The left foot is larger than the right astrology. Which leg is longer in humans. Which human leg is shorter

In addition, right-handers right hand stronger and longer than the left, and the nail bed of the thumb on it is longer and wider than on the left. The left leg of 60% of earthlings is 1-1.5 cm longer than the right. And the left outer ear is larger in about 66% of people than the right, but the chin is most often slanted to the right. The nose of right-handers deviates to the right, and for left-handers it deviates to the left, the curl of hair on the head of right-handers is twisted clockwise, and for left-handers it is twisted in the opposite direction.

Even the right half of the face of the ancestors is more expressive than the left!

But asymmetry concerns not only external organs. We have a right-sided liver, unequal in light weight(right more than left). Our heart, like the stomach, lies on the left. The bowel loops are even more asymmetrical. The aortic arch is bent from right to left, large veins lie mainly to the right of the midline, and there are more lymph nodes on the right.

Most people on the globe are right-handed, a minority, and this is about 11%, are left-handed. In the former, control is exercised predominantly by the left hemisphere of the brain. But this does not appear immediately after birth, but from about six months or even later, after the child begins to sit down. Most newborns, regardless of gender, lie with their heads turned to the right (65%); only 15% significantly prefer left-handed orientation. By the age of eighteen months, the “leading” and “auxiliary” hands are already distinguished.

It should be noted that our immediate and distant ancestors were already right-handed. The well-known anthropologist L. Leakey discovered an ancient burial in the caves of Elmentein in Kenya, in which male skeletons lay on the right side, and female skeletons on the left. The study of the folklore of the Eastern Slavs and archaeological finds have shown that in paired burials a woman was placed to the left of a man. True, leftist imprints predominated in the rock carvings. But this, according to scientists, is connected with the mystical interpretation of left- and right-handedness: the left side was associated with the feminine, and the right side with the masculine.

The peoples of antiquity were right-handed - the Greeks, Persians, Egyptians, who lived over five thousand years ago. The greater development of their right hands is evidenced by various drawings, bas-reliefs, and even whole statues found in tombs, temples, and palaces. An analysis of more than 120 thousand works of art made over 15 thousand years of human history showed that 93% of the masters created them with their right hand.

You can also highlight the "leading" eye (sixty percent coincides with the dominant hand), ear, limbs. Even in terms of the distribution of electrical potentials, the surfaces of body parts are not equivalent. American scientists have determined that the head, right arm and right half of the chest have a positive charge, and the left arm and the same half of the chest, stomach and leg are negative. There were reports in favor of better sensitivity of the left half of the body in the processes of touch, pain perception. Moreover, asymmetry appears even in the chemical composition of sweat. By the difference in the content of pepsin in it, they are already trying to determine the side of the vascular lesion of one of the hemispheres of the brain.

Thus, we are asymmetric not only at the level of individual organs, but also systems.

Several interesting hypotheses have been proposed to explain this phenomenon. Here we will consider only some of the most interesting ones.

So, in his right hand the warrior held a sword, and the left, more passive, only covered his heart with a shield. The theory was then supplemented by anatomical information about the commonality of a number of nerves of the left hand and the heart. The ancient people had the same thing, so it is possible that they got used to sparing her.

The second theory based the explanation of asymmetry on the fact that the mother usually holds the child on the left - closer to the heart. One of the researchers even calculated that this position is fixed in 80 percent of paintings with a similar plot. And the experiments made it possible to assume that this habit is laid down by the mother in the first seven days after birth, and that far from the last role for the baby is not even the position, but the frequency of the sound of the heartbeats of his mother, to which he gets used, being still in the uterine state.

According to the "anatomical" theory. right-handedness depends on the asymmetry of organs: heavy liver on the right, heart on the left; unequal blood supply also plays a role upper limbs. It is assumed that the asymmetry of the body is associated with the rotation of the Earth. And as evidence, an example of the different heights of the river banks is given.

Recently, the point of view has been discussed that a left-handed child may be one of the surviving members of a monozygotic pair of twins, in whose brain structure the “mirror image” principle is preserved. However, none of these assumptions has gained any advantage. Therefore, the problem of asymmetry is still waiting for its researchers.

Why do humans have one leg shorter and the other longer?

Everything should be normal, and if there are deviations in the growth of the legs, then this indicates hip dysplasia, usually this is treated before the age of a small child. In adults, it seems that it is no longer amenable to treatment, since the bones have already become stronger ..

here in the picture you can immediately see that there is dysplasia, both bones came out from both sides hip joint. My daughter had dysplasia, we wore spacers for 5 months, now everything is fine, all the bones are in their places.. Thank God..

One leg is shorter than the other in an adult: how to determine and what to do?

When one leg is shorter than the other, doctors call this phenomenon a syndrome. short leg. The consequences of such a pathology can be very serious if you do not pay attention to it. At the same time, they speak of a violation only when the difference in length is more than ½ cm. The most common cause of such an anomaly is the skew of the pelvis.

Many studies have been carried out in this area and the latest of them have confirmed that even a difference of 3-4 mm provokes a curvature of the spinal column, a violation of the position of the pelvis and abnormal growth. If treatment is not started in time, the pathology will progress, disrupting the functions of the spine with all the ensuing consequences.

Causes and consequences if one leg is shorter than the other in an adult

This syndrome leads to an uneven load on the intervertebral discs.

In the future, this will provoke twisting of the pelvis, scoliosis, turn of the 5th lumbar vertebra, blocking of the joint of the sacroiliac zone from the side opposite to the shortened limb.

The main reasons are the displacement or distortion of the pelvis from its natural position, resulting in dysfunctional changes in the spine. This means that the axis of load distribution will change during movement, respectively, there will be pain in the back, neck, lower back;
Such metamorphoses lead to a violation of biomechanics, disc herniation, degenerative changes in the vertebrae, osteochondrosis, scoliosis, sciatica, spinal canal stenosis occur. The skew of the pelvis provokes pain in the neck, radiating to the shoulders, arms, resulting in problems with the upper limbs;
Osteochondrosis is a disease characterized by dysfunction of the vertebrae, ligaments, joints, intervertebral discs. Pathology develops under the influence of a number of factors and over a long period. The risk increases with a history of spinal injuries, posture disorders, hypothermia;
Lumbago is a syndrome of vertebrogenic etiology. It is characterized by changes in the lumbar region: pain, deformation of this spine, excessive muscle tension. The people call lumbago lumbago because of shooting pains that do not allow straightening and the patient is forced to stay in a bent position.

The difference between leg length can be moderate to severe. In the latter case, the functionality of the body is significantly impaired. With moderate deviations, unsteadiness is observed when walking, periodic falls. One thigh is always higher than the other. Almost always, this phenomenon is accompanied by pain, which can be localized in the thigh, groin, sacroiliac joints, shoulder, neck, lower back, give to the leg.

With a prolonged pelvic tilt, the body itself will begin to correct the biomechanics and asymmetry. This will lead to adaptation of the tendons, ligaments and muscular apparatus. Therefore, therapy can be delayed for quite a long time. In addition, the displacement of the pelvis is very difficult to correct, because a pathological stereotype of movements is formed. The longer the pathology is present, the more difficult it is to get rid of it.

Diagnosis of different leg lengths

Usually detection of anomaly does not cause difficulties. For example, you can pay attention to the length of the trouser leg when a person is standing: when one is longer than the other, or when the heel steps on one of them when walking, then there is a high probability of having a disease. If such a condition is detected in children, it is necessary to urgently consult a doctor, since in the future the posture will be disturbed, pain will occur, which, as we have already noted, can spread to other parts of the body.

The doctor may notice changes during a routine physical examination. If necessary, a diagnosis of the condition of the hip joints and spine is carried out, an MRI or CT scan can be prescribed.

What to do if an adult has one leg significantly shorter than the other

Quite often, the treatment has only a temporary result, because it is symptomatic. Standard orthopedic therapy is not able to relieve tension in the iliopsoas muscles. The pelvis will remain twisted, the joint - blocked, and the leg - short.

The only way out of the situation is manual therapy and similar techniques. Specialists in this field act purposefully, gently, dosed, make efforts to relax tense muscles.

In addition, it is necessary to perform various exercises, be constantly physically active, keep in good shape, walk with a straight back. Well-developed musculature will support the bones of the skeleton. Muscle imbalances can be corrected by regularly tensing all muscle groups during exercise. In the complex of treatment and for the purposes of prevention, swimming, equestrian sports, and classes on special simulators are recommended.

Consequences of shortening one leg

People over the age of 50 are at risk. This is due to the natural aging of the body, the destruction of bone tissue, as well as an unhealthy lifestyle and increased stress on the musculoskeletal system. Therefore, in older people, deformation of the intervertebral discs often occurs.

As a result of the shortening of one limb and the pelvic tilt, there is a strong wear of the intervertebral discs, poor posture is aggravated, and an imbalance of the right and left parts of the body occurs. In particular, the lumbar (square) muscle suffers from pathological changes. Also, the pain syndrome affects the clavicular, pectoral, scalene muscles. This, in turn, leads to compression of the intervertebral nerves. Poor posture in a person is accompanied by a limp, jumping or uneven gait, deformity of the feet.

Seeing a doctor when one leg is shorter than the other

Adults should pay attention to pain, especially in the spine and feet, control the gait. How long it is necessary to compensate for the length is determined by the traumatologist or orthopedist. Shortening can be relative or absolute. To determine its type, an x-ray of the pelvis and spine is needed. The diagnostic procedure is done in a standing position. The picture will allow the doctor to determine the difference between the length of the lower limbs, to analyze the height of the heads of the pelvic joint.

With absolute shortening, full compensation is necessary, and with relative shortening, partial compensation, up to ½ or 1/3 of the length.

Treatment when one leg is shorter than the other

First of all, you will need orthopedic insoles, which are called compensatory ones. They are selected individually and relatively quickly produced.

Such products perform the following functions:

help to stabilize the position of the spinal column and feet;
slow down the progression of scoliosis and flat feet;
unload the areas of the spine that are subjected to excessive stress, allow them to recover.

With a significant difference in the length of the legs, not only compensatory insoles are used, but also arch supports. This will correct your posture, unload the spine and feet.

As a rule, a person gets used to arch supports and insoles for a certain period of time. Minor discomfort is observed for about a week. But after that, the condition improves, the products are practically not felt.

At the same time, leg fatigue occurs much later, walking is much more comfortable, there is practically no discomfort in the back and legs. Insoles and insoles will help relieve pain in the lower back, reduce the load on the knee joint, and increase the stability of the ankle.

Different leg lengths

leg lengths, types of shortening and the method of correcting anatomical shortening of the lower limb.

The difference in leg length is a widespread phenomenon.

With a difference of 1-2 cm, a person simply does not notice this aspect. With a more significant difference (more cm), the problem of pelvic tilt appears and difficulties arise when walking.

When the pelvis is tilted, the spine becomes at an angle to the horizontal line. To prevent the body from “falling over” with a straight spine to the side, the body bends it, creating a secondary compensatory scoliosis in order to shift the center of the body as close as possible to the centerline of the body. A difference of up to 1.3 cm bends the spine in the form of the letter "C", more than 1.3 cm in the form of the letter "S".

Measuring the length of the legs

Shortening of one of the lower extremities can be detected during the inspection and measurement of leg length.

To measure the length of the leg, natural bone protrusions are used, which are clearly visible to the eye and easily determined by palpation.

Identification bone protrusions for measuring the length of the lower limbs are

A - superior anterior iliac spine,

B - greater trochanter of the femur,

C - apex of the patella,

D - head of the fibula,

E - lateral malleolus,

F - articular space of the knee joint,

G - medial malleolus.

