The Importance of Heel Lifts

Some times when I take an x-ray of a patient in the low back region there will be a difference in their leg lengths. This difference may be because they had a broken ankle as a child and it affect the growth plate in the ankle or it may be do to an unknown reason. The difference in leg length can range from 1 or 2mm to 12 mm. When the difference is 5 mm or more I will recommend that patients get a heel lift for their shoe. The reason why is because you want to have a level pelvis which is the base for the spine if the pelvis and sacrum are tilted much the can through of everything above the sacrum. Often times when I see a persons low back x-ray there will be significant tilting and rotating if the vertebrae which plays a large part in why they are hurting. By putting in the heel lifts and leveling out the pelvis that will help in relieving their back pain. In fact if that is not taken care of there is a good chance it will reoccur over and over again. It is also important to gradually increase the height of the heel lift. So if a person has a 12 mm height difference you first start with a 3 mm then 5 mm then 7 mm then 9 mm then 12 mm lift. You would use each lift for approximately 1 month and then move to the next higher one. The reason why you do it this way is because it will take time for the body to become use to each change. If you just put in the 12 mm then that could create problems on its own because the body is not use to the new height. The use of heel lifts can clear up many of the problems people have because of low back pain.

Dr. Kip Rode

How To Increase Your Sense of Balance

As people get older they lose their sense of balance.  This is why they fall down more frequently. Combine that with lower bone density can lead to fractures and hospitalization. One of the things that can be used to delay this is to challenge yourself daily to increase you proprioceptive capabilities. A simple thing that can be done is that when sitting and watching television at night you can roll your feet over a tennis ball or golf ball.  Normally people wear shoes all day long so the bottom of their feet don’t get much sensory input. By sitting down and rolling your feet over the ball you increase the signals that the feet receive.  Doing exercises that strengthen or stretch your ankles can also be helpful.  A rocker board can help with increasing your ankle strength.  A rocker board is is very simple to create.  You get a small board and cut a tennis ball in half.  You then glue the half of a tennis ball to the bottom of the board.  You can then sit down and place your feet on the board and do motions back and forth and side to side.  These exercises  increase the sense of proprioception in your body joints. Chiropractic adjustments to the feet can also help the proprioception in the feet.  Sometimes the bones in the  feet can be misaligned and adjustments can help realign them.

Dr. Kip Rode