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Best Exercises for Leg Length Discrepancy

Reviewed by Dan Brennan, MD on November 30, 2020

Some people are born with one leg longer than the other. In other cases, injury or illness causes a discrepancy in leg length that may progress over time. This isn't necessarily something to worry about, as a little variation is normal and likely won't lead to any health issues. 

However, greater variations can be cause for concern. People with a leg length difference of 2 centimeters or more have a greater risk for developing osteoarthritis — a form of arthritis characterized by the breaking down of cartilage in joints — in their hip or knee, which can lead to loss of movement in affected joints and other conditions. 

Certain exercises and stretches may help minimize leg length discrepancy and ease any related symptoms. As with most forms of exercise, you should begin slowly and increase power only if it’s comfortable for your body to do so.

Exercises to Help Leg Length Discrepancy

Side Kicks

High-impact exercises can cause physical strain, which isn't always a bad thing. Physical force can cause micro strains on your bones, which results in incremental changes in bone mass and length — especially if the exercise is repeated over time. 

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One exercise that can put this kind of strain on your affected leg bones is side kicking into the air. To get the most out of this exercise, do multiple sets daily. If you want to increase the overall impact, slightly raise the height of your kicks. To decrease the impact, lower your leg height. 

Step 1: Stand with your back straight and your feet shoulder length apart. Bend your arms and put your hands into fists, and then hold them in a defensive position near your chest.

Step 2: Lean your body weight onto your longer leg. While taking a deep breath in, bend and lift your shorter leg until it’s at the same length as your hip. Keep your foot pointed straight ahead. 

Step 3: While breathing out, kick your bent leg out and to the side of your body, so that your leg becomes fully flexed and your foot is still at the same height. 

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Step 4: Return to your initial position, and repeat. 

Quadriceps Lifts With Walker

People with hip dysplasia who undergo total hip arthroplasty (hip replacement surgery) are at higher risk for developing leg length discrepancy. This research-backed exercise is intended for people who have recently had this procedure and are currently in recovery. You will need a walker. 

Step 1: Stand upright to ensure your back is straight. 

Step 2: Move the walker one step ahead of your body. 

Step 3: Raise the leg on your non-operative side until your knee is flexed at a 90-degree angle. Hold this position for three seconds, and then put your foot back to the floor. 

Step 4: Move the walker another step ahead and repeat with the leg on your operative side. 

Step 5: For best results, repeat this cycle 20 to 30 times, three to six times daily during your recovery period. 

Hamstring Stretch

Non-surgical interventions for leg length discrepancy sometimes involve stretching the muscles in the lower half of your body, such as:

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To lengthen your hamstrings, you can do the following stretching exercise

Step 1: Lie down on the floor with your back to the ground.

Step 2: Leave the longer leg on the ground and put your shorter leg up against a wall, keeping the leg elongated and not bent at the knee. You should be close enough to the wall that you feel a stretch in the back of your raised leg.

Step 3: Hold this position for 30 seconds and then repeat the stretch three times, three days a week. 

Safety Considerations

When doing these exercises, you should feel a gentle stretch or comfortable tension, but not discomfort or pain. If any of them cause pain, make accommodations by reducing the number of repetitions you do or lowering your intensity. 

Be sure to reach out to your doctor if you experience any negative side effects after completing these exercises. 

WebMD Medical Reference

Sources

SOURCES: 

Arthritis and Rheumatology: "Brief Report: Leg Length Inequality and Hip Osteoarthritis in the Multicenter Osteoarthritis Study and the Osteoarthritis Initiative."

European Cells and Materials: "Mechanical Loading and How It Affects Bone Cells: The Role of the Osteocyte Cytoskeleton in Maintaining Our Skeleton."

International Research Journal of Engineering, IT & Scientific Research: “Relationship between length of leg and strength of leg muscle to frequency of straight kicks.”

Journal of Athletic Training: "Standing and Supine Hamstring Stretching Are Equally Effective."

Journal of International Medical Research: “Post-THA gait training to improve pelvic obliquity and decrease leg length discrepancy in DDH patients: a retrospective study.”

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