Pelvic inconsistency: deposits are not always good

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Pelvic obliquity - deposits are not always the first choice: the right diagnosis is important

Around 70 percent of the population in industrialized countries suffer from an oblique pelvic condition. Most of them don't know about it. Because such a misalignment manifests itself through various complaints, which do not always immediately suggest a crooked pelvis. Back pain and chronic headache as well as neck and knee pain are among the possible symptoms. But when it comes to diagnosis, pelvic misalignment is not the same as pelvic misalignment.

Only a few people live with an exactly upright basin. As long as the skew is only a few millimeters, it rarely causes pain. Only major differences require cause-based treatment. "Anyone who suffers from inexplicable pain in the lower back or who detects a malposition of the pelvis when looking at it in the mirror should definitely consult an orthopedic surgeon," explains Dr. Wolfgang Mertens, board member of orthonet-NRW, an association of established orthopedic surgeons from North Rhine-Westphalia. Because physicians use 3D measurement to distinguish between two causes of pelvic obliquity. So it arises either from an actual or only an apparent difference in leg length. In the event of a malposition that is based on an actually different leg length, an individually adapted shoe insert often helps quickly and effectively. Affected people very rarely suffer from this form.

If, on the other hand, the pelvis is in a three-dimensionally shifted position, the legs only appear to be of different lengths. In such a pelvic obliquity, insoles tend to aggravate symptoms or cause even worse pain. This common form requires more complex treatment. Muscle hardening or injuries often cause such misalignments. In this type of pelvic misalignment, regular orthopedic measures improve the symptoms. In the first step of therapy, orthopedic surgeons use osteopathic methods that are tailored to the individual clinical picture. With their bare hands they bring the pelvis into the correct position. Additional muscular strengthening exercises and physiotherapy provide physical stability to keep the pelvis in this position permanently. Targeted sporting activities also promote recovery. It is important to find the right amount of exercise. Patients must neither overload themselves nor fall into a protective posture. "In order to alleviate acute pain itself, the use of a warming pillow helps many sufferers," adds Dr. Mertens.

Image: Klaus Radloff /

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Video: Fix Anterior Pelvic Tilt in 10 MinutesDay Daily Exercise Routine


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