A 42-year-old woman with chronic lower back pain had fallen off a horse and broken her right tibia at age 16, causing her right tibia to be shorter than her left tibia. You also diagnose side bending and rotation changes in her lumbar spine, with a radiologically-documented sacral base unleveling of ½ inch. Your patient agrees to try heel lift therapy. How much of a heel lift does she need, and on which side?

A 42-year-old woman with chronic lower back pain had fallen off a horse and broken her right tibia at age 16, causing her right tibia to be shorter than her left tibia. You also diagnose side bending and rotation changes in her lumbar spine, with a radiologically-documented sacral base unleveling of ½ inch. 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, right side
B. 3/8 inch, left side
C. 3/8 inch, right side
D. 1/6 inch, left side
E. 1/6 inch, right side


Answer: E


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Biomechanics

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