Measurement of leg length when comparing symmetrical points is carried out by determining the height of the ankles, the upper poles of the kneecaps, femoral trochanters, the upper anterior and posterior iliac spines (with displacement of the pelvic wings) (4).

When examining a patient in the supine position, the length of the thigh is determined by comparing the height of the knees with bent hip and knee joints (5), the length of the lower leg is determined by the same method, with the only difference that the patient's feet rest against the surface of the table on which he lies (6 ).

It is valuable to determine the length of the legs with the hip joints bent at a right angle and the knees extended; the shortening of the leg becomes clearly visible when comparing the height of the heels (7).

This technique makes it possible to determine not only the shortening of one of the legs, but also the strength of the stop of the femoral head in the acetabulum.

With subluxation in the hip joint, giving the patient's legs such a position strains the hip flexors (biceps, semitendinosus and semimembranosus muscles), and the head, devoid of a strong stop, is displaced by muscle traction. In this way, it is possible to detect a slight (less than 1 cm) shortening.

When examining the length of the legs by comparison, it should be checked whether the pelvis is correctly positioned.

Types of shortening

True (anatomical) shortening of the lower limb.

Normally, the anatomical length of the lower limb is the sum of the length of the thigh and the length of the lower leg. True (anatomical) shortening is detected by segment-by-segment comparative measurement of the bone.

Relative (dislocation) shortening of the lower limb.

It is noted when the articular ends are displaced and the relationship between the articular surfaces is disturbed. Comparative segment-by-segment measurements do not reveal differences in the length of the corresponding bones. An example of relative shortening: hip dislocation, in which, despite the same anatomical length of the lower limbs, shortening of the limb on the side of the dislocation is determined.

Apparent (projective) shortening of the limb.

Total (clinical or functional) limb shortening.

Surgical leg lengthening

Surgical leg lengthening is performed using an external fixation device. The method of leg lengthening was called compression-distraction osteosynthesis according to the Ilizarov method. It is based on the law, discovered and formulated by the orthopedic surgeon Ilizarov: the tension that occurs when the bones and surrounding soft tissues are stretched has a stimulating effect on the processes of regeneration and growth of bone tissue.

In order for the bone to be able to lengthen, it is necessary to cut it (osteotomy). If it is necessary to lengthen the femur, the femur is dissected, the lower legs - the fibula and tibia. The bone edges formed after dissection are connected with a gap of 1 mm and fixed with knitting needles or rods. The spokes are fixed in the rings or half rings of the Ilizarov apparatus. By adjusting the apparatus, the bones are stretched by 1 mm per day to the required value. This stretching of the bones is called distraction. The process of leg lengthening with the Ilizarov apparatus can be very painful. In case of severe pain, analgesics are prescribed. Usually, over time, pain and discomfort are significantly reduced.

- tape measure;
- a large mirror.

Body type and face

For any type of figure and face, the following rules are relevant:

Emphasize the waist - this will make any figure much more attractive,

The rule of opposites: for a "triangular" figure, choose clothes "inverted triangle" and so on.

The same rule applies to the type of face - for example, for a round face, you need to select a V-neck dress.

Attention is focused on the beautiful parts of the figure and vice versa - it is distracted from the less “successful”, sets of the same tone will visually increase the height and length of the legs.

The most important thing in creating a stylish image is its individuality and originality.

Today, there are many ways to determine your color type by season. For an unprepared person, such gradations often cause confusion. There is a simpler and more affordable way to determine the color type according to 2 main criteria: contrast - cold or warm skin tone. Accordingly, bright colors of clothes and expressive patterns are suitable for a brighter contrasting appearance, and more solid, pastel colors are suitable for a dull one.

Do not try to look younger or older than your age - this will not benefit the creation of your own unique image. For each age, you can choose your own "zest".

The rules of etiquette should be taken into account. Dressing is necessary taking into account the time of day, season, dress code rules, as well as events taking place around. An outfit for a party is unlikely to be appropriate in the office.

How to tell if one leg is shorter than the other

Leg length difference (LLD) may not be noticeable throughout life; however, if left untreated, it can lead to injury while running. In some cases, the difference in leg length occurs due to injuries or improper formation in childhood. Muscle problems can also cause a temporary difference, but this is easily corrected with vigorous physical activity and special exercises to strengthen the muscles. Learn to determine the cause and type of difference in leg length, and if you find a similar problem, consult a doctor for advice.

Steps Edit

Method 1 of 2:

Reveal the muscle difference in leg length Edit

Scoliosis, or are the legs of a modern person the same length?

Scoliosis (from the Greek scolios - curve) - lateral curvature of the spine - is the most common deformity of the human skeleton. This disease is a kind of "cross" of orthopedics, which humanity stubbornly drags through its centuries-old history. For centuries, people have had mixed feelings about people with scoliosis. So, for example, in ancient Sparta, children with spinal curvatures were thrown off a cliff into the open sea, considering them a “mistake” of nature, unworthy of procreation. With the development of civilization, the attitude towards this category of patients softened somewhat, however, people tolerated “hunchbacks” next to them only as jesters, who were the subject of constant ridicule. The first mention of attempts to treat scoliotic deformities of the spine dates back to the heyday of ancient Greek culture.

The incidence of lateral curvature of the spinal column is truly impressive. So, Sollmann A.H. and Breitenbach H. in the study of an arbitrary sample of a thousand radiographs of the spine, performed in direct projection, found that scoliosis was absent only in 28 cases. In other words, in the human population, the incidence of lateral curvature of the spine is 97%.

What is the reason for such prevalence of scoliosis? It is known that for any object of living nature, the asymmetry of the structure is the norm. It is impossible to find two completely identical leaves in the crown of one tree; any mammal, be it a cat, dog, elephant or hippopotamus, has all four legs different lengths, and these facts do not raise any doubts among us until we hear that we ourselves are the same asymmetric subjects of living nature.

According to a very widespread misconception, a person in external structure is a mirror-symmetrical right-left object of nature. However, upon closer examination, it turns out that the axial symmetry of the human body is largely arbitrary: the left half of the face does not look like the right, the right hand does not look like the left, the left leg does not look like the right, and so on. If the asymmetry of the face gives each of us individual uniqueness and charm, the dissimilarity of the hands, as a rule, does not cause any trouble, then the asymmetry in the girdle of the lower extremities in conditions of bipedalism becomes of great importance. Leg length inequality, contrary to popular belief, is a widespread phenomenon. The vast majority of the inhabitants of the planet can easily be convinced of this, one has only to carefully consider their own image in the mirror and pay attention to their clothes and shoes. With different lengths of the lower limbs, without attaching any importance to it, as a rule, representatives of many professions that are far from medicine are faced daily. First of all, these are cutters and tailors who make clothes or customize ready-made industrial designs “to fit”.

A person who gets lost in an unfamiliar area and moves forward describes a circle, returning to the starting point, and this has nothing to do with left and right-handedness, as previously thought. It's just that a step with a long leg is more than a step with a short one. In this connection, the movement, which seems to be walking forward, is actually a movement in a circle. Moreover, the greater the difference in the length of the limbs, the circle of a smaller radius will be described by a person, returning to the starting point. All this is a manifestation of different lengths of the lower limbs. The first physician to draw attention to the widespread inequality in the length of the lower limbs was the German physician Eva Braun. An important observation, made in 1926, later received its creative development. Rush W.A. and Steiner H.A. X-ray measurements of the length of the legs in 1000 servicemen demobilized from the army found the same length of the legs only in 23% of cases, while the remaining 77% of the examined had asymmetry in the length of the legs. These data indicate that the prevalence of scoliotic deformities is comparable to the frequency of occurrence of different leg lengths.

How is inequality in the length of the lower extremities associated with the development of scoliosis? Different length of the legs leads to the tilt of the pelvis towards the short leg and loss of body balance, which requires compensation in order to maintain the body in an upright position. Thus, we come to a static pattern formulated by Biedermann F. , Edinger A. and Illi F. , the so-called SBT-rule: with an oblique position of the pelvis, a certain degree of scoliosis and rotation should always be expected. In the lumbar spine, scoliosis and rotation towards the lowered half of the pelvis are physiological. Thus, a very important conclusion can be drawn: scoliosis or scoliosis is, first of all, an adequate physiological compensatory reaction of the spinal column to the oblique position of the pelvis, due to the presence of different leg lengths.

The vestibular apparatus (VIII pair of cranial nerves), which has a very complex structure, is responsible for maintaining the balance of the human body in space. The vestibular nuclear complex has extensive connections with many of the most important structures of the brain and spinal cord, due to which it is the coordinator of muscle tone. In other words, the vestibular apparatus controls the entire human musculature. Schematically, the mechanism of scoliosis formation can be considered on a human biomechanical model. When the pelvis deviates towards the short leg, a loss of static-dynamic balance of the body occurs. This is perceived by the vestibular apparatus, which leads to an immediate redistribution of muscle tone - an increase on the side of the long leg and a decrease on the side of the short one. This is how C-type scoliosis is formed. At large values of shortening, the muscles of one side are no longer able to maintain the balance of the body, since each muscle has a limit of contractility. In these cases, the muscle tone of both sides changes - the necessary effort is decomposed into two components with muscle involvement opposite side torso. This is how S-shaped scoliosis is formed. The names of the types of scoliosis are given due to the fact that the configuration of the curved spine resembles the letters "C" and "S" of the Latin alphabet.

It should be emphasized here that the described process has an unconditioned reflex (innate) nature and is not subject to the will of man. At the same time, the vertical position of the human body in space is mainly an achievement of social evolution and, like human speech and the ability to work, is a conditioned (produced) reflex, i.e. is learning. Remember, Vysotsky: "... walking on its hind legs every day is the sad fate of people." Figuratively speaking, from generation to generation, parents teach their children to "walk on their hind legs." This reflex is easily and quickly lost. It is worth a person to observe strict bed rest for several days - and you need to learn to walk again.

Well-known is the common and absolutely fair opinion that scoliosis is a disease of a growing organism. Let's try to understand the causes and mechanisms of progression of lateral curvature of the spine in children and adolescents. I want to emphasize that the presence of different leg lengths in newborns and children of the first year of life, contrary to popular belief, which has developed due to the imperfection of anthropometric studies, is a very widespread phenomenon. Suffice it to recall the asymmetry of the gluteal folds diagnosed by neonatologists, pediatric neuropathologists and orthopedists in almost every second child. However, this asymmetry is interpreted in any way - as a symptom of congenital hip dysplasia, congenital dislocation of the hip, but not as a child with different leg lengths. It is known that the main stimulus for replacing soft cartilage tissue with elastic bone tissue is physical activity. This process begins in utero with the first movement of the fetus (18–20 weeks of intrauterine development) and ends at the end of the formation of the musculoskeletal system (24–26 years). Since the formation of bipedal locomotion, which is basically a conditioned reflex socially conditioned process, the human spine receives an axial load. So, a child, having a bone-cartilaginous skeleton by the age of one, fundamentally changes his motor stereotype in such a way that the spine and lower extremity girdle receive maximum load due to upright posture and the need to maintain body balance in an upright position. Already by this age, a minimum inequality in the length of the lower limbs can be formed, due to the following factors: genetic (hereditary features of the structure of the musculoskeletal system), features of the functioning of the musculoskeletal system in the prenatal period and the neonatal period, features of the formation of the central nervous system newborn or a combination of these factors. In conditions of bipedalism, the presence of even a slight difference in the length of the lower limbs leads to the development of the following process:

- a leg with a large functional length has a greater load, the leg performs more work, receives more nutrition due to increased blood flow and grows faster;

- a leg with a shorter functional length, accordingly, has less load, the leg performs less work, receives less nutrition due to less intense blood supply than on the opposite limb and, as a result, grows more slowly;

– the result of this process, proceeding in opposite directions, is an increase in the relative difference in the length of the lower limbs with age, which, according to the SBT rule, leads to a compensatory lateral curvature of the spine;

- so, in short, the mechanism of progression of scoliosis looks like. For a more detailed acquaintance with the described mechanism, I can recommend to inquisitive readers the work of the famous Ukrainian scientist, Doctor of Medical Sciences, Professor Anton Timofeevich Brusko, who discovered the law of the influence of functional loads on the formation of bone tissue. I want to draw Special attention the fact that the degree of scoliotic deformity is due to the magnitude of the relative inequality of length

legs. The absolute value of this inequality increases very rapidly during periods of intensive growth. Therefore, these periods are the most dangerous for the progression of scoliosis. That is why scoliosis is called a disease of the growing body. Lateral curvature of the spine, according to the SBT rule, is always combined with rotation, i.e. rotation around a vertical axis. The patterns of this process are described by the rule formulated by R. Lovett. It turns out that the direction of rotation is directly related to the physiological curves of the spinal column in the sagittal (lateral) plane and the anatomical features of the structure of various parts of the spine. According to the direction of rotation, Lovett-positive and Lovett-negative scoliosis are distinguished. In order to simplify the understanding of this rather complex process, which requires a lot of special knowledge and spatial imagination, some authors compare the process of rotation of the spine with spiral twisting.

