In a younger, flexible patient, what is the recommended initial heel lift measurement on the shorter side?

In cases involving younger, flexible patients who may present with leg length discrepancies, the initial heel lift measurement on the shorter side should ideally be modest to allow for adjustment and to avoid issues related to over-correcting the discrepancy.

A measurement of approximately 3.2 mm (which is equivalent to about 1/8 inch) is a reasonable starting point that provides enough lift to facilitate improvement in posture and biomechanics without causing undue stress or discomfort. Young and flexible patients can adapt more readily, allowing for gradual increases in lift as needed based on their response to treatment.

This conservative approach emphasizes a gradual adjustment, allowing monitoring of factors such as balance, gait, and any discomfort that may be associated with the lift. As such, starting with a smaller increment provides a gentle introduction to management of the discrepancy and avoids potential complications that could arise from a larger lift, such as hip or knee pain.

Although other options suggest increased lift measurements, those could be too aggressive for initial intervention in a flexible individual, possibly leading to uneven biomechanical adjustments or localized discomfort. The focus should be on a tailored approach, taking into account the patient's unique characteristics and responses.