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The management of low back pain: Short leg syndrome/postural balance

Journal: The AAO Journal Date: 1999/03, 9(1):Pages: 33-39, type of study: article

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Spring1999.pdf)

Keywords:

article [2544]
diagnosis [394]
leg length inequality [15]
low back pain [500]
postural imbalance [3]
posture [97]
short leg syndrome [3]

Abstract:

Low back pain may be the result of organic pathology or it may be purely a manifestation of somatic dysfunction. If it is due to organic pathology, the pathologic process must be diagnosed and definitively treated. Similarly, if it is purely due to somatic dysfunction, the dysfunctional mechanics must be diagnosed and definitively treated. The patient with organic pathology will most certainly have concomitant somatic dysfunction and will most always respond better to treatment if the somatic dysfunction is also treated. The somatic dysfunction in either case may be secondary to postural imbalance, from skeletal asymmetry and/ or asymmetric muscle pull. Such problems of postural balance contribute significantly to the dysfunctional component of low back pain. These mechanics must be understood to be treated. Inequity of leg length is extremely common. Of 105 members of the 1968, 1969, 1970, and 1971 classes of Chicago College of Osteopathic Medicine (CCOM) who had postural x-rays done, 58, or 55 percent had an inequity of leg length of one quarter inch or greater. The diagnosis of “short leg syndrome“ is based upon a constellation of musculoskeletal and general body symptoms, and physical findings which may be confirmed by x-ray. The following paper is intended as a logical approach to the diagnoses and treatment of postural imbalance.


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