the maximum half an inch, this must be externally added at the heels and the soles. Your foot would have lower stress including your lower leg and external and internal additions are recommended for higher lifts. Though remember to begin small and increase slowly with the height you need for better adapting of your body.

The ideal height specifically needed by you is determined by experimenting for a long time because the minor difference matters. These could improve shoe comfort plus other effects which the leg length differences have on you. Do this by changing slightly the lift elevation then observe their effects for some days or weeks.

Often they recommend to start with wearing half of your measured difference in leg length but this must based in how long this discrepancy existed. Start small and slowly increase to your needs if this existed for many years now. But if the change is just recent then having full elevation is suggested for minimizing adaptive changes.

Using shoe lifts is a personal and medical decision so a health care professional is recommended to be involved. They are important with evaluating what you need and in monitoring what the results are when wearing these. Without their involvement, you would not know the exact tallness of the lift that you must wear and might cause more problems instead.

When wearing them during active sports like running, golf, tennis or dancing then use a firm one because this is mandatory. They should not make additional foot motion and compress under pressure so that you will still have good control and good support. When a wrong one is used, the risk of sprains and falls increases.




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