The Myth of Uneven Leg Length

The Myth of Uneven Leg Length

Doctors and chiropractors like to tell people that they have one leg longer than the other, and that it is the cause of their back, hip, or knee pain. The truth is that while it is certainly possible to have one leg longer than the other, the odds of your leg length discrepancy being significant enough to cause you pain are extremely small.

When doctors and chiropractors diagnose you with leg length discrepancy, most often it is because you are hiking one hip up higher than the other. That’s right—it’s not the length of your leg bones that is causing your uneven leg length. It’s most likely the muscles in your waist and hips.

Most of us have a dominant side of our body, and we use that side in different ways than we do our non-dominant side. For example, I’m right-handed, and when I was a ballet dancer I practiced movements more often on my right side than on my left. I also had the habit of standing with all my weight on my left leg.

In photos of me as a teenager you can see my right hip hiked up higher than my left, and this posture stayed with me into adulthood. I remember stepping on and wearing away the bottom hem on the left leg of my pants, while the right hem stayed perfect. If I had ever sought out a diagnosis, undoubtedly the answer would have been uneven leg length.

When I began training in Clinical Somatic Education and learned how to release the chronic tightness in my obliques (the muscles on the sides of the waist that hike up the hips) my hips evened out, and all of a sudden my legs were miraculously the same length. The pain in my left hip went away too!

The underlying cause of uneven leg length

So, how and why do our waist and hip muscles become tight enough to cause uneven leg length? And why does it happen to some people and not others?

The movement and level of contraction in our muscles is controlled by our nervous system. The way that our muscles move, and how much we keep them contracted, is actually learned by our nervous system.

Our nervous system learns certain ways of using our muscles based on how we choose to stand and move each and every day. Over time, our nervous system learns the postures and movements that we tend to repeat, and it gradually makes these postures and movements automatic so that we don’t have to consciously think about them.

This learning process—that of developing what we know as muscle memory—allows us to go through the activities in our daily lives easily and efficiently. Unfortunately, if we tend to repeat unnatural postures or movements (like practicing my dance moves on my right side, and standing with all my weight on my left leg) our nervous system will learn those too. Our automatic muscular learning process doesn’t discern what is good or bad for us—it just notices what we tend to repeat, and makes it automatic.

So, what should you do if you have uneven leg length?

If you have uneven leg length, you can use Clinical Somatics exercises to retrain your nervous system to release the muscles in your waist and hips. Clinical Somatic Education uses a movement technique called pandiculation to release chronic, learned muscular tension and bring muscles back into voluntary control. You can learn Clinical Somatics exercises in lessons or group classes with a certified educator or on your own at home.

If you’d like to learn Clinical Somatics exercises at home, you can register for the Level One Course or download the class series Clinical Somatics for Uneven Leg Length.

If you’ve been diagnosed with scoliosis, you can register for Clinical Somatics for Scoliosis.

Click here to learn how you can get the most out of practicing Clinical Somatics Exercises.

Want to start at the beginning and learn the basics of Clinical Somatic Education? Click here.

Recommended reading:

Why We’re in Pain: Why chronic musculoskeletal pain occurs–and how it can be prevented, alleviated and eliminated with Clinical Somatic Education by Sarah St. Pierre, CSE

Somatics: Reawakening the Mind’s Control of Movement, Flexibility and Health by Thomas Hanna

About the Author:

Sarah Warren St. Pierre is a Certified Clinical Somatic Educator and owner of Somatic Movement Center. She has helped people with conditions such as chronic back pain, neck and shoulder pain, hip and knee pain, sciatica, and scoliosis become pain-free by practicing Thomas Hanna's method of Clinical Somatic Education. St. Pierre is the author of the book Why We're in Pain, which explains the science behind why learned muscular patterns lead to chronic pain and degeneration.