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Back Pain and Pelvic Obliquity Treatment Birmingham

back pain due to foot and gait


Lower back pain can be due to a pelvic tilt. To diagnose and fix a pelvic tilt, you could put an end to suffering from back pain. The stress put onto the lower back, pelvic muscles, back joints and lumbar discs can contribute to a low hip or a tilted pelvis.

What Is The Pelvis?

The pelvis consists of two large bones, a left and right ilium. These two large bones are joined together at the front of the pelvis by a small joint known as the symphysis pubis.

In the back of the pelvis, between each large bone (ilium) is the sacrum. The left and right side of the sacrum joins the ilium together by a large joint known as the sacroiliac joint.

Right at the end of the sacrum are little bones known as the coccyx, they are also known as the tail bone. On the outside of each ilium there is a cavity. The thigh bone (femur) fits into this cavity. The hip is made up of this cavity and the ball of the femur which is located at the top of the thigh.

We frequently refer to the hips as the top of the pelvis. This is not correct, the hips are central to the broadest part of the pelvis. Positioned straight on top of the sacrum, right in the centre of the body is the fifth lumbar vertebra.

The lumbo-sacral disc is in-between this fifth lumbar vertebra and the top of your sacrum. The outside of this disc is made up of strong hard fibers and the middle of it consists of a jelly like matter. This jelly like matter is known as gelatinous. This disc is what holds the sacrum and the fifth lumbar vertebra together.

Above the fifth lumbar vertebra are the remaining four vertebrae. Each lumbar vertebrae are held together by its own disc.

What Is A Tilted Pelvis?

pelvic tilt


The pelvis should ideally be balanced with no irregular frontal or backward positioning or tilting to the side.
If a line is drawn horizontally at the top of the pelvis, it should be parallel to the floor. If it is not then there is a pelvic tilt, where one side is lower than the other.

This pelvic tilt will lead to irregular muscular imbalances, lumbar and sacroiliac joint misalignment, problems with posture, pain in the lower back as well as normal wear and tear.

Chronic disc disease or rupture of the lumbar disc could also be the cause of lower back pain. A tilted pelvis could have been the problem all along resulting in chronic disc disease.

What Causes Pelvic Tilt?

The main causes of a pelvic tilt are; flat feet, muscular imbalance, having a short leg or pronation. A combination of these problems could be a factor leading to a pelvic tilt.

If these issues are not addressed then lower back pain will always be a problem. Taking pain killers, having a massage or having some kind of chiropractic realignment may all offer some relief but not for long. The cause has to be diagnosed and treated adequately for lower back pain to improve.

Why Is A Pelvic Tilt Bad?

The pelvis tilting to one side can make the joints in your spine misalign. If these joints are misaligned then they can not work the way they are supposed to. This can lead to abnormal stress on the spine which can then lead to pain and many other problems. If this continues without being treated then it will result in suffering from; sacroiliac joint pain, chronic lower back pain, disc degeneration, pain in the hip and muscles as well as many other conditions.
Not only will this irregular stress affect the joints, the lumbar muscles will also be unable to function properly as one side will have shortened muscles and the other side will be stretched. This will cause muscle strain and spasms, therefore the improper function of the lumbar spine and more pain in the lower back.

How To Correct A Pelvic Tilt

If a pelvic tilt is left untreated then it will carry on being a cause for lower back pain.

Determine the cause of the pelvic tilt and take steps to correct it. Some of causes may include:

Lower Back Pain And The Short Leg

A short leg is one of the most contributing factors for a pelvic tilt, causing back pain. A leg which is not equal to the other leg or is shorter can cause the lower back to be unbalanced and unstable. A leg length inadequacy is the main cause of lower back pain.

Destructive Effects of a Short Leg or Pronation

When one leg is shorter than the other, then generally there will be a pelvic tilt. The side where the pelvis is lowered, it will move to match up with the shorter leg. As the pelvis tilts, the sacrum will tilt too. This means there is no level area for the spine to sit on to remain balanced. Hence the lumbar spine will bend to the short side. This will make up a curve in the lumbar spine also what is known as scoliosis.

When you stand up straight, the eyes are balanced with the ground. If the lumbar spine could not bend to the shorter side where the pelvis is tilting then the eyes would not be level when standing up straight.

The lumbar spine needs to be able to alter to the imbalance when you are walking or standing, if it could not do this then leaning to the shorter side would be very apparent.

The vertebrae in the spine are designed to move, whether it is to turn, bend or twist. If the spine was stiff and immobile, made up of one long straight bone then all you would be able to do is stand up very straight.

What Happens With A Leg Length Difference?

A shorter leg will set about an order of reactions by the body. This is the way the body adapts to this irregularity and tries to keep itself balanced.
The sequence of reactions would be something like:

shorter leg > pelvic tilting > muscle imbalanced > lumbar scoliosis

This would result in; pain, joint arthritis and disc degeneration. Using the example above of the sequence of reactions to a shorter leg, this is what it will look like now:

shorter leg > pelvic tilted (arthritis in the hip) > muscle imbalanced > lumbar scoliosis (misaligned) > devastating reactions (disc degeneration, joint arthritis) equals to chronic lower back pain.

If the leg length difference had been diagnosed earlier then most of these problems could have been avoided. You could have lived a better quality of life instead of suffering from chronic lower back pain for the rest of your life.

Living with chronic back pain could lead to constantly being in pain for the rest of your life. Your health deteriorates as you can not be physically active. Carrying out simple tasks like sitting down for a meal to playing with your grandchildren could be uncomfortable and painful. What kind of life is it if you are unable to do the things you enjoy and love pain free?

Constantly taking prescribed drugs over the years will have side effects such as; anaemia, arthritis, ulcers, kidney disease, even a shorter life.
After spending hours on end at the doctors, going through lots of tests, spending money on different health practitioners for a bit of relief. You may even have thought of surgery when all you may have needed was a simple heel life. I hope this shows how serious a leg length discrepancy can become.

Is There Hope For Relief?

back pain


It's never too late! You can try a heel lift at anytime. The sooner you try it the better the result.

Even if you suffer from spinal stenosis, degenerative disc disease or osteoarthritis, using a heel lift can bring considerable relief from chronic lower back pain.

We offer a variety of treatments to treat Back Pain and Pelvic Obliquity using the latest technology to measure pelvic tilt and provide custom orthosis based on our findings, contact us on 0121 285 1367 to make an appointment.