There are two more types of scoliotic deformities of the spine - functional and fixed. As the name implies, functional is a type of scoliotic deformity that is completely reversible with timely adequate treatment. Over time, in the absence of proper treatment, the disease progresses with the development of organic fixation of spinal deformity. Organic consolidation of scoliotic deformities is carried out due to the formation of lateral wedge-shaped deformities of the vertebral bodies and the formation of a costal hump. Wedge-shaped deformities of the vertebral bodies are, in fact, pathological compression fractures of the latter in places of maximum asymmetric axial loads arising from lateral curvature of the spine.

The mechanism of formation of the costal hump is as follows. On the concave side chest the ribs are brought together, which prevents their normal growth. The new bone tissue formed by the growth zones due to such convergence cannot go to a uniform increase in the length of the rib, and is forced to form an additional curvature on the costal arch - the costal hump. The first visible sign of the beginning of the formation of the costal hump is the appearance of the so-called pterygoid scapula - the distance of one of the shoulder blades from the chest, repelled by the resulting additional curvature of the rib. There is another little-known, but, unfortunately, rather dangerous manifestation of the organic fixation of scoliosis - the formation of a reduced hemipelvis. Above the leg, which has a shorter length, the corresponding half of the pelvis lags behind in growth. This deformity leads to the preservation of scoliosis both in standing and sitting positions. In addition, a reduced hemipelvis is important for the emerging female body in terms of creating serious obstetric problems during vaginal delivery.

It is known that the spinal column is the axis of the human body, serving as a kind of support for internal organs. In a situation of deviation of the body axis, there are violations of the relationship of internal organs, which inevitably leads to a violation of their normal functioning.

For example, it is known that people with scoliotic deformities of the spine are prone to chronic lung diseases due to the limitation of the volume of respiratory movements of the diaphragm, which leads to a delay in the bronchopulmonary system of microparticles and pathogenic microbes. But the most formidable complication of scoliosis is the destruction of the spinal column and, above all, its intervertebral discs with the formation of hernias of the latter. This is the most common chronic human disease and the third, according to statistics, the most expensive after the pathology of the cardiovascular system and cancer. The USA annually spends more than 19 billion dollars for the treatment of this category of patients. In Sweden, due to this pathology, more than 13 thousand people of working age become disabled every year.

What is a herniated disc? To answer this question, you must first consider how the intervertebral disc is arranged. The disk consists of two main parts - the nucleus pulposus, located in the center of the disk, and the fibrous ring surrounding it on all sides. The nucleus pulposus consists of specific proteins capable of binding a large number of water. Water is known to be an absolutely incompressible liquid. Such a water-protein conglomerate, which is an elastic ball, is able to withstand very high loads. The annulus fibrosus consists of concentric fibrous fibers that perform the task of holding the nucleus in the center of the intervertebral disc. The size of the intervertebral discs, as well as the vertebral bodies, increases in the direction from the cervical to the lumbar in accordance with the increase in the load on each underlying vertebral motor segment. Normally, the center of mass of each segment of the human body should be in the center of the intervertebral disc, i.e. on the nucleus pulposus, which acts as a segmental shock absorber. For this, the so-called physiological curves of the spine are used - successive cervical lordosis (anterior bend), thoracic kyphosis (posterior bend) and lumbar lordosis resting on the sacrum. Figuratively speaking, the spinal column, like a virtuoso tightrope walker, tries to maintain the balance of the body, comparing the centers of gravity of each of the segments of the body with the pulpous nuclei of the corresponding intervertebral discs. However, this can be achieved only if the sacrum, which is both the bone that closes the pelvic ring and the part of the spinal column, is perpendicular to the plane of support. With different lengths of the supporting limbs, the pelvis tilts towards the short leg and the sacrum, which is the "foundation" for the higher lying sections of the spinal column, together with the pelvis is set at an angle to the support plane. For the spine, a peculiar situation of the “Leaning Tower of Pisa” develops. What happens to the intervertebral discs? In the lumbar, the most loaded section of the spinal column, the following situation develops:

- the center of mass is shifted to the side of the leg, which has a large functional length, and the physiological lumbar lordosis leads to the fact that the posterior outer parts of the fibrous ring fall under the maximum axial load, the task of which is not to counteract these loads, but to keep the nucleus pulposus in the center of the disc;

- over time, degenerative changes develop in these overloaded sections, fibrous fibers swell and collapse, and for a long time this process is painless, due to the absence of nerve endings in the disc;

- cracks appear in the fibrous ring, into which the pulpous nucleus is introduced, and the disc begins to go beyond its bed;

- this process is accompanied by pain attacks, or the so-called lumbago, due to the pressure of the hernia on the tissues surrounding the disc;

- when the dimensions of the hernial protrusion become such that they press the spinal

root, then the pain spreads along the innervation of this root - in the leg up to the toes.

Most often, the process of herniation are two lower lumbar intervertebral discs. According to the figurative expression of Artur Dzyak, “... all available data speak in favor of the fact that the degeneration of the gelatinous nuclei of the intervertebral discs lumbar of the spine belongs to a group of diseases that represent a certain kind of "retribution" for the vertical position of the body in modern man, which he acquired in the process of evolution.

I want to emphasize in particular that, in accordance with the results obtained in last years new scientific data, the main reason for the development of scoliosis and the formation of herniated intervertebral discs is the asymmetry of the body structure in the form of different leg lengths. Therefore, the main diagnostic method for these diseases is to measure the magnitude of this difference - instrumental anthropometry, and the main method of treatment is orthotics (production of special orthopedic products eliminating the existing asymmetry) and, which have already become routine, manual therapy and traction of the spinal column. Moreover, high-precision anthropometric diagnosis is the main condition, a kind of starting point for further successful treatment. The lack of adequate orthopedic correction of existing asymmetries in the body structure as the main cause of the disease in the complex treatment leads to the fact that the process is steadily progressing, and we still have the "happiness" to observe hunchbacks and people moving through life with canes, on crutches and in wheelchairs.

So that you, dear readers, do not join the ranks of the suffering, let me at the end of the story about the troubles that the asymmetries of the structure of our body bring us, give a number of tips on how to protect yourself from this trouble. First of all, pay attention to your children, because by influencing a growing organism, you can achieve the maximum positive effect. Undress the child and inspect him from the back in a standing position. Starting position: legs are fully extended at the knee and hip joints, feet together, big toes on the same level. Pay attention to the coincidence of paired skin folds and bone landmarks, such as: popliteal folds, gluteal folds, waist triangles (formed between the waist and freely hanging arms), lower angles of the shoulder blades, shoulders. Normally, conditional lines connecting in pairs the listed landmarks of the left and right halves of the body should be parallel to each other and to the plane of support (floor). If you find any mismatch of paired landmarks, you should immediately seek qualified medical care. The same elementary self-examination can be recommended for adults in a standing position in front of a large mirror. In this case, the following should be used as paired bone landmarks: knees, tops of the pelvis, triangles of the waist, shoulders.

Additional information about existing asymmetries and curvatures of the spine can be provided by clothing and footwear. The need for a relative correction of the lengths of the left and right trouser legs or the hem of the skirt indicates a progressive asymmetry. Pay attention to the degree of relative wear of the soles and heels in a pair of shoes - shoes wear more on the side of the leg that has a longer length, because. it bears a heavy load.

Two legs of different sizes

Everyone, probably, paid attention when buying shoes that one foot is larger than the other. Some people have their right foot larger by a size or half a size, while others have their left. Why is this happening?

The fact is that human body is asymmetric, that is, the right side of our body is different from the left side. It is easy to verify this. If you take a closer look at your reflection in the mirror, you can see that the right side of our face is more developed than the left. The cheek on the right side protrudes a little more. The outlines of our mouth, ear and eye are more distinct on the right side than on the left. The same can be said about our entire body. Our legs vary in strength and dexterity. Inside the body is also asymmetrical. The liver is on the right side and the heart is on the left side. Therefore, the entire human skeleton is unevenly developed. And this affects the actions we perform and our gait.

That is why in those moments when we are unable to see, for example, during a snow or sandstorm, we will move in circles. By the way, the same applies to animals. Their body structure is also asymmetrical. By the way, if someone is going to drive a car blindfolded, then car rental on the site http://www.avtomaxi.ru/ is the only way out, because soon the driver will only drive in circles.

Does the same apply to lefties and righties? There is something interesting here. 96 percent of people are right-handed, the reason for this is the different symmetry of the brain, not the body. The left side of the brain controls the right side of the body, and the right side of the brain controls the left side.

Different leg lengths

Different leg lengths.

The difference in leg length is a fairly common condition. Most often it begins to manifest itself in children during the period of growth. Often this condition is associated with other disorders or diseases of the body.

Facts about different leg lengths:

Normally, a healthy person may experience a difference in the length of the lower limbs up to 0.5 cm. Out of 1000 people, this can occur in 40-50%.
The first sign of a gait disorder (limping) begins to appear with a one-sided shortening of the leg by more than 2 centimeters. At 3 or more, lameness becomes noticeable from the outside.
People with a pronounced difference in leg length and lameness get tired faster, as the biomechanics of both legs are disturbed and the person spends large quantity energy.

Types of shortenings.

True or anatomical shortening or lengthening. It is caused by anatomical changes in the length of the limb, i.e. longest bone (femur or tibia).

In children, these causes are so diverse that it simply does not make sense to list them all. Since the difference in length begins to form during the growth period, it is easier to say that any pathological process in the bone can cause both a decrease in the rate of bone growth and its acceleration. This is especially pronounced if the pathological process directly affects or is located near the growth zone responsible for the growth of the bone in length.

In an adult, a change in the length of a limb can only be due to trauma or surgery, leading to a change in the length of the bone.

The first thing that catches your eye, in a person with different lengths of legs, there is a pronounced lameness. In addition, in people with a pronounced difference in leg length, there is:

increased fatigue
pain in the joints of the lower extremities (ankle, knee, hip)
pelvic tilt
compensatory scoliotic deformity of the spine
back pain
equinus deformity of the foot on the side of shortening

The final diagnosis is made by a specialist, an orthopedic doctor. During a clinical examination, the doctor performs a segment-by-segment and general comparative measurement of the length of the limbs using a centimeter tape. This method has a rather large error, as it requires careful placement of the patient. More accurate data are given by the method using the placement of standard blocks under the shortened limb. Blocks of 0.25, 0.5 and 1 cm are placed until the pelvis is completely aligned. Their sum gives an idea of the shortening that a person has.

