Anoop (pronounced ‘Anoop’ like ‘Snoop’) from Miami responded to the last blog and suggested I put the conversation we’ve had that’s at the bottom of the last blog… up as another blog… so it’s a blog of a reply to a blog?…I have a feeling he’s trying to help me get more ‘air’ time? Anyway, I’ve edited it and added a bit about sex at the end because that puts you right off but leaves you wondering what it could be all about.
The trouble is I get side tracked from writing the book… and now I’ve found out that one or two Mckenzie supporters are off at me again in the depths of the CSP website… So, perhaps there’s a sensible blog piece to come soon on some recent thoughts on centralisation and how it might happen, any takers?? I tried to explain it once, but no one listened… They just say that I think that all McKenzie is extension…(well to most of the world, I’m sorry, but they do have an extension meme problem floating around…and I’ve explained that too…) .. I did one of the original UK courses with Robin McKenzie, at Royal Free Hospital in 1982..and even taught a few McKenzie courses until it stopped working for me…I liked the self management bit… Now, if they’d only read what I said and follow the reasoning..
Right now though, I really should try to be more non-confrontational, so …..back to: Sex and leg length discrepancy….
(Anoop has a website: www.exercisebiology.com. He’s an exercise physiologist and fitness/personal trainer with a strong evidence based focus in the fitness field… He writes, blogs and flogs..check him out!!)
Just heard about your blog!! I have read your articles in peak performance online on treatment of chronic pain in athletes and a couple of book chapters. In there, you write about checking the patient for leg length discrepancy, asymmetry and hamstring length and ROM. My question is what do these measures tell us about the person’s pain or tissue condition? If a person has leg length inequality, what could it tell us?
Thank you so much, Anoop…
Anoop, Can you point me to where you read this.. so I can see context…Thanks,
Here is the article: http://www.pponline.co.uk/encyc/biopsychosocial-pain-1107#ref‘. I have a lot of questions usually.
Right, I had to re-read it.
That leg length mention was almost in there by reflex I feel…have to credit my colleague, good friend and co-author Steve Robson with it perhaps? No, we both did it…together…it was his fault…
You ask about the relevance of leg-length … well it’s absolutely no big deal, and what could be done about it anyway?… Tell the patient/sportsman and make them worry about it unnecessarily?…… Tell him it’s because of an SI joint upslip or something… Sorry, not my scene – it creates fear of structure, notions of weakness in the very people who want to feel invincible….. and it’s… well, bull-s**t?
A great many patients come in and say that the chiropractor /osteo/physio told them their leg length was out… so if they say this I always check it and 90% or more of the time it’s fine… So, patient lies flat, I ask them to wiggle the hips and back and get as straight as they possibly can … I bring their legs together at the ankles, both medial malleoli hit each other exactly, I get the patient to look and … they go ‘Ah it’s OK’…and I usually say… ‘They must have fixed it….!!’.. and laugh…(if appropriate)… Or if it is slightly different… I say – ‘If we took 50 people off the street with no problems at all we’d find a large number of them had small differences like yours…. Having a leg length difference is normal and very common and is of no consequence…. Anyway I can lengthen or shorten whichever leg you want… watch’….
I shift his hip slightly to one side… and hey presto… same length… or bring both legs marginally off to one side… or push one of the legs back through the heel…. all with the effect of slightly side flexing the back/pelvis and hence shortening/lengthening the leg.
‘Hey, I can make your longer leg even longer… and your shorter leg even shorter… party trick…. show your kids… get them to watch your feet and tell them one leg’s going to grow shorter….and just subtly and very slowly pull your hip up from the pelvis/back little by little…. do it sitting with your legs stretched out on a chair….do a bit of chanting at the same time…. even turn the lights down a bit to create atmosphere…
Chiropractors charge for this flim flam and faith healers make gullible worshippers think that a miracle has happened…Check out James Randi on faith healers..(http://www.youtube.com/watch?v=wsKBP1TOdYI) ….. he shows how they do it with the help of their Lord… Swing the legs to the side and pull the shoe off a little…. maybe even surreptitiously create a fearful trance like atmosphere… and while this is going on, push the leg so the knee bends a bit too….. they’re taking the piss, making a load of money and they don’t pay any taxes… Shocking in my opinion. Randi and his group of sceptics have been exposing them and showing the public the shams that they really are for many years now. It’s unbelievable frankly.
Do Chiropractors’ really think they’re lengthening/shortening the leg?? Anyone want to be a whistleblower and afterwards go hide in an embassy somewhere???
Now, do I ever use a heel raise to correct it? If it changes processing it may be worth it!! You try going round all day with a small heel cushion in your foot… Novel eh? Go for it… but don’t make the patient leg-length obsessed… they might just go see an orthopod for an osteotomy..
Louis… (scpetic/skeptic and non believer with life spirit and annoying healing powers).
This bit is where the sex comes in… I’ve just added this, so it’s ‘new’ to the blog….
Symmetry in nature is amazingly difficult to achieve. I’d like to quote Matt Ridley, author of ‘The Red Queen: Sex and the evolution of human nature’. …. ‘It’s a well known developmental accident that animal bodies are more symmetrical if they were in good condition when growing up, and they are less symmetrical if they were stressed while growing. For example, scorpionflies develop more symmetrically when fathered by well-fed fathers that could afford to feed their wives….. Making something symmetrical is not easy… If things go wrong, the chances are it will come out asymmetrical..
Consider that most biological molecules, large as they are, twist and contort into the most fantastic shapes that are usually far from symmetrical. That we are all made of asymmetrical protein molecules makes it quite fantastic that, at least for the most part, we do end up pretty much symmetrical; it has to be an incredible biological challenge.
I know this is rather politically incorrect, (please try to stay planted at the biological level) … but have you noted how attractive symmetry is? And how unattractive asymmetry is? Don’t have a short leg and look lopsided, or walk with a sway and a dip… and if you fly it’s not pretty to have asymmetry of your wings…. you really don’t look good, no one will want your genes… Sexual evolutionary selection has worked it’s wonders to produce a strong link between good genes and good looks – and a part of that might just be symmetry! Back to Matt Ridley again and his discussion of Møller’s study of swallows tail streamers (not the ones in the UK!). Møller noted that swallows with the longest tails were the most successful at securing mates. He also noted that the longer the tails the more symmetrical they were too. ‘So Møller cut or elongated the tail feathers of certain males and at the same time enhanced or reduced the symmetry of the tails. Those with longer tails got mates sooner and reared more offspring, but within each class of length, those with enhanced symmetry did better than those with reduced symmetry…
What girls make the boys do for a good time!! But biologically it all boils down to advertising your good genes…..plus your good upbringing (well fed, stress free, and as a result, well developed)…and ultimately your fitness to sire the young lady swallow and be a good provider for the offspring. Girls go for symmetrical boys and vice versa… plus, well, what about that human stallion driving a Rolls and controlling the Formula 1 Racing Empire, or that strangely symmetrical guy who won Wimbledon..? Oh, not for you…
So the moral of the story is to put that heel raise in, it might feel really weird but you’re much more likely to score!
It works, I’ve just tried it…
Thanks for listening and sincere apologies to any who may be offended.