Pelvic Obliquity
Pelvic obliquity is more complicated than an anterior or posterior pelvis tilt. It is caused when one hip is higher than the other and/or one hip is rotated in the opposite direction to the other.
With pelvic obliquity, one or both of the following will occur:
One hip will be hiked up while the other is dropped.
One hip will be rotated forward and the other backward.
Pelvic obliquity is also called side-to-side pelvic imbalance.
This may be related to scoliosis, an orthopedic disorder in which the spine curves abnormally to the side.
Pelvic obliquity is more often due to differences in leg lengths. With that said, hip misalignment caused by hip dysplasia or scoliosis can lead to differences in leg length, particularly in developing children or adolescents.9
Degenerative diseases, like hip osteoarthritis, can also lead to pelvic obliquity in adults by causing hip joint weakness on one side of the body.
Symptoms of Side-to-Side Imbalance
Pelvic obliquity causes symptoms due to the compression and misalignment of the spine as it compensates for the imbalance in the hips.
This can lead to symptoms like:
Back pain
Leg or hip pain
An uneven "rolling" gait
An uneven stance
Shoulder or neck pain
Difficulty walking
Treatment and Correction
If the cause of pelvic obliquity is anatomical, such as caused by scoliosis or hip dysplasia, bracing or surgery may be needed.
If there are differences in leg lengths due to degenerative or congenital conditions, shoe orthotics or corrective orthopedic shoes can not only correct the imbalance but help relieve pain.
Physical therapy exercises can also be used to strengthen the weaker hip. This usually involves core strengthening exercises that work the hips selectively.
Examples include:
Step ups/step downs
Bird dog exercise
Single leg lunges
Single leg squats
Single leg balance
Summary
A tilted pelvis usually happens because of poor posture. A forward (anterior) or backward (posterior) pelvic tilt causes back pain because it forces the back to compensate for the misalignment, either by overarching or slumping. They can usually be corrected with exercise and changes in sitting and sleep habits.
Pelvic obliquity, where one hip is higher than the other, is usually caused by a difference in leg length but can also be due to conditions like scoliosis, hip dysplasia, or hip osteoarthritis. The treatment of pelvic obliquity varies by the cause, although physical therapy exercises and orthopedic shoe inserts can help.
How The viyanacare can help you
you will know that your feet need good care all the time, and proper pelivs healthcare looks at the bigger picture. Your pelivs are connected to the function of your knees, hips and lower back, and as sport expert we build better bodies from your pelivs.
At The viyanacare, our team of experience, enthusiastic and highly qualified podiatrists has worked with numerous professional sports athletes and recreational sport lovers. We will be happy to assess your pelivs, provide advice on useful exercises to adjust anything that sits outside the normal range.
So if you have any questions about pelivs, please come and see us at The viyanacare site.
How The viyanacare can help you
you will know that your feet need good care all the time, and proper pelivs healthcare looks at the bigger picture. Your pelivs are connected to the function of your knees, hips and lower back, and as sport expert we build better bodies from your pelivs.
At The viyanacare, our team of experience, enthusiastic and highly qualified has worked with numerous professional sports athletes and recreational sport lovers. We will be happy to assess your pelivs, provide advice on useful exercises to adjust anything that sits outside the normal range.
So if you have any questions about pelivs, please come and see us at The viyanacare site.