Any clinical examination should be supplemented by a diagnostic procedure. To determine the different lengths of the legs, this is the topogram of the lower extremities. Modern equipment allows you to take an x-ray from the hip to ankle joints while standing. Then, using special software, the length of the bones is calculated. Subject to all the rules, this method allows you to compare the length of the limbs up to millimeters.

There are 2 principal directions: conservative and operational.

I would like to make a reservation right away that conservatively different leg lengths cannot be cured. The conservative method is designed to mechanically compensate for the existing difference. This is especially true for a growing organism. Children in the process of formation are more prone to the appearance of various kinds of deformations, which eventually acquire a stable form. Then, with these deformations, they enter adulthood and, over time, begin to "reap the benefits" of these deformations. Herniated discs, deforming arthrosis, pains of various localization and intensity, this is an incomplete list of problems that these people may face. Therefore, a conservative method must be present, but it is important to understand its capabilities.

Conservative ways to compensate for different leg lengths include:

orthopedic insoles
heel pads
special orthopedic shoes

However, it has been proven that conservative methods are effective with a difference of no more than 4 cm (optimally 2-3 cm). Therefore, shortenings of 4 or more centimeters are indications for surgical treatment.

Shortening of a longer limb.
Lengthening of a shorter limb in an external fixator.
Blocking growth zones.

Here, surgical methods for the treatment of different lengths of the lower extremities are considered in detail.

People who have one leg shorter than the other are actually not that uncommon. Have you often seen an adult who walks with a jumping gait? And the child who doesn't want to play with his friends because he's "funny" lame? In this seemingly insoluble problem, orthopedic arch supports for different leg lengths will help.

Children with different leg lengths are risk groups

According to numerous studies, those children in whom the height of the longitudinal arch of the foot is asymmetric, in 15-20% is combined with scoliosis of various types. Girls are more susceptible to these conditions - they are more likely than boys to suffer from violations of posture and flat feet. This is due to the more sedentary lifestyle of girls.

The most dangerous lifestyle for scoliosis diseases - from 10 to 14 years - adolescence. At this time, the child's skeleton is not yet formed, but the load on it increases. The child often sits bent over at the desk during lessons, and then at home when doing homework. It is at this age that a boy or girl of 7-9 years old develops scoliosis - statistics have registered up to 30% of such children.

Children aged 10 to 14 suffer from the initial stages of scoliosis in 40% of cases, and as they age, this figure is also very high - it is almost 35%. The sooner doctors diagnose scoliosis in a child, the sooner it can be treated. And there are still good chances to correct spinal curvatures and related foot deformities.

And one more thing: the earlier scoliosis is detected in a child, the earlier you can work with a shortened leg, compensating for this shortcoming with the help of orthopedic shoes. Parents should know: the earlier scoliosis is diagnosed in children at the age of 8 to 10 years, the earlier deviations in posture and arch of the foot can be removed, because the course of scoliosis, according to statistics, worsens significantly in the next 2-4 years, up to 12 years.

The fact that posture worsens at this age is simply explained: at this time, the child grows intensively, and this growth does not go on evenly, in nets. The progression of this dangerous disease and deformities of the foot usually slows down, and sometimes ends by the age of 14.

Adults with different leg lengths are risk groups

The largest group of adults that are particularly affected by scoliosis and related foot deformities are people over 50 years of age. At this time, bone tissue ages and breaks down, especially with an unhealthy lifestyle associated with smoking and poor nutrition, as well as increased stress on the musculoskeletal system. Therefore, in people over 50, a change in the length of the intervertebral disc is often observed - it is deformed.

The pelvic bones are twisted due to the fact that one limb (leg) becomes shorter than the other. Therefore, the disk between the vertebrae wears out, does not serve well, this aggravates bad posture, leads to an imbalance in the left and right parts of the body. Particularly affected is the lumbar muscle, which is called square muscle, it is located at the bottom of the back). This chain also includes the pectoral, clavicular, and scalene muscles, so the intervertebral nerves are compressed, many parts of the body hurt, in particular, the spine, and the person continues to stoop even more. Poor posture in people over 50 is accompanied by an uneven, jumping or limping gait, foot deformity.

Consequences of different leg lengths

In a child (especially a small one), the height of the longitudinal arches of the foot is asymmetric, which ultimately leads to scoliosis of the spine. Scoliosis is a curvature of the spine in one direction. Unlike the usual violation of children's posture (the child does not stand or sit hunched over correctly, his muscle tone is disturbed), scoliosis destroys the structure of muscles, bones, ligaments and cartilage that have not yet fully formed in the child. Therefore, scoliosis leads to an incorrect distribution of the load and an incorrect distribution of fulcrum, and the child develops foot deformity, in particular, flat feet.

Scoliosis can be dysplastic (a metabolic disorder in the vertebral tissues by the type of twisting) and static. All this together causes a jumping gait due to the different lengths of the child's legs. As for adults, their different leg lengths can lead to gross violations of the skeletal structure. From this, muscles, ligaments, cartilages develop incorrectly, vertebral discs fall out, and a hernia of the vertebral discs occurs. Therefore, people with such deviations often have back or stomach pain. These pains are long and painful.

When should you go to the doctor?

It is very difficult to understand whether the length of the child's legs is different or the same. Therefore, at the slightest suspicion of poor posture in a child, it is imperative to visit an orthopedist or traumatologist for consultation and treatment. Very often, with the initial signs of scoliosis and foot deformities, it can help physiotherapy and dancing as well as swimming. In order not to miss the initial, subtle signs of deformities of the spine and foot, you need to go to the doctor once a year for a preventive examination.

As for adults, they need to track their pain sensations. Especially in the area of the spine and feet. And also to control the gait. If friends tell you or you yourself feel that your gait has become uneven, jumping or limping, see a doctor for examination and treatment.

How much you need to compensate for the missing leg length is determined by an orthopedist or traumatologist. Shortening of the legs (do not be alarmed, this is such a medical term) can be absolute or even relative. To determine the type of shortening, you need to take an x-ray of the pelvic region, as well as the spinal column. This is done in a standing position. From this x-ray, the doctor will accurately indicate the difference between the length of one leg and the other by analyzing the height of the heads of the pelvic joints. This will make it possible to determine the difference in leg length.

If the shortening of the leg is absolute, full compensation is required, and if it is relative, incomplete compensation of the length of the leg is required, up to one third or one second in adults and up to half the length in children.

How to help a person with different leg lengths?

First of all, order orthopedic insoles. Such insoles are also called compensatory. They are selected individually, they are made within 20 minutes, the patient will not even have time to leave the clinic, and the insoles will be ready. You can pick them up right away. What can you achieve with orthopedic insoles?

Stabilize the spine and feet
Scoliosis and flat feet stop developing further
Those parts of the spine that were heavily loaded are now unloaded and can easily recover
If the shortening of the legs is too large, not only orthopedic insoles are used, but also instep supports. They make it possible to make the posture correct, unload the spine and feet.

It should be taken into account that a person may not immediately get used to the insoles and arch supports. A slight discomfort may be felt within 4-5 days of wearing the insoles. Then the person feels incredible relief: the insoles are almost not felt, but fatigue in the legs develops much more slowly, walking is much more comfortable, there is practically no pain in the legs. The stability in the ankle increases, the load on the knees becomes weaker, and the lower back hurts much less.

If within a week the discomfort in the feet and spine does not go away, it means that the orthopedic insoles are chosen and modeled incorrectly. Need a second visit to the orthopedist and other insoles.

In 2009, a group of Swedish epidemiologists conducted a study, revealing the dependence of life expectancy on foot size and publishing a frightening sign. In general, the conclusion is this: you are more likely to see the great-great-grandchildren of your first girlfriend if you have an average foot size. But the owners of large and small sizes, on the contrary, are unlikely to become centenarians.

Of course, there is some margin of error in this study. Scientists assured that the table only works if you lead healthy lifestyle life and sports.

SIZE

AGE

penis size

You have probably heard more than once that the size of the foot is proportional to the size of the manhood (most likely, this myth was invented and spread by clowns). So if you've been putting rolled-up handkerchiefs in your shoes to meet girls, you can leave it at that. The study, conducted by University College London, involved more than 100 men who provided their penises for examination and measurement. The result was the conclusion that the size of the legs in no way correlates with the size of the genitals.

But it has been proven that if a man's ring finger is longer than his index finger, then his penis is likely to be impressive in size.

Loyalty

According to research conducted by the largest British site Illicit Encounters, men with a foot size of 40-42 are more likely to be faithful than their counterparts with a large size.

Long and skinny legs. It seems that some girls dream about them in their dreams. But is everything so simple? What kind of legs can we consider really ideal?

1. Leg length

The correct leg length depends entirely on your height. This is logical, because a girl of 155 centimeters cannot have legs of 110 centimeters (that would look terrible). Everything should be proportional.

The ideal length is half the height plus a few centimeters. Much depends on whether your bone is wide or thin:

broad bone: legs 2-4 centimeters longer than half the height (51-53% of the height);
normal bone: the length of the legs is equal to half the height and another 4-6 centimeters from above (52-54% of the height);
thin bone: legs should be equal to half the height and another 6-9 centimeters (53-55% of the height).

Remember that leg length is measured from the top of the thighbone to the floor.

2. Rule of four gaps

The legs cannot be completely straight, and this is normal. They should have a certain beautiful curve. To understand how your legs correspond to ideal parameters, stand straight in front of the mirror and connect your legs together.

The legs of the correct form form four gaps: between the feet and ankles, under the knees, between the knees and thighs, between the groin and thighs. The last window (above the knee at the bottom of the thigh) should be the narrowest.

3. Hip width

Girls are most often worried about the volume of the hips. Of course, hip coverage is an important parameter. perfect legs. So, with a height of 161–165 centimeters, the correct hip circumference is 53–54 centimeters; with a height of 166–170, the thigh circumference is 55–57 centimeters; with a height of 171-175, the hip circumference should be 57-58 centimeters (be careful: the circumference of one hip, and not the coverage of two hips).

We want to note that 55 centimeters in girth is not so small, which means that thin and Beautiful legs- it's not always the same thing.

4. Beautiful calves

The calves are an equally important part of the legs. Here you need to determine the golden mean for yourself: too inflated caviar is bad, but flabby, jelly is even worse. Rounded and elastic calves do not violate the general outline of the leg and do not catch the eye.

5. Attractive knees

The knees can be both a decoration of the legs and their main problem. Good knees are small, rounded, neat, without protrusions on the sides. The knee should be the same distance from the top and bottom of the leg, halfway between top hips and feet.

Pay attention to the circumference of the leg under the knee: it should be equal to the circumference of the ankle or be slightly larger.

Unfortunately, knees give away a woman's age. It is not for nothing that Hollywood stars begin to do plastic surgery on their knees in order to return them to their correct shape.

6. Graceful ankles

A beautiful ankle should be thin (but not skinny), graceful and embossed. By the way, the shape of the Achilles tendon is also important (it is located where the heel passes into the lower leg): ideally, it has a small thickness and the right grooves on both sides.

7. A little more about the hips

We figured out the girth of the hips, but what about their shape? It is believed that the ideal thigh is like a spindle: it is slightly narrowed at the top and bottom, and slightly expanded in the middle part. If you mentally divide the thigh into three equal parts, then the widest part should be in the upper third.

In order for the hips to be elastic, toned and appetizing, it is necessary to constantly engage in sports and maintain their beautiful shape.

8. Smooth feet, pink heels, neat toes

The ideal leg has a concave, elongated and thin foot. The toes are not twisted by poor quality shoes and lie freely, one next to the other. Heel - rounded and slightly protruding from under the Achilles tendon.

Of course, fingers and heels should be well-groomed and tidy: we should not forget about pedicure, soothing baths and moisturizer.

