Correcting Leg Length Discrepancy (LLD): Shoe Lift Modifications vs. EVENup Shoe Devices

By American Heelers | 04/23/2025

Leg length discrepancy (LLD) is a condition that affects up to 10% of the general population, causing discomfort, imbalance, and often leading to back, hip, or knee pain. While some cases are congenital, others result from injury, surgery, or medical conditions. Regardless of the cause, finding an effective and comfortable solution for LLD is essential to restore balance and improve quality of life. Two of the most common correction methods are shoe lift elevation/modification and the use of an external device like the EVENup shoe balancer. Both approaches aim to correct height imbalance, but they differ greatly in comfort, aesthetics, cost, and practicality. Let’s break them down.

Shoe Lift Elevation and Modification: A Seamless Solution

Shoe lift elevation involves modifying the sole of the shoe by adding a lift to match the leg length discrepancy. This method is particularly beneficial for individuals with permanent or long-term LLD, offering a discreet and comfortable way to restore balance.

Pros:

  1. Natural Feel and Functionality
    • One of the key advantages of shoe lift elevation is that it integrates directly into the shoe’s structure. You’re still walking on the shoe’s original sole, which means the lift feels natural. There’s no awkward transition or sensation of an add-on.
  2. Aesthetic Appeal
    • With expert craftsmanship, the lift modification blends seamlessly with the original shoe. It’s barely noticeable from the outside, making it an ideal choice for those who want to maintain a clean and non-medical appearance.
  3. Permanent and Stable
    • Once a shoe is modified, there’s no need to worry about daily adjustments. The correction is stable and consistent, providing reliable support every step of the way.
  4. Trusted by Thousands
    • Over 20,000 patients have turned to American Heelers for professional shoe lift modifications. The website, https://orthopedicshoelift.com/, is a valuable resource with in-depth information, guides, and testimonials.

Considerations:

  • Cost per Pair
    • Each pair of shoes must be individually modified, which can add up if you wear a wide variety of shoes.
  • Time for Modification
    • You will need to send your shoes in for modification, which involves some lead time before you get them back.

EVENup Shoe Device: Convenient but Compromised Comfort

The EVENup shoe balancer is a strap-on device worn on the shoe of the unaffected leg to equalize leg lengths. It’s commonly recommended after surgeries like hip replacements when temporary LLD is present, most commonly when wearing a cast or walking boot on one foot, that causes an imbalance with the shoe worn on the other foot.

Pros:

  1. Cost-Effective
    • Since the device is external and transferable, you only need one EVENup, regardless of how many different shoes you wear. This can save money, especially for short-term use.
  2. Easily Transferable
    • The device can be strapped onto various shoes, making it ideal for temporary LLD or for people who rotate between different footwear daily.

Cons:

  1. Awkward Fit and Feel
    • The most significant downside is comfort. Because the EVENup is strapped to the bottom of your shoe, it often feels clunky and unstable. Users report that walking feels unnatural, and the added bulk disrupts normal gait.
  2. Medical Appearance
    • Let’s face it: the device looks medical. Wearing an EVENup can draw unwanted attention and make users feel self-conscious or like a hospital patient.
  3. Potential Safety Concerns
    • Because it straps on externally, there’s a chance it could shift or come loose during use, potentially increasing the risk of trips or falls.

Which Option is Right for You?

Choosing between a permanent shoe lift modification and an external device like the EVENup largely depends on the nature and duration of your LLD, lifestyle needs, and comfort preferences.

  • For Permanent LLD: A professionally modified shoe with a built-in lift is the superior option. It provides lasting comfort, looks like a regular shoe, and supports a natural walking motion.
  • For Temporary or Post-Op Use: The EVENup can be a convenient solution during short recovery periods. However, it should be viewed as a transitional aid rather than a long-term fix.

Final Thoughts

Correcting leg length discrepancy is not just about fixing a height difference—it’s about improving your posture, gait, and overall wellbeing. While the EVENup device offers a budget-friendly, flexible option, its drawbacks in comfort and aesthetics often make it less desirable for daily use. On the other hand, shoe lift elevation and modification provide a tailored, reliable, and discreet correction that feels like a natural extension of your footwear.

If you’re exploring options for LLD correction, especially for a long-term solution, consider connecting with American Heelers through orthopedicshoelift.com. Their extensive experience and patient-first approach have helped thousands walk more comfortably and confidently.

In the end, the right choice comes down to how much value you place on comfort, function, and peace of mind with every step you take.

Posted in Leg length discrepancy