Back pain due to an inclined pelvis – causes, symptoms and treatments. Learn to relieve discomfort and improve posture.

Back pain due to an inclined pelvis - causes, symptoms and treatments. Learn to relieve discomfort and improve posture.

Back pain is a common ailment that affects millions of people worldwide. One of the possible causes of back pain is an inclined pelvis. The pelvis is a crucial bone structure that connects the spine with the lower extremities, provides support to the torso and facilitates various movements. When the pelvis is misaligned or leans, it can cause imbalances in the spine and the surrounding structures, which translates into discomfort and pain.

The inclined pelvis, also known as pelvic inclination or pelvic obliqueness, occurs when there is an abnormal rotation of the pelvis. This misalignment can be classified into two types: anterior pelvic inclination and posterior pelvic inclination. The anterior pelvic inclination refers to the rotation of the pelvis forward, which causes the flattening of the lumbar zone and the thrust of the buttocks back. On the other hand, the posterior pelvic inclination refers to the rotation of the pelvis back, which causes an increase in the arch of the lumbar zone and a prominent abdomen.

I knew it? According to a study published in the European Spine Journal, almost 80% of adults suffer back pain at some point in their life. It has been discovered that pelvic inclination is a factor that contributes to back pain, especially in people with prolonged or standing postures.

  1. In people with an anterior pelvic inclination, the tension of certain muscles, such as hip flexors, spinal erectors and quadriceps, can contribute to tension in the lumbar area. This can cause discomfort and pain in the lumbar region.
  2. Meanwhile, people with a subsequent pelvic inclination often experience greater tension in the hamstrings, buttocks and extensors at the bottom of the back. This imbalance can cause muscle tension, decrease in mobility and appearance of pain in the buttocks and the low back.
Type of pelvic inclination Characteristics Possible muscle imbalances
Previous inclination of the pelvis Rotation forward of the pelvis, flattening of the lumbar zone, prominent buttocks Hip flexors, spinal erects and tense quadriceps
Posterior pelvic inclination Rotation of the pelvis back, increase in the lumbar arc, prominent abdomen Ischiotibial muscles, buttocks and extensors at the bottom of the tense back

Understanding Back Pain: Causes and Solutions

A frequent cause of back pain is the inclined pelvis, also known as pelvic inclination. The pelvis is a crucial structure that supports the spine and plays an important role in maintaining a correct posture. When the pelvis is inclined, it can exert excessive tension on the muscles, ligaments and joints of the lower back, causing pain and discomfort.

The pelvic inclination can be classified into two types: anterior pelvic inclination and posterior pelvic inclination. An anterior pelvic inclination occurs when the front of the pelvis descends forward, causing the lumbar area to archeish. On the other hand, the posterior pelvic inclination occurs when the back of the pelvis descends down, which causes flattening of the lower back. Both types of pelvic inclination can contribute to back pain and postural imbalances.

To treat back pain associated with an inclined pelvis, it is crucial to identify the underlying causes and apply the appropriate solutions. Some common factors that contribute to pelvic inclination are muscle imbalances, bad positions, sedentary lifestyle and pregnancy. Performing exercises specifically strengthening the muscles surrounding the pelvis, such as hip flexors, buttocks and abdominal muscles, can help correct the pelvic inclination and relieve back pain.

  • Stretching exercises can also be beneficial to relieve muscle tension and improve flexibility.
  • The use of ergonomic supports, such as lumbar pillows or corsets for the back, can provide additional support to the lumbar area and help maintain adequate pelvic alignment.
Causes of back pain: Back pain solutions:
Muscle imbalances Specific exercises to strengthen pelvic muscles
Bad posture Use of ergonomic supports
Sedentary lifestyle Incorporate regular physical activity and movement
Pregnancy Safe and modified exercises for pregnant women

The Role of Pelvic Tilt in Back Pain

The inclined pelvis occurs when the pelvis is not in its neutral position and is tilted forward or backward. This misalignment can affect the general alignment of the spine and cause biomechanical problems that translate into back pain. Research suggests that an inclined pelvis can cause excessive tension in the lumbar column, causing muscle imbalances and greater pressure on intervertebral discs.

Table 1: Symptoms and common causes of the inclined pelvis

Symptoms Causes
– Lumbar pain – weakness of abdominal muscles
– Hip pain – Bad posture
– Discrepancy in the length of the legs – Muscle imbalances

People with a tilted pelvis may experience a number of symptoms, including lower back pain, hip pain, and even leg length discrepancy. These symptoms may be due to weak abdominal muscles, poor posture, or muscle imbalances, among other factors. It is important to address the underlying cause of tilted pelvis to effectively treat and manage back pain.

  1. Rehabilitation exercises: Strengthening the abdominal, gluteal, and back muscles can help restore the natural alignment of the pelvis and relieve back pain.
  2. Postural Correction: Practicing good posture and using ergonomic aids, such as lumbar supports, can help maintain proper pelvic alignment.
  3. Physical Therapy: Working with a physical therapist can provide specific exercises and manual techniques to address muscle imbalances and restore pelvic alignment.

