AtlasTherapy

Leg length difference and pelvic tilt

Told one leg is shorter? In most people it is not the bone. It is the pelvis tilting to compensate for a rotated atlas. Correct the atlas and the legs level out, often on the table during the same appointment.

By Drs. Wim van den Berg · Updated 2026-09-29

Leg length difference and pelvic tilt

The difference between a real and a functional leg length difference

A true anatomical difference, where one leg bone is actually shorter, is rare. Far more common is a functional difference: the bones are equal but the pelvis is tilted, so one leg is pulled up and appears shorter. Insoles, heel lifts and pelvic exercises treat the appearance and give some relief, but the tilt returns because its cause is higher up.

How the atlas tilts the pelvis

When the atlas is rotated, the head is off-centre. To keep the eyes horizontal, the spine curves and the pelvis tilts. The result is a chain of compensation from the top of the neck to the feet: one shoulder higher, one hip higher, one leg apparently shorter, uneven wear on shoes and knees, and often lower back pain or hip pain on one side.

What happens in the treatment

Leg length is checked on the table before the treatment as one of Dr. Wim's standard measurements. After the atlas is corrected it is checked again. In most clients the legs are now equal. The pelvis follows the atlas, not the other way round, which is why the atlas must be treated first before any pelvic correction can hold.

The best thing is, my leg length difference is gone, and my dizziness. I stopped wearing insoles, which I had worn since I was 18. I am 56 now.

Client, Netherlands practice

Who this is for

Frequently asked questions

Will I still need my insoles?

Many clients no longer need them after the correction. Do not throw them away straight away. Wait until the follow-up check confirms the legs remain equal, then discuss with the person who prescribed them.

Can atlas therapy help scoliosis?

A functional scoliosis caused by compensation can improve markedly when the atlas is corrected. Structural scoliosis of the bones cannot be reversed, but tension and pain around it often reduce.

Ready to find out if your atlas is the missing piece?

Send a WhatsApp message with your main complaint. We reply with the next available consultation dates in Malaysia.