9. Healthy feet

Beautiful legs are first of all healthy legs. Vascular stars, blue-violet mesh will spoil the appearance of even the most slender legs. Sedentary lifestyle, sitting position for seven to eight hours, high heels, no physical activity- all this can lead to varicose veins. The disease is serious, often treated with laser therapy alone or surgical intervention.

Therefore, keep an eye on the health of your legs from youth. Walk, play sports, take contrast showers, give your feet a rest from heels, drink more water and visit a phlebologist.

In adults, it seems that it is no longer amenable to treatment, since the bones have already become stronger ..

One leg is shorter than the other in an adult: how to determine and what to do?

When one leg is shorter than the other, doctors call this phenomenon short leg syndrome. The consequences of such a pathology can be very serious if you do not pay attention to it. At the same time, they speak of a violation only when the difference in length is more than ½ cm. The most common cause of such an anomaly is the skew of the pelvis.

Causes and consequences if one leg is shorter than the other in an adult

This syndrome leads to an uneven load on the intervertebral discs.

In the future, this will provoke twisting of the pelvis, scoliosis, turn of the 5th lumbar vertebra, blocking of the joint of the sacroiliac zone from the side opposite to the shortened limb.

The main reasons are the displacement or distortion of the pelvis from its natural position, resulting in dysfunctional changes in the spine. This means that the axis of load distribution will change during movement, respectively, there will be pain in the back, neck, lower back;
Such metamorphoses lead to a violation of biomechanics, disc herniation, degenerative changes in the vertebrae, osteochondrosis, scoliosis, sciatica, spinal canal stenosis occur. The skew of the pelvis provokes pain in the neck, radiating to the shoulders, arms, resulting in problems with the upper limbs;
Osteochondrosis is a disease characterized by dysfunction of the vertebrae, ligaments, joints, intervertebral discs. Pathology develops under the influence of a number of factors and over a long period. The risk increases with a history of spinal injuries, posture disorders, hypothermia;
Lumbago is a syndrome of vertebrogenic etiology. It is characterized by changes in the lumbar region: pain, deformation of this spine, excessive muscle tension. The people call lumbago lumbago because of shooting pains that do not allow straightening and the patient is forced to stay in a bent position.

Diagnosis of different leg lengths

The doctor may notice changes during a routine physical examination. If necessary, a diagnosis of the condition of the hip joints and spine is carried out, an MRI or CT scan can be prescribed.

What to do if an adult has one leg significantly shorter than the other

The only way out of the situation is manual therapy and similar techniques. Specialists in this field act purposefully, gently, dosed, make efforts to relax tense muscles.

Consequences of shortening one leg

Seeing a doctor when one leg is shorter than the other

With absolute shortening, full compensation is necessary, and with relative shortening, partial compensation, up to ½ or 1/3 of the length.

Treatment when one leg is shorter than the other

First of all, you will need orthopedic insoles, which are called compensatory ones. They are selected individually and relatively quickly produced.

Such products perform the following functions:

help to stabilize the position of the spinal column and feet;
slow down the progression of scoliosis and flat feet;
unload the areas of the spine that are subjected to excessive stress, allow them to recover.

With a significant difference in the length of the legs, not only compensatory insoles are used, but also arch supports. This will correct your posture, unload the spine and feet.

Why is one leg shorter than the other, causes and treatment

Different leg lengths: causes and treatment

Different leg lengths are a fairly common phenomenon: short leg syndrome occurs in people of any age, gender and social status, and more often in children than in adults. When one limb is only a couple of centimeters shorter than the other, this is not very noticeable, but a drop of more than five centimeters cannot be ignored with all the desire: a person walks, limping, rolling from side to side or leaning on a cane, his shoulders are located at different levels ( due to the difference in height, many develop scoliosis).

On slippery surfaces and in moving public transport, such people find it difficult to maintain balance, as their musculoskeletal system is unbalanced. Obviously, living with such a deviation is not easy. Not every person who has encountered a similar problem knows what to do if one leg is shorter than the other. Fortunately, there are ways to level the difference in leg length - more about them will be discussed below.

Causes of Short Leg Syndrome

You can’t envy a person whose limb is longer than the other: lameness, curvature of the spine, constant pain in the joints and back, a high likelihood of developing arthrosis and bursitis. Not life, but continuous overcoming of difficulties. So what to do if one leg is much shorter in size than the other, how can you protect yourself and loved ones from a similar fate? To answer this question, you must first familiarize yourself with the specifics of the disease, namely with the causes of the pathology and its varieties.

If one leg is shorter than the other by 3, 5 or more cm, then there can be many reasons for this development of the pathology of the lower extremities, but they all belong to one of three factors. Experts identify three factors that affect the length of the lower limbs:

1 Anatomical factor (decrease in bone length).

2 Relative factor (dislocation, joint immobilization).

3 Combined effect (stunting or accelerated growth, due to which the length of both limbs changes at once).

The shortening of one of the limbs, as a rule, leads to:

1 Failure in the process of intrauterine development of the fetus, as a result of which an unborn baby develops a clubfoot or hemophilic hemarthrosis, or a dislocation of the hip occurs.

2 Inflammation provoked by tuberculosis, thrombosis of the veins of the lower extremities, arthritis, elephantiasis.

3 The tumor process can cause a difference in the length of the legs, both in an adult and in a child.

4 Neuropathic factors can cause this pathology.

5 Damage to the growth zones located on the heads of the tibia and femur. Children who find themselves hostage to such a situation have a harder time than adults: the difference in their leg length continues to increase until the growth stage is completed. Adults have already experienced this stage of their lives, and therefore the difference in the length of their limbs as a result turns out to be significantly lower.

When one limb is shorter than the other, the load on the spinal column is unevenly distributed. As a result, a person develops scoliosis and osteochondrosis, twisting of the pelvis occurs, as well as eversion of the fifth lumbar vertebra. Such deviations occur both when a certain part of the leg (thigh or lower leg) is shortened, and the entire limb as a whole.

The difference in the length of the legs in children, the reasons why this happens?

The sooner parents notice that the child has one leg shorter than the other, the less time and effort it will take to eliminate it. Violations of the musculoskeletal system in the fetus can be detected already at an early stage of pregnancy thanks to ultrasound, which is mandatory for all expectant mothers.

There are two types of deviation that can cause shortening of the legs in an unborn child:

1 Symmetrical developmental delay (diameter of the head and abdomen, length of the trunk and thigh are within the normal range, but the size of the fetus is proportionally reduced).

2 Asymmetric developmental delay (non-compliance of certain parts of the baby's body with generally accepted standards).

After the birth of a child, checking the parameters is assigned to the local pediatrician. You can measure the length of the baby's limbs without resorting to the services of a doctor. To do this, lay the baby on his back, bend his legs at the knees so that the angle between the body and thigh, thigh and lower leg is ninety degrees. If one of the knees is higher than the other, then the child's hips are different in length. To determine the size of the shins, you need to lower the baby's legs, still bent at the knees, and press his feet to the surface of the bed. If one of the knees rises above the other, then the size of the legs also does not match and you need to consult a specialist.

In children, the height of the longitudinal arches of the feet often does not match, which is why babies develop scoliosis. The curvature of the spinal column to the right or left side disrupts the structure of muscles, cartilage and ligaments, which is fraught with the development of serious diseases. If there is a suspicion of a deviation, you should immediately consult a doctor: the sooner the pathology is eliminated, the better for the child.

Treatment of short leg syndrome, what to do if one leg is shorter than the other

Modern medical technologies make it possible not only to lengthen short limbs, but also to correct the curvature of the legs that develops against the background of pathology.

There are several methods to achieve desired result if one leg is longer than the other. A conservative tactic for treating short leg syndrome, which is used if one leg is shorter than the other by no more than two centimeters, involves:

1 Putting orthopedic insoles in shoes to compensate for the difference in the length of the limbs.

2 Visiting a chiropractor to relieve muscle stiffness and pain.

3 Performing exercises aimed at strengthening muscles, joints, ligaments and tendons, preventing curvature of the spinal column.

4 Swimming in the pool and attending water aerobics classes to develop and strengthen the musculoskeletal system.

If one leg is significantly shorter than the other, surgery is performed. Traction in the Ilizarov apparatus is rightfully considered the most effective way to lengthen a limb, which involves cutting the bone with subsequent fixation of the leg in the device. Almost immediately after the operation, the bone fragments begin to grow towards each other (at a rate of one millimeter per day). When the bone is completely healed (and this happens no earlier than six months after the procedure), the device is removed and the patient is sent for rehabilitation.

Traction using the Ilizarov apparatus is also used in aesthetic surgery clinics, which are used by absolutely healthy people who dream of lengthening their limbs. Such a procedure is not cheap, and its result does not always live up to expectations, which, in principle, is understandable. Any intervention in the body does not pass without a trace. It’s good if you come across an experienced surgeon who, as they say, “ate a dog” while stretching his limbs. And if you get a newbie? And then, even a professional with many years of experience is not immune from mistakes. So is it worth lengthening short legs if they do not cause problems? People with short leg syndrome have no other choice, but healthy representatives of homo sapiens have, and yet they take such a desperate step. It is a pity that few think about the possible consequences.

In addition to traction on the Ilizarov apparatus, blocking of the growth zones of a healthy limb is also used. This method is suitable for children: due to the intervention of the surgeon, the difference in the length of the lower limbs is leveled over time, and when the growth phase stops, the need for any manipulations to align the legs disappears by itself.

Competent specialists can diagnose such a pathology as asymmetry of the lower extremities even during ultrasound during pregnancy. In this case, the diagnosis and the appointment of a course of treatment will be made immediately after the birth of the baby.

If any developmental pathologies are established by an orthopedist during a routine examination in the first months of a baby’s life, then the doctor must register such a child and prescribe the necessary therapy for him. If there are symptoms that indicate hip dysplasia, when the child reaches the age of three months, he will need to have an x-ray examination and ultrasound. Based on the results of these examinations, a diagnosis will be established and treatment will be prescribed depending on the severity of the pathology.

You can determine the presence of asymmetry in the legs of a child yourself at home. To do this, visually assess the symmetry and depth of skin folds. It is most convenient to do this when the baby is lying on the tummy. Then you should turn the child on his back, straighten his legs, bringing them together and again evaluate the symmetry of the folds on the inner surface of the thigh. The next step is to spread the bent legs of the child to the sides - in a healthy baby, each leg should touch the surface of the changing table. If you can’t spread your legs to the sides, then this may be evidence of both increased muscle tone and hip dysplasia. You should also pay special attention to clicks during this procedure, as they always indicate a problem with the joints.

You can check for dysplasia in another way - to do this, put the child on a hard surface on his back and bend his knees. If the baby's knees are at different levels, then immediately contact an orthopedist to clarify the diagnosis and prescribe an effective treatment for the problem.

Checking muscle hypertonicity at home is also quite simple. The child must be laid on his back and give him your fingers so that he can grab them tightly. At the same time, a healthy baby begins to move his legs very actively, trying to take a sitting position. If the child constantly crosses his legs, then the likelihood of muscle hypertonicity is very high.

Increased muscle tone may be accompanied by other symptoms, among them:

1 restless sleep;

3 too frequent regurgitation;

4 independent holding of the head from the moment of birth;

5 emphasis on socks in a vertical position;

6 active resistance when trying to spread the legs apart;

7 irritated reaction to extraneous sounds and switched on light;

If a child has at least one of these signs, then it should definitely be shown to a specialist. In case of a fracture of the lower extremities, especially if it happened in childhood, it is necessary to constantly monitor the fusion of bones by conducting an X-ray examination.

Another dangerous reason for the asymmetry of the lower extremities is the presence of neoplasms of a different nature. However, the difference in leg length may appear already at a late stage of the disease, much earlier child may begin to complain of excessive fatigue, pain when resting on the affected limb. Visually, you can also notice that one leg looks a bit thicker than the other. Any of these symptoms or their combination should be the reason for contacting a medical facility.

