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One hip higher than the other(9 posts)

One hip higher than the otherPaulCL
Jul 10, 2001 11:28 AM
Which has led to hip pain in the "lower" hip. I have noticed the pain this year becuase I have double my average weekly mileage - hence an "overuse" injury of the hip (inflammed bursae). My question: I was thinking about using shims between my cleats and shoes on the "lower" side. A good idea?? What do I use for shims?
Maybe different crankarm lengths?RhodyRider
Jul 10, 2001 12:20 PM
I have a similar issue with differing leg lengths, although mine has (thankfully) not caused any discomfort so far. I have considered employing two different crank arm lengths i.e. 172.5 mm on one side and 175 mm on the other. If my math is correct, this would equate to a difference of about 0.10 inch. Is that enough to compensate for your hip height difference? This leads to other questions, specifically is it safe/healthy/possible to employ two different crankarm lengths? Perhaps some of the more advanced technical posters or mechanics or bike fit experts could advise?
But, different crank lengths would leave you, for the longerbill
Jul 11, 2001 10:05 AM
crank, higher on the upstroke and lower on the downstroke. Hip height disparity would require the same circumference circle, just higher (for the higher hip).
Orthotics.Len J
Jul 10, 2001 12:34 PM
I have read that, in extreme cases that custom Orthotics can cure this problem. Don't have any personal experience. You might try to see a Podiatrist that also has a sports medicine backround. The Idea is to create a footbed that is supported at a level that is higher on the shorter leg side.

Good luck & let us know how you make out.
how about a sports medicine doc....pain in the a##
Jul 10, 2001 1:44 PM
I disagree that a podiatrist is the person one should see as a first stop for limb-length inequality and hip/back pain evaluation. your trouble is in your back and in your hip, and is related to a biomechanical situation that involves the entire lower body. While an orthotic insert may be the answer, a podiatrist does not have the experience and the knowledge in dealing with trochanteric bursitis, IT band syndrome, lower back pain, etc. that may be the actual diagnoses of your discomfort. Also, your limb-length discrepancy may be in your pelvic tilt, your femur length, your tibia, or finally your foot.

If you need someone to evaluate and treat your problem that involves the entire lower body, an orthopedic sports medicine doctor is the choice. if an orthotic insert is all you need after everything is evaluated and considered, a sports medicine doctor can easily write the prescription and an orthotist working with him/her can fill out the order, just as you could get it through a podiatrist.
This makes good sense to me.(nm)Len J
Jul 10, 2001 1:46 PM
re: One hip higher than the otherTriBuddha
Jul 10, 2001 1:22 PM
Depending on what type of pedal system, you can install various cheap shims to fix the problem. I have used both SPD and Campy pedals, the shims worked real well on the Campy not on the SPD. Basically some washers on the srews under the cleat. Best advice is to see a podiatrist (sic) determine if its a functional or structual leg length difference. With funtional I was told not to use lifts in the orthotics but stretch and get regular maintenace was best. Good luck
re: One hip higher than the otherAD14
Jul 10, 2001 3:15 PM
I have a leg about 1/2 inch shorter due to injury and I shimmed my cleats(LOOK) and it works fine.
Thanks for the responsesPaulCL
Jul 10, 2001 5:23 PM
First things first...I've taken a week off of riding to help the inflammation subside and eating a steady diet of Advil. Then, I'm going to try the shim under my cleats for a ride or two. If that doesn't work, I will make an appointment with the sports medicine doctor.

Of course, maybe none of this has to do with hip height or leg length but a simple "overuse" injury. In the past years, I averaged 80-100 miles per week. This year, and moreso in the last month, I have cranked the number up to 150-175 miles per week. Maybe I had a slight injury that I didn't really notice that was exacerbated by cycling??? Or maybe being 39 is catching up to me. I'll let you all know. Thanks.