The Anatomy of the Pelvis: How it Affects the Spine

The pelvis is a very complex structure made up of multiple joints, muscles and ligaments. It consists of two hip bones, also known as innominate bones, each of which is formed by the ilium, ischium and pubis. The sacrum, a large triangular bone at the base of the spine, connects the hip bones at the sacroiliac joints. The coccyx, or tailbone, is located at the posterior end of the sacrum and completes the structure of the pelvis.

Key components of the pelvis:

  • Hip bones (innominate bones)
  • Ilium
  • Ischium
  • pubic bone
  • Sacrum
  • Coccyx
Pelvic bones Location
Hip bones (innominate bones) Left and right sides, forming the sides and front of the pelvis
Ilium Upper and largest bone on each side of the pelvis
Ischium Bottom and back of each hip bone
pubic bone Anterior part of the hip bone, located at the front of the pelvis

Tilted pelvis, also known as pelvic tilt, occurs when the pelvis deviates from its neutral position, causing an imbalance in the spine. This can lead to various musculoskeletal problems, such as back pain, instability, and decreased mobility. A tilted pelvis can be caused by factors such as poor posture, muscle imbalances, pregnancy, or injury. Correcting a tilted pelvis involves addressing the underlying causes and may require a combination of physical therapy, exercises, and lifestyle modifications.

Common Symptoms of Back Pain Caused by Tilted Pelvis

1. Low back pain: One of the main and most obvious symptoms of a tilted pelvis is low back pain. Pelvic misalignment puts uneven pressure on the muscles and joints in your lower back, causing discomfort and stiffness. The pain can vary from mild to severe depending on the degree of pelvic tilt.

Important note:

It is important to remember that not all lower back pain is caused by a tilted pelvis. Other factors such as muscle strains, herniated discs, or arthritis can also contribute to back pain. Therefore, it is crucial to consult with a healthcare professional to obtain an accurate diagnosis.

2. Hip and pelvic misalignment: Aside from low back pain, people with a tilted pelvis may also experience problems with hip and pelvic alignment. Uneven weight distribution in the pelvis can cause hip pain, stiffness, and limited range of motion. This misalignment can also affect a person’s posture and gait, further contributing to their discomfort.

3. Leg length discrepancy: A tilted pelvis can sometimes cause a noticeable difference in leg length. This occurs when one hip is higher than the other, making one leg appear longer than the other. Leg length discrepancy can not only cause back pain, but also affect the overall alignment and stability of the body.

Common symptoms of back pain caused by tilted pelvis:
Low back pain
Hip and pelvic misalignment
Leg length discrepancy

These symptoms should not be ignored as they may indicate an underlying problem with pelvic alignment. It is important to see a healthcare professional specialized in musculoskeletal issues to obtain a proper diagnosis and develop an appropriate treatment plan.

Diagnosing Tilted Pelvis as the Source of Back Pain

To diagnose a tilted pelvis as the underlying cause of back pain, healthcare professionals use a variety of assessment methods. These methods aim to identify pelvic alignment and any imbalances that may be contributing to discomfort. A common diagnostic technique is a physical examination, which involves observing and palpating the pelvis to detect asymmetries or tenderness. A tilt can be identified visually by looking at the alignment of the iliac crests, the bony prominences at the top of the pelvis.

Important information:

  • Back pain can be caused by a tilted pelvis.
  • Pelvic torsion causes one side of the pelvis to be higher than the other.
  • Determining the source of back pain requires a thorough diagnostic process.
  • Physical examination techniques, such as observation and palpation of the pelvis, can help identify a tilted pelvis.

Additionally, imaging studies, such as x-rays or magnetic resonance imaging (MRI), may be used to obtain a more detailed view of the pelvis and its alignment. These images can help visualize the extent of the bowing and identify any underlying structural abnormalities that may contribute to back pain. It is important to note that a tilted pelvis may also be accompanied by other musculoskeletal problems, such as a leg length discrepancy or spinal misalignment, which should be evaluated during the diagnostic process.

Diagnosing a tilted pelvis as the source of back pain is crucial to developing an appropriate treatment plan. Once confirmed, healthcare professionals may recommend specific interventions, such as physical therapy, chiropractic adjustments, or exercises targeting pelvic alignment, to relieve pain and correct pelvic tilt. Regular follow-up evaluations can monitor the progress and effectiveness of the chosen treatment, ensuring optimal results for patients suffering from back pain caused by a tilted pelvis.