Mandatory vaccination against tuberculosis has led to a decrease in the number of cases in the younger age category, however, a decrease in the protective forces of the child's body and his close contact with a sick person can lead to illness. Tuberculosis of the bones begins gradually, its first signs are quite blurred and some children do not even pay attention to them. A visit to the doctor is mandatory if the child begins to complain of a breakdown, irritability, drowsiness, muscle aches, absent-mindedness. Visually, you can note the appearance of a stoop, sudden lameness, a change in the volume of one of the limbs.

To confirm the diagnosis, a tuberculin test should be performed, as well as an MRI and radiography of the affected segment.

When is the difference in leg length not a pathology?

A slight difference in the length of the lower limbs is a variant of the norm, quite often shortening of the right leg is diagnosed in children who prefer to use their left hand. Besides, healthy child tend to be physically active. He spends a lot of time in motion, running, jumping, riding various types transport. Over time, one of his legs becomes the leading one, which he prefers to use when pushing off the ground. Such an uneven load leads to a slight shortening of the jogging leg. Over time, the length of the limbs becomes the same.

Complications associated with different lengths of the lower limbs

The pronounced asymmetry of the legs, especially in childhood, can cause a curvature of the spinal column, resulting in scoliosis - a persistent deformation of the spine relative to its axis. In the absence of proper attention, this disease can lead to irreversible complications, for example, chest deformity, pelvic asymmetry, malfunctions of the cardiovascular system, respiratory organs and spinal cord. The uneven distribution of the load also leads to the development of flat feet in the child.

Depending on the mechanism of development of the disease, several varieties of scoliosis are distinguished:

1 Dysplastic - occurs in childhood against the background of metabolic disorders in the tissues of the vertebrae and intervertebral discs.

2 Static - manifested as a result of bone and joint disorders in the legs.

In adulthood, the asymmetry of the lower extremities can cause various pathologies of the musculoskeletal system, which can lead to the appearance of a hernia, prolapse of the vertebrae and other complications. Such patients quite often complain of pain in the abdomen and back.

How to tell if one leg is shorter than the other

Steps Edit

Method 1 of 2:

Reveal the muscle difference in leg length Edit

One leg is shorter than the other. Causes and treatment of pathology

Short leg syndrome is an anatomical pathology in which one leg is shorter than the other. Some experts do not consider a difference between the lower limbs of a few millimeters to be a problem, others note that such a deviation leads to a curvature of the spine and a violation of the position of the hip joints. Recent studies on this topic have shown that a difference in the length of the legs, even 3-4 mm, can lead to deformation and anomalies in the development of the bone skeleton, when it comes to a child.

Causes

Short leg syndrome is most often a congenital pathology diagnosed in a child whose one limb is 0.5 cm or more longer than the other. In this case, the nature of the syndrome is determined - true or false. The first refers to the asymmetry of the legs, due to the different lengths of the bones. The disease develops in a child while still in the womb and is distinguishable on an ultrasound image (ultrasound) in late pregnancy.

False syndrome occurs after birth and is the result of hip dysplasia. This severe disorder is the displacement of the femoral head from the acetabulum (subluxation) or its complete exit from it (luxation). The first case is not as pronounced as the second. When the head leaves the articular fossa, the resulting cavity begins to overgrow with connective and adipose tissue, which makes it impossible for the bone to return to its original place in a natural way.

The reason for the shortening of the leg is often the hypertonicity of the muscles of the newborn, which occurs as a result of a malfunction in the part of the brain responsible for nervous regulation. Excessive stress is often asymmetrical and leads to subluxation, which, under pressure, develops into full-fledged hip dysplasia. In this case, the child needs to be examined by a neurologist.

In adults, short leg syndrome appears as a result of injuries and fractures of the lower extremities and the hip joint, surgery, an inflammatory disease with damage to bone tissues (tuberculosis, syphilis), the development of a benign or malignant neoplasm of the musculoskeletal system.

Pathology can occur due to osteochondrosis, which is characterized by damage to the joints, ligaments and intervertebral discs, which leads to a violation of their functions and a shift in the axis of distribution of the load on the legs. A similar situation occurs with the development of a disease such as lumbago, which affects the lumbosacral spine and does not allow a person to move normally. Even scoliosis - the most common pathology of the musculoskeletal system - depending on the degree of curvature, affects the correct distribution of the load on the lower limbs.

Treatment of the syndrome in children

The method of treating a disease in children depends on the cause that caused it. If the appearance of asymmetry of the lower extremities in a child is due to hip dysplasia, a number of diagnostic measures are taken to assess the severity of the pathology. It is possible to accurately determine the pathology only when the patient reaches 3 months of age, after which it is allowed to do x-rays. Before this period, a wide swaddling of the child is recommended with simple physical exercises on the baby's legs in order to avoid the development of the disease. Treatment is prescribed only after the diagnosis is confirmed by an x-ray.

Hip subluxation responds well to conservative therapy using orthopedic devices. They will help the child keep the legs in the correct position to avoid further movement. Orthopedic tires and stirrups are used that support the baby during movement, massage, physiotherapy and a course of therapeutic exercises. The main part of the exercises is carried out by a children's orthopedist, simple daily exercises are recommended for parents with subsequent supervision by a doctor.

The development of a severe form of dysplasia (with the complete exit of the femoral head from the acetabulum and the formation of connective and fatty tissues on it) requires surgical intervention. Surgical removal of the build-up and reposition (return to place) is contraindicated for children under one year old. Therefore, for infants, methods of conservative displacement of the joint are used by stretching the deformed limb with the help of special devices. Additionally, physiotherapy, massage and physiotherapy exercises are prescribed.

Therapy in adolescents and adults

Adults, as well as adolescents, after passing through the main stages of growth of the bone skeleton, are prescribed the same treatment. It is believed that the difference in length between the limbs is less than 1.5 cm and does not need to be corrected. Asymmetry exceeding this value requires surgical intervention. Means of conservative treatment for adult patients can be used as elements of postoperative rehabilitation, since they are ineffective as the main method of therapy.

Surgical intervention involves the removal of growths of connective and adipose tissue from the acetabulum and the installation of the Ilizarov apparatus on the deformed limb. After the operation, the patient is prescribed a course of massage, physiotherapy (magneto-, paraffin therapy, UHF - ultra-high-frequency therapy) and therapeutic exercises. The wearing of orthopedic compensatory insoles is shown, which will help not to load the sore leg, stabilize the axis of load distribution and speed up rehabilitation.

After discharge from the hospital, the patient should:

close all slippery surfaces in the house with carpets, and use special anti-slip silicone stickers in the bathroom;
move apart furniture that narrows or blocks the passage;
do not raise your knees above 90 degrees;
do not twist your feet when walking;
do not lie down on the operated leg and side;
before going to bed, put a soft pillow between the limbs.

Physiotherapy

A set of physical therapy exercises (exercise therapy) is necessary to maintain normal muscle tone, prevent the formation of blood clots, strengthen and restore ligaments and tendons. The workouts are as follows:

Lying on your back, you need to raise the sore leg and perform circular movements with the foot in one direction and the other.
In the same position, the operated limb should be raised and supination (outward movement) and pronation (inside) of the foot should be performed.
Lying on your back, you need to tear your leg off the floor and slowly bend it at the knee, and then perform the opposite action.
Being on the floor, you need to bend the diseased limb at the knee and gently tilt it in and out.
Lying on your stomach, you should straighten your legs, and put your socks vertically on the floor, then slowly raise the pelvis, straining the muscles of the back and buttocks.
Standing on the floor and holding on to the support, it is necessary to smoothly move the straightened diseased limb to the side and back.

Conclusion

Short leg syndrome is a complex pathology of the musculoskeletal system, which most often requires surgical intervention and involves a long postoperative period. The main cause of the development of the syndrome is hip dysplasia, which may be congenital or acquired.

If the pathology was the result of infectious inflammatory diseases of the inflammatory, treatment should first of all be aimed at eliminating the cause.

Children with different leg lengths are risk groups

Adults with different leg lengths are risk groups

The pelvic bones are twisted due to the fact that one limb (leg) becomes shorter than the other. Therefore, the disk between the vertebrae wears out, does not serve well, this aggravates bad posture, leads to an imbalance in the left and right parts of the body. The lumbar muscle, which is called the square muscle, is especially affected, it is located in the lower back). This chain also includes the pectoral, clavicular, and scalene muscles, so the intervertebral nerves are compressed, many parts of the body hurt, in particular, the spine, and the person continues to stoop even more. Poor posture in people over 50 is accompanied by an uneven, jumping or limping gait, foot deformity.

Consequences of different leg lengths

When should you go to the doctor?

It is very difficult to understand whether the length of the child's legs is different or the same. Therefore, at the slightest suspicion of poor posture in a child, it is imperative to visit an orthopedist or traumatologist for consultation and treatment. Very often, physical therapy and dancing, as well as swimming, can help with the initial signs of scoliosis and foot deformities. In order not to miss the initial, subtle signs of deformities of the spine and foot, you need to go to the doctor once a year for a preventive examination.

How to help a person with different leg lengths?

Stabilize the spine and feet
Scoliosis and flat feet stop developing further
Those parts of the spine that were heavily loaded are now unloaded and can easily recover
If the shortening of the legs is too large, not only orthopedic insoles are used, but also instep supports. They make it possible to make the posture correct, unload the spine and feet.

limb shortening

Shortening of the limbs - a decrease in the length of one limb relative to the other, or a decrease in the length of both limbs, in which the proportions of the human body are violated. A slight shortening (1-2 cm) is widespread and has no clinical significance. A significant shortening of the lower extremities, especially one-sided, can provoke a number of diseases of the joints and spine. The diagnosis is made after special measurements. Correction with insoles and orthopedic shoes is possible; in case of severe shortenings, the limb is lengthened using the Ilizarov apparatus.

limb shortening

Limb shortening is a widespread phenomenon. A slight difference in the length of the lower limbs is detected in 90% of people. Among the reasons are the dominance of one of the hemispheres of the brain, posture disorders and incorrect muscle stereotypes that affect the formation of the body during the period of growth of the child. The difference in leg length up to 1-2 cm is imperceptible even to the patient himself and is found only during special studies. Shortening of one limb by more than 3-5 cm causes a noticeable distortion of the pelvis and causes inconvenience to a person when walking.

Types and causes of limb shortening

Shortening of the limbs can be unilateral and bilateral. Symmetrical bilateral shortening is detected in achondroplasia and some other genetically determined diseases and is manifested by a mismatch in the proportions of the trunk and limbs. Asymmetric bilateral shortening is observed with anomalies in the development of the upper and lower extremities. The cause of unilateral shortening can be many different pathologies. There are the following types of unilateral shortening:

True. Formed with organic damage to the bone. Detected by segment-by-segment measurement of the length of the limbs. The sum of the lengths of the thigh and lower leg on one side is less than on the other. It occurs as a result of incorrectly fused fractures, malformations, tumors and some infectious diseases (tuberculosis, syphilis).
Relative. It is formed when the ratios between the segments of the limb are violated. Subjectively, one limb looks shorter than the other, but when measured, it is found that the lengths of the legs and thighs are the same. It occurs due to the displacement of the articular ends of the bone due to intra-articular fractures and congenital dislocations.
Seeming. It is formed due to forced bending. As in the previous case, the length of the legs subjectively seems to be different, but measurements confirm that the length of the segments is the same. The cause of the apparent shortening may be arthritis, arthrosis, swelling of the articular ends of the bone, or post-traumatic contracture.

