My apologies for the late response. My initial post was in relation to the following patient:
Patient referred to me for back pain approx. 12/12, I noticed big LLD at least 2cm (previously undiagnosed) and I provided a raise to equate for this.
Patient attends for review a number of weeks later, still has back pain but no longer requires medication for ADHD... yes I know, your sceptical. Patient unequivocally states the symptoms subsided the moment he initially wore the raise. He seemed so genuine, so I investigated and found little info
I reviewed again, this time he tells me his nephew has/had ADHD and was prescribed a raise for another problem he had and guess what happened? ADHD no longer a problem. At this point I asked one of my colleagues (Dr Sarah Reel) if she could search literature to investigate whether there be possible correlation between LLD and ADHD. This was her response:
I’ve had a dig around regarding ADHD/leg length inequality. It doesn’t look like anyone’s researched into this although the links below suggest there may well be a correlation. I think it might be worth pursuing.
(see bottom of page 2)
This is an interesting case study that tests a chiropractic method called Torque release technique. It seems to have a positive effect on the symptoms of ADHD. There are 4 cases detailed and leg length discrepancy is measured. A chart of Case 4’s results is detailed on page 23. Leg length discrepancy was measured in mm but doesn’t describe the method used. However it seems before treatment the discrepancy was 9mm and after it was 5mm – quite a difference! But the treatment concentrates on the spine and seems to level the whole body:
‘Total postural deviation improved from 34 degrees pre-care to 8 degrees post-care: Of note were
improvements in shoulder protraction, unlevelling and list of head/neck, and unlevelling of hips,
knees and ankles.’ Page 11 (Case 4)
(This is what’s being achieved with your heel wedges.)
causes leg length discrepancy and 33% have ADHD
5) http://www.unboundmedicine.com/medli...case_serie s_
Might be a good one to order from the library. Abstract hints that postural realignment is beneficial.
If you/we were to go ahead with this, the first thing would be to do a comprehensive lit search, then grab some ADHD volunteers from GP lists, CAMHS professional or specialist paediatrician. There would be 2 arms to the study: 1) Determine frequency of leg length discrepancy in ADHD sample and 2) Measure efficacy of intervention (heel raise).
I would love to have a go at this and find out about funding etc. What do you think?
Since the email we have enquired about funding from but we have been told we need more evidence to suggest a link, which is obviously very difficult. Hence that's why I asked the question. I would be interested to hear your thoughts.