We've been seeing a spate of patients complaining of hip pain, sometimes with pain or abnormal sensations running down the legs and with hypertonic glut muscles all frustrated with their current care. The last patient we had in had been MRI'd twice for her pain and was eventually sent to a physio as the last gasp attempt to do something, anything. Yet, her leg length difference was signifcant and really obvious, and no one had thought to comment on this and wonder if leg length inequality (LLI) was a possible source of her problem.
I found this on the web by an Italian, AUGUSTO MANGANIELLO, MD, University Teacher in Radiology Via Savonarola 175. He said: "During growth, LLI, even of the order of just a few mm (Fig.1), can cause a tilt of the pelvis and consequently lateral deviation of the spine and head. The postural response, aimed at re-establishing equilibrium, is a compensatory counterdeviation of the spine." So it could just be that LLI caused by sacroiliac joint dysfunctyion may be part of the idiopathic scoliosis problem in school aged kids. I'll look into further but it'll be aggravating if so much pain could be avoided by a few sacroillac joint adjustments after falling off the swings.
