What does limping feel like with limb length discrepancy?

You may notice one foot reaching the ground differently, a gentle dip of the pelvis, or extra movement through the trunk. The shorter side may feel as though it has to stretch for the floor, while the longer side may seem to stay bent or take a different step. Repeated compensation can contribute to tiredness or aching in the feet, knees, hips, or lower back. The visible pattern does not show the exact difference, and a clinician may compare leg position, walking mechanics, and measurements.

Note whether the limp is present barefoot, in shoes, or only after activity. Wear comfortable, supportive footwear and avoid adding an unmeasured lift yourself. A physiotherapist or orthopaedic clinician can assess the cause and decide whether observation, exercises, a shoe modification, or another approach is appropriate. Changes should be gradual and monitored for new pain.

Arrange prompt assessment if the limp begins suddenly, follows an injury, or comes with severe pain, weakness, numbness, swelling, or inability to bear weight. Urgent care is needed for a cold or pale foot or rapidly worsening symptoms.

Ask: Is the difference structural or related to how I stand and move? How will you measure it? Would a shoe insert be appropriate for me? Which symptoms would mean the plan needs changing?