For an initial heel lift in an elderly patient with a short leg, what is the recommended height?

In the management of a short leg in an elderly patient, starting with a modest heel lift is essential to allow the body to adjust gradually to the altered biomechanics. A lift of 1.5 mm is often recommended as it provides enough elevation to begin addressing discrepancy without causing significant alterations in gait or balance, which can be particularly important in older adults who may be more prone to falls or instability.

Utilizing a lift that is too high initially could lead to discomfort, compensatory changes in posture, and potential injury due to the abrupt change in lower limb alignment. Starting with a height of 1.5 mm allows for gradual adaptation while minimizing the risk of adverse effects associated with improper lifting, thus promoting patient safety and comfort.

This cautious approach aligns with best practices in orthopedics and rehabilitation, ensuring that the patient can gradually increase the heel lift if necessary while monitoring for any changes in symptoms or function.