Short Leg Syndrome Treatment

Written by Dr. Steve Chaney on . Posted in short leg syndrome treatment

Is It Caused By Muscle Tension or Bone Length?

 

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

Short Leg Syndrome is a condition where one leg is shorter than the other. This leg length discrepancy frequently causes a long list of aches and pains from the neck to the feet. However, is your leg actually shorter, or is it just pulled up into your pelvis and appearing to be shorter?

You need to have x-rays and measure the bones to prove that they are different lengths. If the bones prove to be the same length, then muscles are the cause and you can use the short leg syndrome treatment we will discuss  here.

I received a message from a concerned father about his son, a dedicated teenage athlete.  His son plays sports despite the pain in his tight hamstrings and having short leg syndrome. His message read:

My son has been suffering from tight hamstrings from the age of about 12. He played on regardless as he was an exceptional player and the team needed him. He was told by a physician to do stretching for his hamstrings, but it has persisted. We have noticed that one leg is shorter. He now plays football and does boxing and is very fit, but he is suffering very tight and sore hamstrings. The pain is lower on left and high near to the Gluteus Maximus on the right leg.

Why Muscles Can Cause Short Leg Syndrome

muscles can cause short leg syndromeShort leg syndrome commonly happens when the muscles that insert into the top of the thigh bone (femur) become tight. When the muscles go into a spasm (knot) or a contraction (shorten) they pull UP on the bone.

In the case of the psoas and iliacus muscles, they will be pulling the thigh bone up toward the pelvis.

The tension in these two muscles not only cause short leg syndrome but a list of other conditions.  You may also have a pelvis rotation which causes overstretched hamstrings, sciatica, groin pain, knee pain, and low back pain.

It gets complicated because the pelvis rotation causes one of the thigh muscles to shorten pulling your pelvis DOWN in the front. While all this is happening, your thigh bone is being pulled UP, giving the symptoms of short leg syndrome.

Meanwhile, muscles in the back of your body are having to compensate for the pelvis rotation. Which brings me to the gluteus maximus, the thick and strong muscle of your butt.  This muscle also inserts into the top of your thigh bone. When the gluteus maximus is tight, it pulls up on the thigh bone, drawing it toward your pelvis. gluteus maximusAnother cause for the appearance of short leg syndrome.

The three gluteal muscles all insert into the top of your thigh bone and pull it up toward the pelvis.

This action is required in order to walk. However, when any of the muscles are in spasm, they pull your thigh bone toward the pelvis.

The last muscle we’ll discuss that causes the symptoms of short leg syndrome is the tensor fascia lata. This muscle goes from the outside of your pelvis and inserts into the top of your thigh bone. The tendon, called the iliotibial band (ITB), continues down and inserts into the outside of your knee.

Since the tensor fascia lata inserts into the top of your thigh bone it can cause short leg syndrome.

tensor fascia lataThe tensor fascia lata muscle merges into your ITB and inserts into your knee. When it is shortened by a spasm, you will feel tight along the outside of your thigh. Many people complain about a tight ITB and rub their leg, but it’s really the tensor fascia lata muscle that is in spasm.

Your tensor fascia lata muscle needs to be released to stop knee pain, hip pain, and short leg syndrome.

Are The Hamstrings Involved In Short Leg Syndrome?

short leg syndrome treatment hamstringsNo, not really.   Although, the pelvis rotation is involved in hamstring pain.  As your pelvis is going down in the front and up in the back, it will cause your hamstrings to overstretch.

It is easy to imagine what would happen if the hamstrings were being overstretched. Pain is felt at the top of the muscle, along the bone, and also behind the knee.

Stretching or treating the spasms that are common in hamstrings, would be a potential cause for further injury.

The hamstrings should always be treated last to prevent the muscle fibers from stretching further.

 Short Leg Syndrome Treatment Made Easy

As I mentioned, there are many muscles involved in short leg syndrome treatment. For the sake of time and length, this blog will only support one treatment. However, this treatment is important and it will give benefits to other problems, including short leg syndrome.

pain free living book for saleAn easy self-treatment is to lie on a ball. You can also do this standing up and leaning into a wall.

In my book, Treat Yourself to Pain Free Living, I teach how to treat all the muscles involved in short leg syndrome.

Short leg syndrome is a term to describe the problem, but the source of the pain is often overlooked.  It will benefit you to explore the muscle involvement before you opt for expensive orthotics or medical treatments.

julie donnellyWishing you well,

Julie Donnelly

 

 

About The Author

Julie Donnelly is a Deep Muscle Massage Therapist with 20 years of experience specializing in the treatment of chronic joint pain and sports injuries. She has worked extensively with elite athletes and patients who have been unsuccessful at finding relief through the more conventional therapies.

