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Structural limb length inequality. It's a physical (osseous) shortening of one lower limb between the trochanter femoral major and the ankle mortise. Congenital Approximately a 1/4- to 3/8-inch heel lift can fit into the average adult shoe. If more correction is required, the patient may need an addition to the outsideOne biomechanical factor that causes low back pain is a leg length discrepancy dysfunction and can be corrected by manual methods such as massage. In many cases, a minor difference in leg length can be well tolerated or evened out by wearing a small lift in one shoe. A child with a more significant