Short Leg Syndrome

Question 1

Anatomical/Functional leg length

Answer 1

Uneven sacral base
Innominate rotation
Vertebral sidebending/rotation

Anatomic: congenital
Functional: myofascial (somatic dysfunction)

Question 2

Sacral base

Answer 2

Lowers side of sacral base on side of short leg
Caudal vertebrae will sidebend away and rotate towards side of short leg

Lower side of sacral base opposite of spinal sidebending

Question 3

Treatment

Answer 3

Fragile patient: 1/16 every 2 weeks
Typical: ⅛ every 2 weeks
If recent or sudden leg length loss add full lift

Question 4

Pelvic side shift

Answer 4

Short leg contra
Hypertonic splash contra
Prominent greater trochanter ipsa
Inc tension IT band ipsa

Question 5

Psoas

Answer 5

Flexes thigh at hip
Type 2 somatic dysfunction at L1/L2
Pelvic shift to opposite side
Hypertonicity of contra psoas to side of psoas spasm
Sciatic nerve irritation
Sacrum: usually to side of lumbar sidebending (oblique axis)
+ Thomas test

Question 6

Type 1 muscles

Answer 6

Erector spinae
Psoas
Iliacus
Quadratus lumborum

Question 7

Type 2 muscles

Answer 7

Rotatores 
Multifidus
Interspinalis
Intertransversarii
Lavatory costae