She has been widely published, both on – and off – line, in magazines, newsletters, and newspapers around the country. She is also often chosen to speak at national conventions, medical schools, and health facilities nationwide.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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Comments (1)

  • Denis Becker

    |

    My chiroppractor always checks for a short leg. He does atlas orthogonal chiro which looks first at the position of the atlas vertabra which supports the head. If that bone is not correct, the whole spinal system has to compensate with a tipped hip and one leg appearing shorter. Treatment is unbelievable gentle, no jerking or twisting, and relief is usually instantaneous or has been in my cases. Following treatment he pchecks leg length again to verify his success. I have enjoyed Julie’s articles and would certainly seek treatment from her if closer and am certain she would be greatly interested in this type of treatment too. The concept warrants more investigation and maybe a health talks article.

    His website is drsaggau.com then service for details of OA concepts

    Thanks for your good work. The articles you send out are phenomenal.

    Reply

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Latest Article

Do Omega-3s Lower Blood Pressure in Young, Healthy Adults?

Posted August 14, 2018 by Dr. Steve Chaney

What Is The Omega-3 Index And Why Is It Important?

Author: Dr. Stephen Chaney

 

Do omega-3s lower blood pressure in healthy adults?

omega-3s lower blood pressure young adultsThe literature on the potential health benefits of omega-3s is very confusing. That’s because a lot of bad studies have been published. Many of them never determined the omega-3 status of their subjects prior to omega-3 supplementation. Others relied on dietary recalls of fish consumption, which can be inaccurate.

Fortunately, a much more accurate measure of omega-3 status has been developed and validated in recent years. It’s called the Omega-3 Index. Simply put, the Omega-3 Index is the percentage of EPA and DHA compared to 26 other fatty acids found in cellular membranes. Using modern technology, it can be determined from a single finger prick blood sample. It is a very accurate reflection of omega-3 intake relative to other fats in the diet over the past few months. More importantly, it is a measure of the omega-3 content of your cell membranes, which is a direct measure of your omega-3 nutritional status.

A recent extension of the Framingham Heart Study reported that participants with an Omega-3 Index >6.8% had a 39% lower risk of cardiovascular disease than those with an Omega-3 Index <4.2% (WS Harris et al, Journal of Clinical Lipidology, 12: 718-724, 2018 ). Although more work needs to be done, an Omega-3 Index of 4% or less is generally considered indicative of high cardiovascular risk, while 8% or better is considered indicative of low cardiovascular risk. For reference, the average American has an Omega-3 Index in the 4-5% range. In Japan, where fish consumption is much higher and cardiovascular risk much lower, the Omega-3 Index is in the 9-11% range.

Previous studies have suggested that omega-3 fatty acids lower blood pressure to a modest extent. Thus, it is not surprising that more recent studies have shown an inverse correlation between Omega-3 Index and blood pressure. However, those studies have been done with older populations, many of whom had already developed high blood pressure.

From a public health point of view, it is much more interesting to investigate whether it might be possible to prevent high blood pressure in older adults by optimizing omega-3 intake in a young, healthy population, most of whom had not yet developed high blood pressure. Unfortunately, there were no studies looking at that population. The current study was designed to fill that gap.

 

How Was The Study Done?

omega-3s lower blood pressure young healthy adultsThe current study (M.G. Filipovic et al, Journal of Hypertension, 36: 1548-1554, 2018 ) was based on data collected from 2036 healthy adults, aged 25-41, from Liechtenstein. They were participants in the GAPP (Genetic and Phenotypic Determinants of Blood Pressure) study. Participants were excluded from the study if they had been diagnosed with high blood pressure and were taking medication to lower their blood pressure. They were also excluded if they had heart disease, chronic kidney disease, other severe illnesses, obesity, sleep apnea, or daily use of non-steroidal anti-inflammatory medications.

Blood samples were collected at the time of their enrollment in the study and frozen for subsequent determination of Omega-3 Index. Blood pressure was also measured at their time of enrollment in two different ways. The first was a standard blood pressure measurement in a doctor’s office.

For the second measurement they were given a wearable blood pressure monitor that recorded their blood pressure over 24 hours every 15 minutes during the day and every 30 minutes while they were sleeping. This is considered more accurate than a resting blood pressure measurement in a doctor’s office because it records the variation in blood pressure, while you are sleeping, while you are exercising, and while you go about your everyday activities.

 

Do Omega-3s Lower Blood Pressure In Young, Healthy Adults?

omega-3s lower blood pressure young adults equipmentNone of the participants in the study had significantly elevated blood pressure. The mean systolic and diastolic office blood pressures were 120±13 and 78±9 respectively. The average Omega-3 Index in this population was 4.6%, which is similar to the average Omega-3 Index in the United States.

When they compared the group with the highest Omega-3 Index (average = 5.8%) with the group with the lowest Omega-3 Index (average = 4.6%):

  • The office measurement of systolic and diastolic blood pressure was decreased by 3.3% and 2.6% respectively
  • While those numbers appear small, the differences were highly significant.
  • The 24-hour blood pressure measurements showed a similar decrease.
  • Blood pressure measurements decreased linearly with increasing Omega-3 Index. [In studies of this kind, a linear dose-response is considered an internal validation of the differences observed between the group with the highest Omega-3 Index and the group with the lowest Omega-3 Index.]

