• Tracie Rodriguez

    This article describes me exactly. I have always noticed one leg appears to be longer than the other but I’ve also always thought it was due to a problem with my hips. Since suffering from this current injury, I have come to realize what an essential role the hips play in running. If your hips are out of whack, then you open the door to a myriad of problems. In my non medical opinion, I think all of my running injuries stem from my hips. Great article and thanks for sharing!

  • Angela (SF Road Warrior)

    Thanks for this. I’ve had so much hip ish — rotated pelvis, slight leg length discrepancy, 4 months of PT for a strength imbalance…etc. These days I am super diligent about strength & mobility work but still have to have them snapped back into place every 4-6 weeks by a chiro. The pain is much better but still not gone, so I’m looking into maybe getting some regular ART / massage. (I also live near SMI in Palo Alto so that maybe an option.) My PTs definitely said they see a lot of that kind of thing.

  • http://predawnrunner.com/ Greg Strosaker

    Thanks Tracie, I’ve read that a vast majority of leg lengthy discrepancies are not anatomical but are rather due to temporary imbalances. With your work ethic, I have no doubt you’ll ultimately work through the issues and emerge stronger for it.

  • http://predawnrunner.com/ Greg Strosaker

    Hi Angela, I’ve been through similar experiences, so feel your pain. I think the ART / massage route is an essential part of the “maintenance” process, so hope you are able to find a good provider.

  • Adam

    Hits the nail right on the head with this read. My problem stems from a combination of weak glutes, and my pelvis. Everytime i go for a run, it feels as though bones in my pelvis are being dislodged and out of place,which consequently lead to other peripheral problems such as pain in knees. In addition to a pop i hear in my lumbar, which i suspect could be due to running, in addition to a weak core. Situation isn’t so grim though, there’s always room for improvement, so we live and learn.
    The search for good physiotherapy never ends

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  • http://predawnrunner.com/ Greg Strosaker

    Thanks Adam, and good luck sorting through your hip issues. My left leg/hip (longer leg) always pops when I do bicycles and extend the leg, so I’ve suspected alignment issues for a long time. It’s amazing the mechanisms we can develop to compensate, but there are consequences.

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  • http://twitter.com/mhharrison80 Maddie Harrison

    Wow…an article written exactly for me. I was plagued by Achilles/peroneal tendonitis in my left leg all last year. I finally found a chiropractor and massage therapist that helped rework my right hip and found instant relief. One week later, it attacked my right Achilles/peroneal! Perhaps we didn’t get my hips as aligned as we thought. The accompanying article about transitioning to mid-foot too soon is also probably a big contributing factor for me, but I find it difficult not to now. I’m going to follow some of your recommendations from that article too and see if that helps. My biggest question is a chicken-or-the-egg concern, i.e. should I have the alignment corrected and then work on strength or vice versa. I’m concerned that strengthening the wrong side will compound the problem. Thank you for the timely advice.

  • http://predawnrunner.com/ Greg Strosaker

    Hi Maddie and thanks for your comments, I think this post resonates with a lot of runners because the alignment issues are pretty common. I agree that once you move to the midfoot, it’s hard to force yourself back, been finding the same thing lately as I’m trying to fend off some Achilles issues as well.
    In regards to your question, I’d do both in parallel. With the strengthening work, do single-leg exercises like hip thrusts, bridges, clamshells, etc., using the exact same resistance (if any) and reps for each leg – the weaker leg/side will limit the number of reps and over time the two sides will approach equivalence, and then you’ll be able to progress equally on both sides. If you do only one side, then you risk a constant game of leapfrog.

  • jg gd

    Hi Greg, the link to the demonstration by Leo Kormanik doesn’t seem to work. I can’t find any demonstration on his site. Is there such a demo video? I have difficulty visualising the exercice you describe.

    I do need to work on hip imbalance. Xrays showed a 3mm longer left leg and, yes, I had hamstring problem (proximal tendinopathy( in that leg and now I sense the early start of an achilles problem in the right leg exactly as you mentioned. I’ve been able to reduce by 90% the hamstring problem by doing a lot of ART but I got to do something before the problem comes back by compensating for the achilles problem.


  • http://predawnrunner.com/ Greg Strosaker

    Thanks for your comment – the link you mentioned isn’t to a demonstration but rather to the Ohio Sports Chiropractic site. I’m not aware of any videos that demonstrate the routine. I’ve tried to describe it as best as possible – maybe it would be best to visualize “stomping” your shorter leg (right leg in your case) into the wall and holding it for 10 seconds while allowing your left hip to rotate naturally up towards your shoulder.

    Good luck resolving the issue, it sounds like your situation is very similar to what mine was.

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  • Thomas Heusser

    Hi Greg,

    Overcame a bilateral adductor longus tenotomy and have been running for a few months now. Past few weeks (or possibly even longer) I began feeling some stiff/soreness maybe even crossing into light pain in my right knee after 25-30 minutes on any run (all on Towpath). I decided to finally do some searching and it sounded like PFPS. I had Fitz’s video bookmarked some time and used to do one or two of them daily during my initial recovery period. Only recently have I gotten back into it but haven’t been running in hopes to squash this sooner rather than later. Just commenting that there is excellent information here and have bookmarked for future readings. Also, hello from a fellow NEOhioan..

  • http://predawnrunner.com/ Greg Strosaker

    Thanks Thomas and good luck on the path back to running regularly, hope the strength routines and other work help.

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