If one patient has several types of shortening of the limb (for example, a decrease in the length of the thigh due to an improperly healed fracture of the femur in combination with a flexion contracture of the knee joint), they speak of a total shortening. The total shortening is determined by placing boards of various thicknesses under the foot until the anterior upper spines of the pelvis are at the same level.

Symptoms and consequences of limb shortening

Shortening of the limb by more than 5 cm is usually accompanied by lameness and is clearly visible even without special measurements. A less pronounced difference in the length of the legs is sometimes not visually determined, since it is compensated by the tilt of the pelvis and curvature of the spine. Lameness may be absent. Alertness should be caused by the difference in the level of location of the popliteal fossae, upper poles of the patella, greater trochanters, anterior and posterior superior iliac spines.

Even a slight shortening of the limbs cannot be considered a harmless phenomenon, since it leads to a violation of the normal anatomical relationships between body parts when standing and walking. The alignment of the joints is disturbed, the trunk and limbs are somewhat displaced and twisted to ensure the normal vertical position of the body, so-called compensatory deformations occur. The load on one leg increases, the pelvis warps.

The spine, when one limb is shortened to 1.3 cm, forms a C-shaped bend, and when shortened by more than 1.3 cm, it forms an S-shaped bend. Over time, the violation of posture becomes fixed, scoliosis may develop. Muscles are constantly in a state of increased tension. There are pains in the back, joints and muscles, fatigue, heaviness in the feet and legs after walking. The blood flow worsens, the lymphatic system suffers. With the long-term existence of pathology, the development of osteochondrosis, coxarthrosis and gonarthrosis, as well as aggravation of flat feet, is possible.

Diagnosis of limb shortening

To clarify the severity and nature of the shortening, the absolute and relative length of the limb and the length of each segment are measured using visible bone protrusions (ankles, the upper pole of the patella, the joint space of the knee joint, the greater trochanter and the superior anterior iliac spine) as reference points. Measurements are carried out with fully extended legs, with alternate flexion of the hip and knee joints and with simultaneous flexion of the large joints of the limb. To identify relative and apparent shortening, special tests are used.

The list of additional studies depends on the location and the alleged cause of the shortening. For old fractures, tumor processes and infections, an x-ray of the lower leg or x-ray of the thigh is prescribed. For arthrosis, an x-ray of the knee joint, x-ray of the hip joint or arthroscopy of the knee joint is performed. If soft tissue damage is suspected, MRI data are used. According to the indications, patients are referred for consultations to an oncologist, phthisiatrician, venereologist, infectious disease specialist, rheumatologist and other specialists.

Treatment of limb shortening

Treatment of this pathology is carried out by orthopedists and traumatologists. With small shortenings, a conservative correction is usually carried out - to eliminate the difference in leg length, special insoles or orthopedic shoes are used. With significant shortening, tactics are determined individually and depend on the cause of the change in the length of the limb, the age of the patient, his state of health and other factors. most popular and effective method Surgical treatment of shortenings is limb lengthening using the Ilizarov apparatus.

The Ilizarov apparatus makes it possible to lengthen the lower leg by 8-10 cm, and the thigh by 5-6 cm. It should be borne in mind that the increase in the length of the segment is carried out gradually and can last up to six months or more. Installing the device on the shin is relatively easy to tolerate by patients, since it allows them to maintain sufficient mobility, slightly interferes with movements in the joints of the limb, etc. Installing the device on the thigh is more difficult to tolerate, since it significantly limits movement and self-service. During the entire period of treatment, patients perform special exercises aimed at preventing muscle atrophy and maintaining joint mobility. Functional results are good.

Which human leg is shorter

Different leg lengths in people are a frequent and far from harmless defect, as it might seem at first glance.

Types of variety
Diagnostics
Treatment
Osteopathic treatment

Dangers of different length of the lower extremities

Being the result of a mechanical or anatomical imbalance in the human body, different leg lengths, due to an asymmetrical body position, cause the development of scoliosis, pelvic tilt, altered position of the vertebrae and chronic overload of the joints of the lower extremities. As a result, a person experiences manifestations of various clinical symptoms - pain in the back and joints, headaches, dizziness, and even disorders of the internal organs.

Types of different length

It is very important to know that a strictly defined treatment methodology is chosen depending on the type of diagnosed difference in length.

True (anatomical) - is diagnosed when one of the legs is actually shorter than the other. Such a violation can be caused both by a past disease (poliomyelitis, osteomyelitis, etc.), and by trauma - a fracture that has healed incorrectly. Often this results in static scoliosis caused by different leg lengths. The difference in the length of the legs in this case is significant - it can be more than 1.5 cm, quite easily noticeable and very difficult and long to correct in an operative way, or mechanically corrected with a leveling lining under the foot.
Functional (reversible) - a condition when the actual length of the bones of the lower extremities is the same, but due to the presence of anatomical and neural disorders in certain areas of the body, the muscles of the pelvis and lumbar spine spasm and pull the femur with the leg up. In this case, the length of the leg is shortened relative to the opposite, usually by no more than 1 cm. Such a change can be eliminated by properly performed osteopathic treatment.

Diagnostics

Visually, in a standing position in an adult or a child, it is not always clearly possible to determine the presence of a shortened leg, since the body adapts to the problem due to compensatory scoliosis and the uneven position of the pelvic bones. A simple measurement with a centimeter is also not always accurate enough.

Therefore, it is best to compare the position of the inside of the ankles in the prone position.

Treatment

If, with the first appearance of different lengths of the legs, treatment is possible only with the help of bone lengthening artificially with a heel pad or surgically (Elizarov's apparatus), which is not always acceptable. Then in the case of functional difference in length, treatment is not only possible, but also necessary!

It must be remembered that correction with a lining under the foot, which is very common in orthopedic practice, is suitable only for anatomical differences in length, with a functional one, this method of treatment will worsen and fix the wrong position of the body. After all, the length of the bone of the affected limb does not differ from the bone healthy leg. This means that its additional mechanical elongation, on the contrary, will lead to an additional curvature of the pelvic ring and fixation of the body in a non-physiological state. Therefore, the thoughtless use of orthopedic shoes for legs of different lengths and the use of a heel pad is very dangerous.

Osteopathic treatment

Since 2015, osteopathy has been included in the register of medical specialties as the highest degree of manual treatment. When examining a patient, an osteopath carefully examines the causes of the difference in leg length. And in the case of revealing a functional difference in the length of the limbs, it conducts a manual therapeutic effect, which is aimed both at correcting the immediate causes that led to the shortening of the leg, and at those complex changes that have developed in the patient's body as a result of this phenomenon.

It is imperative to understand that the earlier this disorder is diagnosed and eliminated, the less pronounced compensatory complications will be: scoliosis, oblique pelvis, uneven overload of the ankle, knee and hip joints, and others. Therefore, if a child has legs of different lengths, you should immediately seek qualified help from a specialist doctor.

Unfortunately, as practice shows, very few specialists are really effective in the problems of differential diagnosis and correction of functional difference in length, therefore, in order to effectively treat different leg lengths, you need to get an appointment with an experienced doctor in this matter, who will determine the causes and choose the correct correction scheme.

There are such doctors in the clinic: Family Osteopathic Clinic - SO CLINIC! Our many years of clinical practice shows that with the right treatment, it is possible to achieve complete alignment of the legs and eliminate the accompanying pathological imbalance in both adult patients and children in a few treatment sessions.

Why do humans have one leg shorter and the other longer?

So the hands are different too! If you are right-handed, you put more load on your right leg (arm) and, accordingly, it is more developed. Of course, I'm not talking about a strong deviation that doctors need to pay attention to

here in the picture you can immediately see that there is dysplasia, both bones came out of the hip joint on both sides. My daughter had dysplasia, we wore spacers for 5 months, now everything is fine, all the bones are in their places.. Thank God..

This is due to the fact that our body is asymmetrical, that is, its left and right halves are not the same. You can see this for yourself with a few examples. If you look in the mirror at your face, you will notice that the right half of the face is more developed than the left. The right cheek protrudes more, and the mouth, eye and ear are more clearly defined.

The same applies to the whole body. The legs are not equal in strength and dexterity. The heart is on the left, and the liver is on the right, so the inside of the body is asymmetrical. As a result of this, our skeleton develops somewhat unevenly.

And this small difference has a huge impact on our actions. The uneven development of the body causes us to walk unevenly. As a result of this, in those moments when we cannot see anything, for example, during a snowstorm, fog, or blindfolded, we will walk in circles. The same applies to animals, whose body structure is also asymmetrical. And if someone drives a car blindfolded, then in the end he will also start driving in circles!

If we take an interest in the question of right-handed and left-handed people, then here we will encounter something curious. Ninety-six percent of all people are right-handed. But the reason for this is not the asymmetry of the body, but the asymmetry of the brain. The left half of the brain controls the right half of the body, and vice versa. Since the left half of the brain dominates the right half, this makes the right half of the body more mobile, and most of us are right-handed!

Why one leg is thicker than the other: external factors and diseases

Different thickness of human legs is a common phenomenon. A slight difference in volume between the right and left leg is usually not considered abnormal. A signal for concern can be asymmetry, visible to the naked eye, swelling, deformities.

If the difference in the coverage of the lower leg is no more than 2 cm, such a violation of proportions may cause aesthetic discomfort, but it is absolutely natural. The human body is never perfectly symmetrical.

The causes of disproportion are diverse and unique in each individual case. Consider the main, most common of them.

Why is one leg thicker than the other in an adult

There are several reasons for the different thicknesses of the lower extremities, among them both pathological and caused by external influences.

External factors

With age, you can notice that one of the legs becomes thicker than the other. Most often, the so-called “bearing leg” increases in size - that is, the one that accounts for a significant part of the load. For most people, this role is played by the right.

Sometimes the difference becomes noticeable with an increase in the volume of loads, for example, when playing active sports. In such cases, the “lagging” leg, whose muscles are tense and less worked out, remains visually thinner. A similar effect is observed with a sharp decrease in weight during weight loss, when the weaker limb loses its tone first.

In all these cases, there is a natural asymmetry of the body, uneven distribution of the load and, accordingly, a different degree of development. muscle mass in two legs. However, thickening of the leg may be due to other factors.

Against the background of a limb injury, a change in volume and shape is often manifested. As a result of a complex fracture, the movement of the lymph can be disturbed, the leg will begin to swell, swell. Another option is also possible - muscle atrophy, due to a decrease in mobility, a decrease in loads. This is especially noticeable after the removal of the cast, when the limb was inactive for a long time.

Important! Muscle atrophy in one or both legs can be caused by a number of reasons, including diseases of the endocrine system, hormonal failure, chronic diseases, and genetic disorders.

This factor can also explain the phenomenon when both legs have lost a lot of weight. If a clear loss of tone is observed for no apparent reason, you should seek medical help as soon as possible.

Alarming symptoms preceding visual changes are a feeling of weakness, fatigue of the affected limb. Pain, trembling, sensation of crawling under the skin.

Attention! I remind you that in case of any problem, you can seek advice from our specialists.

A burn can lead to leg swelling. Depending on the degree of tissue damage and the cause of the burn, the swelling may last from a couple of days or longer. Sunburn is quite insidious, because it occurs imperceptibly.

If you overdo it a little with sunbathing, you can feel quite unpleasant consequences: itching, skin rashes, swelling of soft tissues as a result of fluid accumulation and stagnation.

Diseases

Swelling of the legs, or one of the limbs, may indicate a number of internal diseases. The most common problems that this symptom signals:

violation of the kidneys;
heart failure;
interruptions in the work of the thyroid gland;
hypoproteinemia - a condition in which the percentage of protein in the blood plasma is extremely low;
lymphedema;
phlebeurysm.

It is worth dwelling on the last two points in more detail, since it is they who often cause a pronounced disproportion of the lower extremities.