The authors concluded: “A higher Omega-3 Index is associated with statistically significant, clinically relevant, lower systolic and diastolic blood pressure in normotensive, young and healthy individuals. Diets rich omega-3 fatty acids may be a strategy for primary prevention of hypertension.”

 

What Does This Mean For You?

omega-3s lower blood pressure young adults questionPerhaps I should first comment on the significance of the relatively small decrease in blood pressure observed in this study.

  • These were young adults, all of whom had normal or near normal blood pressure.
  • The difference in Omega-3 Index was rather small (5.8% to 4.6%). None of the participants in the study were at the 8% or above that is considered optimal.
  • Liechtenstein is a small country located between Switzerland and Spain. Fish consumption is low and omega-3 supplement consumption is rare.

Under these conditions, even a small, but statistically significant, decrease in blood pressure is remarkable.

We should think of this study as the start of the investigation of the relationship between omega-3 status and blood pressure. Its weakness is that it only shows an association between high Omega-3 Index and low blood pressure. It does not prove cause and effect.

Its strength is that it is consistent with many other studies showing omega-3 fatty acids lower blood pressure. Furthermore, it suggests that the effect of omega-3s on blood pressure may also be seen in young, healthy adults who have not yet developed high blood pressure.

Finally, the authors suggested that a diet rich in omega-3s might reduce the incidence of high blood pressure by slowing the age-related increase in blood pressure that most Americans experience. This idea is logical, but speculative at present.

However, the GAPP study is designed to provide the answer to that question. It is a long-term study with follow-up examinations scheduled every 3-5 years. It will be interesting to see whether the author’s prediction holds true, and a higher Omega-3 Index is associated with a slower increase in blood pressure as the participants age.

 

Why Is The Omega-3 Index Important?

 

The authors of this study said: “The Omega-3 Index is very robust to short-term intake of omega-3 fatty acids and reliably reflects an individual’s long-term omega-3 status and tissue omega-3 content. Therefore, the Omega-3 Index has the potential to become a cardiovascular risk factor as much as the HbA1c is for people with diabetes…” That is a bit of an overstatement. HbA1c is a measure of disease progression for diabetes because it is a direct measure of blood sugar control.

In contrast, Omega-3 Index is merely a risk factor for cardiovascular disease. However, if it is further validated by future studies, it is likely to be as important for predicting cardiovascular risk as are cholesterol levels and markers of inflammation.

However, to me the most important role of Omega-3 Index is in the design of future clinical studies. If anyone really wants to determine whether omega-3 supplementation reduces cardiovascular risk, high blood pressure, diabetes or any other health outcome they should:

  • Start with a population group with an Omega-3 Index in the deficient (4-5%) range.
  • Supplement with omega-3 fatty acids in a double blind, placebo-controlled manner.
  • Show that supplementation brought participants up to an optimal Omega-3 Index of 8% or greater.
  • Look at health outcomes such as heart attacks, cardiovascular deaths, hypertension, stroke, or depression.
  • Continue the study long enough for the beneficial effects of omega-3 supplementation to be measurable. For cardiovascular outcomes the American Heart Association has stated that at least two years are required to obtain meaningful results.

These are the kind of experiments that will be required to give definitive, reproducible results and resolve the confusion about the health effects of omega-3 fatty acids.

 

The Bottom Line

 

An accurate measure of omega-3 status has been developed and validated in recent years. It’s called the Omega-3 Index. Simply put, the Omega-3 Index is the percentage of EPA and DHA compared to 26 other fatty acids found in cellular membranes.

Although more work needs to be done, an Omega-3 Index of 4% or less is generally considered indicative of high cardiovascular risk while 8% or better is considered indicative of low cardiovascular risk.

Previous studies have shown an inverse correlation between Omega-3 Index and blood pressure. However, these studies have been done with older populations, many of whom had already developed high blood pressure.

From a public health point of view, it is much more interesting to investigate whether it might be possible to prevent high blood pressure in older adults by optimizing omega-3 intake in a young, healthy population, most of whom had not yet developed high blood pressure. Until now, there have been no studies looking at that population.

The study described in this article was designed to fill that gap. The participants in this study were ages 25-41, were healthy, and none of them had elevated blood pressure.

When the group with the highest Omega-3 Index (average = 5.8%) was compared with the group with the lowest Omega-3 Index (average = 4.6%):

  • Both systolic and diastolic blood pressure were decreased
  • Blood pressure measurements decreased linearly with increasing Omega-3 Index.

The authors concluded: “A higher Omega-3 Index is associated with statistically significant, clinically relevant, lower systolic and diastolic blood pressure in normotensive, young and healthy individuals. Diets rich omega-3 fatty acids may be a strategy for primary prevention of hypertension.”

Let me translate that last sentence into plain English for you. The authors were saying that optimizing omega-3 intake in young adults may slow the age-related increase in blood pressure and reduce the risk of them developing high blood pressure as they age. This may begin to answer the question “Do omega-3s lower blood pressure in young, healthy adults?”

Or even more simply put: Aging is inevitable. Becoming unhealthy is not.

For more details, read the article above.

 

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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