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Lower back pain is one of the most common complaints among my patients. There are several reasons for back pain, in my previous posts: chronic pain & overuse injury I have gone over some common issues that cause lower back pain.
A pelvic tilt is usually hard to observe by ourselves. It can be pointed out by your manual therapist. Misaligned pelvis leads to postural problems and muscular imbalance, which affects our movement and range of motion.
Pelvic misalignment can cause inflammation and pain on load-bearing joints, which can signal nerves in the area to fire off pain signals, postural back pain caused by abnormal pelvic tilt. Pelvic tilt can cause chronic lower back pain, discomfort during walking or prolonged sitting and standing. Referral pain can be felt in the hip and down the legs; pain can become aggravated by weight-bearing activities.
There are three types of pelvic misalignment:
Anterior Tilt: The pelvis rotates forward, and the back rotates up, this impacts the spine and posture. Inactivity and prolonged sitting often cause this kind of tilt; excess sitting causes the hip flexors to tighten and change the position of the pelvis. Weak abdominal and hip muscles can cause imbalance leading to pelvic shift. A common issue during pregnancy, due to a change in physical activity and gait shift.
Posterior Tilt: Opposite of Anterior tilt, the pelvis rotates backward, and the front turns down. Similarly to anterior tilt, the posterior tilt affects spinal health and leads to imbalances. Tight hamstrings are one of the contributors to a posterior tilt. Runners and pro athletes training excessively often suffer from a posterior tilt.
Lateral Tilt: The pelvic crest can shift side to side, changing the hip placement and affecting movement. A lateral shift leads to muscle imbalances throughout the body and causes discomfort in the upper, mid, and low back.
Manual Osteopathy can help provide relief to individuals with pelvic tilt, and with effective treatment plans can correct pelvic placement. Manual therapy can help loosen tight hip flexors and increase the range of motion in the hip muscles. Manual Osteopathic Practitioners can perform various orthopedic tests to identify the type of tilt and the source of the problems. Adding a corrective exercise routine is complimentary to the therapy and will help to fix some of the issues.