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Leg Length Inequality Is Checked at Paulette Hugulet, DC, LLC for its Effect on Back, Hip and Knee Pain

Leg length inequality is everywhere. Leg length inequality has an effect on joints in the spine, hip and knee. Knee, hip and back pain may develop. The La Grande chiropractic examination at Paulette Hugulet, DC, LLC includes a test for leg length inequality and, depending on the discrepancy, the La Grande chiropractic treatment plan will address it with a heel lift to potentially avoid issues like hip joint arthritic degeneration, knee and back pain.


No one talks about having a shorter leg than the other. It is not a typical conversation starter! But 90% of us has an inequality of greater than 1 cm! Only 10% of us has precisely equal leg lengths. Just 10%! Leg length inequality equalizes us all.

  • Hip and knee issues emerge in more patients who have leg length differences over 5 mm.
  • Hip issues typically occur in the long leg side. Knee issues tend to be more typical in either leg – shorter or longer.
  • Low back issues appear more commonly on the short leg side.
Researchers recently reviewed many published articleswritten on leg length inequality and  report that the majority of papers find differences of more than 2 cm are a problem while variations of just 5 mm can preempt long-term issues. (1) With these facts in mind, Paulette Hugulet, DC, LLC finds it important to address leg length discrepancies to avoid painful issues as much as possible.


Want to prevent hip joint arthritic degeneration? Young and old alike will want to take note of this. In people with a short leg, the contact forces in the joints in the short leg rose as the leg length difference rose. The greater the difference, the greater the contact forces in the short leg. Why does this matter? These forces wear on the hip joint the most as the leg length difference increases. (2) The older of us will want to prevent further irritation, and the younger of us will want to prevent long-term exposure to irritation and future joint degeneration. A short leg bothers our joints.


Chiropractors like yours at Paulette Hugulet, DC, LLC know short legs affect knees, backs and hips. We were trained in chiropractic school to notice important issues like leg length inequality and address them. Chiropractors notice that correction of leg length difference of 5 mm or more is positive. The aim is to have no more than a 3 mm difference in leg length, and heel lifts can correct up to 9 mm difference, but a 10 mm or more requires a shoe build-up of the full difference under the heel and half the difference under the sole. (1) Chiropractic education has always included the diagnosis and treatment of short leg differences. It’s important that to know that an xray Is not required to establish and correct short leg syndrome. Using “pelvic leveling,” your La Grande chiropractor can do it for you.  Get this important anatomical factor for good spinal and general health measured by your chiropractor so proper correction can be attained. Remember, chiropractors like yours at Paulette Hugulet, DC, LLC see more than the general percent of persons with short leg because it causes spine pain. Paulette Hugulet, DC, LLC sees and treats lots of spine pain! Consequently, by correcting short leg difference in younger years of life, we can prevent degenerative conditions of the spine and extremities that cause pain and disability in middle age and beyond.

CONTACT Paulette Hugulet, DC, LLC

Check out podcasts of patient cases and conditions on The Back Doctors Podcast with Dr. Michael Johnson to hear how effectively Cox® Technic addresses back pain and brings relief for a multitude of spine-related pain conditions.

Schedule your La Grande chiropractic appointment. Paulette Hugulet, DC, LLC will welcome you as a member of the 90%-of-people-have-a-short leg group…or not! Rely on Paulette Hugulet, DC, LLC to help you with all your spine issues!

Paulette Hugulet, DC, LLC tests for leg length inequality as it is related to back, hip and knee pain issues. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."