Leg Length Discrepancy and Low Back Pain: Causation, Measurement, and IME Analysis
Leg length discrepancy is frequently raised in orthopedic, chiropractic, Physical Therapy, occupational medicine, and independent medical examination settings. A claimant may allege that unequal leg length caused chronic low back pain, sacroiliac pain, pelvic tilt, lumbar facet arthropathy, or degenerative disc disease. Another examiner may find pain with lumbar extension, identify L4-5 facet changes, and attribute the pain to leg length discrepancy.