Pelvic obliquity symptoms can be debilitating.
Pelvic Obliquity Symptoms and Causes
Pelvic obliquity has a variety of causes, including if a patient has one leg shorter than the other, structural scoliosis, or “contractures about the hips”.1 Pelvic obliquity is not the same as levator syndrome or levator ani syndrome. Coccydynia (coccygeal region pain) and proctalgia fugax (fleeting rectum pain) are varieties of levator syndrome.2 There are also many other varieties of pelvic floor dysfunction. Pelvic floor pain may be caused by levator syndrome, coccygodynia, proctalgia fugax, or pudendal neuralgia. Other pelvic floor disorders are paradoxical puborectalis contraction (the muscle does not relax to pass stool) and rectocele (rectum bulges into the vagina). They can all cause various pelvic floor dysfunction symptoms, but they are not to be confused with pelvic obliquity.3 Pelvic obliquity is simply a “malalignment of the pelvic girdle”. Pelvic obliquity could be caused by a shortness and tightness of the “quadratus lumborum” muscle that “connects the pelvis to the bottom of the rib cage”. Its role is to maintain stability of the spine. The hip flexors are also associated with pelvic obliquity.4
Treatment Options for Pelvic Obliquity
Pelvic obliquity is also known as a tilted pelvis, and it can lead to lower back pain. Chiropractors have many treatment options at their disposal to assist patients with this disorder. Spinal manipulation is one therapy. A chiropractor may also use heat with electrical muscle stimulation. This can reduce spasms in the muscles. Trigger points could be resolved with myofascial treatments. Chiropractors can utilize stretches to “elongate the iliopsoas”. Myofasciitis, also known as inflamed muscles, can be relieved with proper hydration as well.5 It is not uncommon for a patient to have lower back pain from both sitting and standing if the pelvis is out of alignment. The misalignment can be observed by taking note of different leg lengths when standing, and also when the patient is seated by examining the “iliac crest heights”. If the “pelvis is wonky” when the patient is sitting, then the “lumbar spine will be loaded unevenly”, leaving the patient “more vulnerable to low-back pain”.6 Sometimes patients have lumbar scoliosis and pelvic obliquity. In one case history, a patient was given chiropractic adjustments, orthotic bracing, and rehabilitation. The bracing was used to make sure that the injury did not worsen while the inflammation was being treated. As a result of the treatments, the patient resumed normal activities.7
Find out more about pelvic obliquity.