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Back/Hip misalignment

post #1 of 10
Thread Starter 
Any ideas (besides seeing a chiropractor) for how to deal with stance imbalance brought on by scoliosis? It's not severe scoliosis, but it's enough to throw me off when in ski boots.

Basically, when my knees are centered to the boot, and my pronation corrected, my hips sit much more over my right boot than my left, putting most of my weight on the right boot. I'd say I'm an inch or two off horizontally (and of course the hip tilt gets kind of odd too).

As the bootfitter told me today, I look "like a comma". His plan is to center my lower legs/knees to the boots as far as I can tell (boots are on order so no work done yet).

Any suggestions on how to deal with it? Put my right knee aligned inside instead of centered to try to help correct? Just live with it?
post #2 of 10
Have you tried correcting for leg length discrepancy?

post #3 of 10
Thread Starter 
Haven't looked at that yet (my boots haven't actually been fitted, they're on order)- last time I checked my left leg was slightly longer than my right, would correcting that push my hips back straight? The only concern is that since my back itself isn't exactly straight, it might throw off my balance up at my shoulders.

Gotta love scoliosis...
post #4 of 10
You need to sort out how much of your leg length difference is true (bone length) vs. acquired (scoliosis). IMO, you shouldn't shim for an acquired leg length difference, but it does make sense to correct 1/2 to 2/3 of a true leg length discrepancy. Have someone knowledgeable measure your legs. An xray is not necessary, just good clinical skills.

You may also want to see someone re. 'unwinding' you in terms of soft tissue/muscle imbalances. Chiro is good for short term adjustments, but IMO should be used in conjunction with physio/stretching/strengthening to make a functional impact on asymmetry.
post #5 of 10
I would probably have treated an acquired leg length discrepancy similarly to a true bone length discrepancy. But will assume that in this case you are correct.

Would you mind explaining further?

post #6 of 10
jdistefa has it nailed,

a good physio or sprts therapist should be able to give you a program to help you stabilize the core muscles and maintain a better position, the chiro is all very well but if you do not maintain the position it will not last long at do need to sort out the LLD first

good luck
post #7 of 10
Originally Posted by Lou Rosenfeld View Post
I would probably have treated an acquired leg length discrepancy similarly to a true bone length discrepancy. But will assume that in this case you are correct.

Would you mind explaining further?


I would prefer to sort out whether there is a correctable problem (top down: back, pelvis, hip) with an acquired LLD before shimming. Once any practical measures have been taken to unwind the person (adjustment, physio, stretching, strengthening, change in recruitment/motor patterns) then I would shim what's left by 1/2. IMO shimming before correcting the underlying problem just 'encourages' it.

I know I don't fit the volume of people that you do - but one thing I try to do is measure leg lengths on everyone. If they're within 0.5cm that's ok. Beyond 1cm I always suggest a shim. In between I usually waffle based on how symmetrical their canting is.
post #8 of 10
Is that a Belgian waffle? or a Canadian waffle?
post #9 of 10
Waffle this.
post #10 of 10
Thread Starter 
Lego my... legos!

I had my dad (an orthopedic surgeon spec. in sports medicine - can't tell you how handy THAT'S been!) check my leg length while home for Turkeyday, and my legs are within a few mm (unweighted).

Had the boots fitted yesterday (Thanks Brian E. at skicenter DC!) and ended up canting the right boot in .5 degrees more than a strict knee alignment would suggest. We played around with it a bit, and that's where I ended up most comfortable overall for stance. It's amazing what a huge change .5 degrees is - was very noticeable in my weight balance and body alignment.

Also got a series of stretches and exercises from my dad to hopefully break up some of the steel-rope muscle stuff in my back and get a bit more centered, and will probably do a pt massage visit to get it started loosening up.

Thanks for all the advice, enjoy the waffles.
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