A 40-year-old woman with chronic lower back pain had fallen off a ladder and broken her left tibia at age 15. Her left tibia healed, such that it was longer than her right tibia. You also diagnose side bending and rotation changes in her lumbar spine, with a radiologically-documented sacral base unleveling of ¾inch. Your patient agrees to try heel lift therapy. How much of a heel lift does she need, and on which side?

A 40-year-old woman with chronic lower back pain had fallen off a ladder and broken her left tibia at age 15. Her left tibia healed, such that it was longer than her right tibia. You also diagnose side bending and rotation changes in her lumbar spine, with a radiologically-documented sacral base unleveling of ¾inch. Your patient agrees to try heel lift therapy. How much of a heel lift does she need, and on which side?



A. 3/4 inch, left side
B. 3/8 inch, left side
C. 3/8 inch, right side
D. 1/4 inch, right side
E. 1/4 inch, left side


Answer: D


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Biomechanics

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