Treatment Options: Restoring Pelvic Alignment for Relief of Back Pain

There are several treatment options to restore pelvic alignment and relieve back pain. These options may include:

  1. Physical Therapy: Physical therapy can play an important role in correcting pelvic misalignment. A qualified physical therapist can use specific exercises and stretches to restore balance to the muscles surrounding the pelvis. This can help reposition the pelvis, relieve pressure on the spine, and relieve back pain.
  2. Chiropractic Care: Chiropractic adjustments are another effective method to realign the pelvis and reduce back pain. Through manual manipulations, a chiropractor can gently restore proper alignment by applying controlled force to the affected area. This can help relieve muscle tension and improve overall spinal function.
  3. Postural correction: Correcting poor postural habits can also help restore pelvic alignment. This may involve consciously adjusting sitting and standing postures to maintain proper spinal alignment. Additionally, the use of supportive devices, such as ergonomic chairs or back corsets, may be recommended to provide additional support and encourage correct posture.

Addressing pelvic misalignment is crucial in the treatment of back pain. By restoring the proper alignment, pressure on the spine is reduced, allowing a better distribution of forces and relieves muscle imbalances.

It is essential to consult with a healthcare professional to determine the most appropriate treatment option for your specific ailment. They can perform an exhaustive evaluation and create a personalized treatment plan to restore pelvic alignment, relieve back pain and improve the general health of the spine.

Treatment options Benefits
Physiotherapy Restore muscle balance
Chiropractic care Provides soft realignment
Postural correction Promotes the correct alignment of the spine

Exercises and Stretches to Correct a Tilted Pelvis

1. Pelvic inclinations: An effective exercise to correct an inclined pelvis is the pelvic inclination. Fully mouth with your knees flexed and your feet resting on the ground. Slowly tilt the pelvis tensing the abdominal muscles. Keep this position for a few seconds and give it. Repeat this exercise several times, gradually increasing the duration of each maintenance.

Tip: Perform the pelvic inclinations gently and avoid overesants. If you feel pain or discomfort, interrupt the exercise.

2. Bridge of buttocks: The exercise of the buttock bridge works the muscles of the hip and helps correct the inclined pelvis. They lie on your back with your knees flexed and your feet resting on the ground, separated to the width of the hips. Tighten the buttocks while lifting the hips of the ground, creating a straight line from the knees to the shoulders. Keep this position for a few seconds and then slowly lower your hips. Repeat the exercise during several repetitions.

3. Ischiotibial stretching: tension in hamstrings can contribute to the inclination of the pelvis. To stretch the hamstrings, lie on my back with one leg stretched on the ground. Double the other leg and place the foot on the inner face of the thigh of the extended leg. Gently stretch your feet fingers and keep stretching for 20-30 seconds. Repeat the operation on the other side.

Note: It is important to breathe deeply and relax during stretching. Do not strive more than it is comfortable to avoid injuries.

Additional stretching and exercises:
Exercise/stretching Description
Sitting forward flexion Sit on the edge of a chair, extend your legs forward and lean slowly, keeping your back straight.
Supine stretch of hip flexors Tasked mouth with a flexed knee and the foot supported on the ground. Gently throw from the other knee to the chest, feeling a stretch in the hip.
Hip abduction in quadrupedia Put on all fours and raise one leg to the side, keeping your hips level. Keep the position for a few seconds before going down and repeat with the other side.

The constancy is key when performing these exercises and stretching to correct the inclined pelvis. Incorporate them to their daily routine and gradually increase the duration and intensity as your body feels more comfortable. Always consult with a health professional before starting any new exercise program, especially if you suffer from pr e-existing diseases or chronic pain.

Preventive Measures: Maintaining Pelvic Alignment for a Healthy Back

1. Postural awareness: One of the first steps to prevent pelvic misalignment is to develop postural awareness. This implies paying attention to the way you feel, you stand, walk and move throughout the day. By consciously align the pelvis and maintain a good posture, you can reduce the risk of developing back pain.

  • Pay attention to the alignment of your body when sitting. Sit with your feet resting on the ground, your knees at an angle of 90 degrees and the back supported.
  • When standing, distribute the weight evenly between both feet. Avoid beating or leaning towards the side.
  • Practice appropriate lifting techniques to avoid the back. Fold your knees, keep your back straight and raise with your legs.

2. Trunk strengthening exercises: Strengthening central muscles can help maintain adequate pelvic alignment and reduce the risk of back pain. Incorporate exercises aimed at abdominals, back muscles and hips into your routine.

  1. Pelvic inclinations: Tashed mouth with your knees flexed. Gently tilt the pelvis up, flattening the bottom of the back against the ground. Keep the position for a few seconds and give it away. Repeat it 10 to 15 times.
  2. Pos t-dog posture: Stop on the hands and knees. Extend the right arm forward and, at the same time, the left leg back. Keep the column straight and contract the trunk. Keep the posture for a few seconds and then change side. Repeat 10-12 times on each side.
  3. Iron: Start in the arms of arms, relying on the forearms. Contract the central muscles and keep the position for 30 seconds to a minute, or as long as you can comfortably keep the correct shape.

3. Professional orientation: In some cases, it may be beneficial to ask for advice from a healthcare professional, such as a chiropractic or a physiotherapist. They can provide personalized orientation and recommend specific exercises or treatments to help maintain pelvic alignment and reduce the risk of back pain.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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