If you would like a general overview of the approach used by our Waterloo chiropractor please see ‘Our Apprach’, In this article I will specifically discuss a common postural fault seen in many of my patients and is usually a major contributor to back pain. I have attempted to write this article in layman’s terms, but the concepts may be a little difficult for some; if you have any questions or queries, please contact our Waterloo chiropractic clinic for more information.
Low back pain and sciatica is one of the more common conditions seen at Waterloo Spine & Sports, a common postural fault I’ve found in many of these pain sufferers is what is known as a pelvic torsion or ‘twisted pelvis’, which simply means that one side of the pelvis is being pulled forward and the opposite side of the pelvis is being pulled backwards often resulting in an apparent ‘short leg’. This is shown in Figure 1, where the right side is being pulled forward, and the left backwards.Fig 2
The forward rotation usually occurs when the muscles in front of the thigh and pelvis, are in a shortened condition. This may be as a result of being one side dominant and consequently favouring this side of the body during daily activities such as driving, certain sleeping positions, sports, sitting/standing postures, old injuries etc.fig. 3
As the body attempts to compensate for this, there is a contraction of the muscles on the back of the opposite thigh, hip and pelvis, causing the pelvis to rotate backwards. Most people don’t usually feel pain or tension in these areas, the result is usually pain felt at a different location on the body; similar to if you were to pull the front of your shirt, with the tension felt at your back. I have found it beneficial when trying to correct a ‘twisted pelvis’ and subsequent back pain, is to release & balance the muscles of the legs & hips, especially the muscles that cause the forward rotation (rectus femoris)fig. 4
The pelvis represents the body’s center of gravity and it provides a level base for the spine to sit on. Therefore, any changes to the pelvis can negatively impact the entire body. As the pelvis is being pulled out of its alignment, the muscles that attach to the spine and ribs (Fig. 4) contract, causing pressure to build up on the joints (Fig. 5), and squeeze the discs causing pain & irritation and may compromise the sciatic nerve.Fig. 5 of the lower back, which may lead to symptoms such as lower back pain, hip pain, sciatica and sporting injuries.
As the only qualified chiropractor and myotherapist (SLM), I spend an hour ‘hands on’ working deeply on the muscles especially the important postural muscles, bringing balance and pain free movement to back pain sufferer’s.