Lymphedema (lymphostasis)

Otherwise, this phenomenon is called "elephantiasis", which very eloquently describes the appearance of the leg in this disease. Due to edema, the relief of the muscle is smoothed out, the leg swells and takes on a resemblance to the limb of a famous African animal.

The cause of lymphedema is the accumulation of tissue fluid, which ceases to be excreted from the body naturally. At the same time, the edema does not subside after rest and the usual procedures for relieving symptoms, it only increases with time.

There are primary and secondary lymphostasis. A complex, difficult-to-treat disease is considered primary. It is called by a pathology in the work of the lymphatic system, sometimes by the complete absence of some lymph nodes.

Attention! Lymphostasis is a severe pathology. Surgical intervention, which is prescribed to a patient with such a diagnosis, does not always give a 100% result.

Secondary lymphedema is more common. This form of the disease manifests itself in violation of the outflow of lymph associated with autoimmune diseases, infections, traumatic injuries of blood vessels and tissues.

Watch a video in which the doctor talks about lymphostasis.

Sometimes the impetus for the development of elephantiasis can be the appearance of a blocking blood clot in the vessel. People suffering from varicose veins are especially susceptible to this danger.

Timely seeking medical help can save you from many problems, including disability. Don't wait for the pain to show up. The disease is much faster and easier to treat at the very beginning, when the edema area is still soft and pliable.

Varicose veins

This disease has been known since ancient times. According to statistics varicose veins every fourth inhabitant of the planet suffers from veins, most of them are women. This is due to the fact that in the female body hormonal processes proceed quite rapidly, which, together with a lack of connective tissue, lead to the development of varicose veins.

What is this disease? Dilation of the peripheral vessels, which leads to weakening of the valves that ensure the steady flow of blood and lymph up the veins back to the heart.

Remember! The slower the blood circulates, the more it stagnates in certain areas, stretching the walls of the vessels.

This leads to a deterioration in the condition: spider veins appear under the skin, legs swell.

The cause of the development of the disease most often becomes poor heredity. Factors contributing to the deterioration of this condition are:

sedentary lifestyle,
disproportionately high physical activity,
wearing uncomfortable shoes.

Varicose veins can develop unevenly, which leads to visual disproportion of the lower extremities.

Reasons for a child

A noticeable difference in the volume of the legs is often observed in children under one year old. This disproportion disappears with time. Usually, from the moment when the baby begins to walk, the difference in girth is smoothed out and ceases to be evident.

In some cases, a violation of proportions can serve as a signal of the presence of serious developmental disorders. If complex symptoms are detected, the infant should be checked for diseases such as hemiparesis, hemihypertrophy, as well as anomalies of the spinal cord.

The basis for holding comprehensive survey the presence of other obvious deviations from the norm may serve.

Why is the right leg thicker than the left

As mentioned above, the disproportion in the development of the right and left limbs is caused by natural causes. Such as: uneven distribution of the load (especially with increased body weight or active sports), natural predisposition. A slight violation of the proportions of the right and left halves of the body is inherent in most people and is not a pathology.

What to do if one limb is larger in volume

If a larger volume of one of the lower extremities is not associated with the presence of a disease and other disorders, but is a natural feature of a person, then it is not required to be treated. However, in the case when the disproportion causes significant moral discomfort, there are several useful recommendations for correcting this shortcoming.

Sports activities should take place regularly, preferably under the supervision of an experienced instructor.

With a large deviation from the norm and muscle inflexibility, the load on the “weak” limb should be increased compared to the “leading” one.

If swelling, pain, heaviness and other clinical symptoms appear, consult a doctor to determine the cause of thickening of the leg.

Useful video

The doctor tells why one-sided swelling of the legs develops.

Conclusion

A visual difference in limb development can be alarming. Sometimes it is justified, it becomes a signal of a malfunction in the body. Do not, however, panic and worry too much about a physical defect. Ideal proportions are found on our planet only in inanimate nature.

The left foot is 1 cm longer than the right foot.

This is generally what it is. or is it ok.

Well so a question to the surgeon to the orthopedist. In general, to the specialists

In general, everyone's legs are different, it's true, in millimeters, but there is a difference ..

the left foot is longer than the right one by about 1 cm, but right now she was worried about something.

put it vertically - circle your legs and compare, lying down do not look at the size of your legs. And so - a surgeon or an orthopedist should be told, let them look, perhaps just on one leg, roughly speaking, there is flat feet, but not on the other - and at this age a lot can be corrected with exercises and flow massages *

Why do we have one foot bigger than the other?

Who has it with "us", if you can be more specific.

Personally, I'm "the same", only the ears are a little "junk", but otherwise everything seems to be mirrored. In vain you with such generalizing expressions.

In general, almost all paired parts of the body are completely different for every person, in my opinion this is even scientifically proven (I read it somewhere), so don’t worry too much, today one leg is bigger, tomorrow another, I don’t see anything particularly supernatural in this! And most importantly, nothing can be done about it - evolution.

How to say. Man himself is not symmetrical. Vryatli you have the same anomaly as mine. My feet are different and you can tell right away. (One leg is 2 cm shorter than the other.) And the feet are different in width and length. Normally, I can only walk in safety shoes to order. Normal shoes for my feet are very difficult to find. I need something to hold my left leg in a shoe. (Elastic band, clasp.) Otherwise, the shoes will simply fly off the foot.

If you do not have the same anomaly, then calm down. You are simply not symmetrical, like all ordinary people.

What are the reasons that one leg has become thicker than the other?

Good afternoon I don't know how to react to this situation, so I'm writing here. The fact is that after I got a bruised knee, the leg began to increase in size. It all happened not immediately, but about 2 months after the bruise came down. First, the foot swelled, then everything gradually began to move up the limb. As a result, it turned out that my legs became completely different in thickness. I am very worried about this. After all, such a nuisance not only takes away the opportunity to wear open clothes, but also makes you seriously think about your health. Sometimes a swollen leg starts to hurt when the weather changes dramatically, which causes even more discomfort. Tell me, if one leg is thicker than the other, the reasons may be an injury or disease? Thank you in advance for your response.

Hello! If one leg is thicker than the other, the reasons may be different. But among the people, all people call this phenomenon elephantiasis. The medical name is lymphedema. Such a disease is not so common, it can be difficult to get rid of it if you do not seek help in time. Why does it occur and what to do about it?

Lymphedema is formed when a large amount of tissue fluid accumulates under the skin, which is not excreted from the body. As a result, edema develops, which over time only becomes larger in size.

There are two types of lymphedema, depending on the causes of the disease: it is primary and secondary lymphedema. Primary elephantiasis is considered the most dangerous and complex disease, which is extremely difficult to treat. It is due to the fact that some lymph nodes are completely absent or the lymphatic system does not work properly. Elephantiasis that has arisen for this reason is most often treated by surgical intervention, but even then not completely.

The secondary form of the disease is much more common and develops due to impaired lymph flow, which often occurs against the background of certain infectious and oncological diseases, as well as as a result of injuries. As for oncology, often after excision of a tumor located in the immediate vicinity of the limb, fluid begins to accumulate.

Lymphedema also often develops after a small blood clot forms in a vessel (most often a vein). The risk of such a disease in people suffering from varicose veins is increased. But if appropriate measures are taken in time, this form of lymphedema can be completely cured.

It is better to immediately go to the hospital when the first signs of this disease are detected, especially if the child has edema. There, depending on the specific cause, the doctor will prescribe the appropriate treatment. After all, it is far from always that when you press on a limb, pain is felt, which in most cases makes you see a doctor. Reversible swelling - when the tissues are still soft and depressions form when pressed - is much faster and easier to treat than irreversible lymphedema, when the tissues are already beginning to harden. Then complex painful treatment is often prescribed, which does not always give the desired result.

One foot shorter than the other

Today I tried on several pairs of shoes and it turned out - it didn’t seem! On the left foot, the shoe dangles more or even falls off, if compared with the right.

Everything would be fine, but. The child is 10 months old, gets up, walks along the support. If he takes me by the fingers and hobbles, holding hands (I know, it’s harmful, but she wants to), then she drags her left leg a little, and when she stands, then the right one is confident and everything is with her foot, and the left one can be with tucked fingers.

After the weekend we will go to the orthopedist. But for now, I would like to know what to do next and what to prepare for. To score and wait until it passes by itself? When my daughter started to get up at 6 months, she constantly stood on tiptoe, now everything is OK (well, except for the periodically tucked toes on her left foot). I believe that massage and orthopedic shoes are exclusively indicated, at home the child is always barefoot. Again my fail, it was necessary to massage the child and put on hard shoes?

One foot is bigger than the other

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In Chapter 2, we discussed typical trauma symptoms such as dissociation and avoidance. When we dissociate, in one way or another we turn off our physical organism from active participation in life. This can manifest itself in any way, the range of our sensations is wide - from insignificant discomfort to complete emotional emptiness, a feeling of disunity with the world, a feeling of unreality or fragmentation of what is happening. In order to recover from trauma, we need to understand how, without endangering ourselves, to regain our own body - in reality to feel that it is the repository of all our sensations and experiences.

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One leg is thicker than the other: the causes of the disease

The human body is asymmetrical and it often happens that one leg is thicker than the other, the reasons for which this phenomenon is observed are very diverse. If this is not a disease and the difference in the volume of the legs reaches no more than 2 cm, then you should not worry about this. In addition, in right-handers, the biceps of the right limbs are traditionally more developed. In other cases, the situation requires a thorough professional investigation and diagnostic study.

Reasons why one leg is thicker than the other

1. Increased load on one of the limbs due to injury or professional activity.

2. Numerous genetic and other diseases, which include:

uneven development of the hemispheres of the head;
spinal cord anomaly;
kidney and heart disease;
Raasel-Silver syndrome;
hemiparesis;
Klippel-Trenaunay-Weber syndrome, characterized by the presence of vascular changes;
hemihypertrophy.

3. Stagnation in the lymphatic vessels, causing primary lymphedema. Doctors distinguish between a birth defect, observed in 25% of cases, in which girls most often suffer from the disease, but over the years their condition may improve. An anomaly called Milroy's disease is hereditary and accounts for 2% of the total number of pathologies in the development of the lower extremities. The most common form of the disease is Praecox lymphedema (65%), which predominantly affects the left leg and manifests as edema and decreased lymphatic vessels. If only the right limb suffers, then soon the disease passes to the left side. Women get sick 4 times more often than men. Praecox lymphedema occurs before the age of 35. The third form of anomaly, which manifests itself after 35 years, is Tarde's lymphedema (Meige), characterized by the growth of lymphatic vessels and the appearance of edema.

A relatively rare disease is elephantiasis, which can be caused by repeated erysipelas. The first symptoms are manifested in the form of edema of the foot, ankle and different volumes of the limbs. In case of delay in treatment, proliferation of coarse fibrous connective tissue is observed.

A phlebologist or a vascular surgeon can make an accurate diagnosis for a patient, as well as prescribe an ultrasound examination of the extremities.

In case of lymph stagnation, stagnation can be eliminated only by getting rid of toxins, giving up tobacco, alcohol, chemicals and movement. Only a combination of an active lifestyle with the right food can get rid of blockage of the lymphatic vessels.

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Two legs of different sizes

The fact is that the human body is asymmetric, that is, the right side of our body is different from the left side. It is easy to verify this. If you take a closer look at your reflection in the mirror, you can see that the right side of our face is more developed than the left. The cheek on the right side protrudes a little more. The outlines of our mouth, ear and eye are more distinct on the right side than on the left. The same can be said about our entire body. Our legs vary in strength and dexterity. Inside the body is also asymmetrical. The liver is on the right side and the heart is on the left side. Therefore, the entire human skeleton is unevenly developed. And this affects the actions we perform and our gait.