Limb Length Discrepancy (LLD) treatment addresses unequal leg lengths in children, which can cause gait abnormalities, back pain, and joint problems if left untreated. At Arthoscenter, Dr. Gurudeo Kumar specializes in both growth modulation techniques for growing children and limb lengthening procedures for more severe cases. LLD can be congenital (present at birth) or acquired due to fractures, infections, tumors, or developmental conditions. Discrepancies greater than 2cm typically require treatment. Dr. Kumar has successfully treated over 85 children with LLD using modern techniques including epiphysiodesis (growth plate modulation), limb lengthening with external fixators, and combination approaches. **Treatment Options Based on Severity:** - **< 2cm:** Shoe lifts, observation - **2-5cm:** Epiphysiodesis (slowing growth of longer limb) - **> 5cm:** Limb lengthening using Ilizarov or PRECICE nail techniques **When to Seek Treatment:** Treatment is most effective when started at the right skeletal age. For epiphysiodesis, ideal timing is 2-3 years before skeletal maturity. For lengthening, procedures can be done at various ages depending on the technique and discrepancy amount. Early evaluation is crucial for optimal planning.