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Pelvic asymmetry

The pelvis is located in the center of gravity of the skeleton. If we compare the body to a pencil balanced horizontally on a finger, its point of balance (centre of gravity) will be the pelvis. Pelvic position has a big influence on posture.

When the pelvis tilts, the contents of the pelvis move forward. As a result, there is a protruding belly and bulging buttocks. Since the pelvis is the junction of the upper and lower torso, it plays a key role in the movement and balance of the body. The pelvic bones support the most important supporting part of the body - the spine. In addition, the pelvis enables coordinated movements of the lower limbs and trunk. When the pelvis is in the correct position, various movements are possible, twisting, tilting and the biomechanics of movement are balanced and the distribution of load vectors is even.

Displacement (oblique) of the pelvis from the correct position causes dysfunctional disorders of the spine, as the axis of load distribution changes during movement. In the spine, there is a leverage effect and excessive load on certain points, which leads to rapid wear of the spinal structures. Therefore, often the main cause of back and neck pain is a change in the position of the pelvis (displacement, distortion).

Changing position changes biomechanics, which can lead to degenerative changes of the spine, herniated disc, scoliosis, osteoarthritis, spinal stenosis, sciatica, etc.

Pelvic tilt also leads to pain and dysfunction in the neck area, neck pain radiating to the shoulders, arms, contributes to the development of carpal tunnel syndrome and other problems within the limbs.

Causes of tilt (displacement) of the pelvis

First, the pelvic tilt is due to the straight muscle imbalance. Technology is developing very fast and a sedentary lifestyle is one of the main causes of imbalances, because our body requires a certain amount of exercise that it does not receive. Long-term sitting and low physical activity are sufficient conditions for the development of muscle imbalance, leading to pelvic inclination, and as a result, to the appearance of dysfunctional disorders of the spine and the occurrence of back pain.

Common causes of a pelvic tilt are accidents and injuries, such as side impact, lifting weights while turning, falling over sideways, carrying a baby on your side, such as carrying a baby on your hip, or carrying a heavy bag over one shoulder at all times. In women, the pelvis is less stable from birth than in men, because some flexibility and elasticity of the pelvic structures is necessary for the proper course of pregnancy and delivery. Therefore, pregnancy is often the main cause of pelvic displacement in women.

Muscle damage is the most common cause of misalignment. Damaged muscles tend to compact and shift to protect surrounding structures. If the muscles in the pelvic area, such as the sacrum, are damaged, then muscle tension will lead to the ligaments attached to the pelvis and joints being affected. As a result, structures such as the sacroiliac joints will also be affected by certain dispositions. The densification of the muscle after injury persists until the muscle is fully regenerated, during which time the pelvis remains in an incorrect position.

A difference in leg length can also cause a pelvic tilt, and in these cases the tilt can be from right to left or vice versa. But the displacement can also be forward or backward, or it can be a twisting of the pelvis. 

Many conditions can lead to muscle spasms that twist the pelvis. A herniated disc can cause adaptive muscle spasm and scoliosis with functional pelvic tilt. Active people often experience tension in the calf muscles, which in turn causes tension around the pelvis. Surgery, such as a hip replacement, can also reposition the pelvis.

Since the pelvis is one of the most stressed areas of the body due to movement and weight support, movements that cause pain and stiffness are a clear indicator of pelvic alignment problems. In particular, back pain is a common indicator of a pelvic tilt. In addition to participating in the movement in the pelvic cavity, the following are involved: part of the digestive organs, nerves, blood vessels, reproductive organs. Therefore, in addition to back pain, you may experience other symptoms such as numbness, tingling, bladder and bowel problems, or reproductive problems.

Kinesiologists working in our salon they work with pelvic tilt and posture problems.

Most often, changes in the following muscles lead to the alignment of the pelvis:

– The psoas can anatomically lead to hip extension and flexion, causing the pelvis to move forward.

– The quadriceps, especially the rectus, can lead to hip flexion.

– The adductors of the thigh can cause the pelvis to tilt forward as a result of internal rotation of the hip. This leads to shortening of the adductor muscles.

With moderate misalignment, a person may feel unsteady when walking or fall frequently.
The most common symptoms are pain:

– In the lower back (with irradiation to the leg)
– Pain in the hip, sacroiliac joints or groin
– Pain in the Achilles tendon in the knee, ankle or foot
- Pain in shoulders, neck

If the pelvis is displaced for a long time, then the body will correct and compensate for the violation of biomechanics and asymmetry, and the corresponding adaptation of muscles, tendons and ligaments will occur. Therefore, treatment may take some time. In addition, pelvic tilt can be difficult to correct as pathological stereotyping of movements develops over time. The longer the period of pelvic tilt, the longer it takes to return to normal muscle balance.

There are various treatment options for a pelvic tilt, and these methods depend on the cause that led to the pelvic tilt. treatment of the pelvic tilt is effective only in combination with the influence on the pathogenetic links that led to the change in the position of the pelvis and the violation of biomechanics (physiotherapy, massage, manual therapy and exercise therapy). Exercise therapy is the leading method of treating pelvic disposition, especially when muscle problems are the cause of pelvic tilt.
We invite you for a manual muscle test and manual therapy at the kinesiologist of the Najlepszy Masaż salon in Warsaw.


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