The following procedures are not
intended to replace medical advice, which, due to possible injury to the
skeletal system, should be sought in the first instance. (Check that the
person has not had a hip replacement operation.)
An unbalanced pelvis is a fairly
common. The causes are many and varied, muscles in spasm, injury within
muscles and the skeletal structure of the pelvic system. Correction of
a pelvis is relatively easy and should be achieved without inducing pain
or stress on the system; otherwise other problems can be created.
The pelvis is a cats’ cradle
held in place by muscles, associated skeletal system, and ligaments. It
forms a major part of the body and contains within it the reproductive
system and parts of the digestive system and is the conduit through which
passes the nerves and blood supplies to the lower limbs. It is the pivot
upon which the rest of the body sits. Any unbalance of it and its parts
have far reaching effects upon the person.
pelvis can be skewed in either the up position, (tilted), or front to
back, (twisted). (Figure 1).
Checking the Pelvis for twist and
2. The patient lies face up, and is asked to draw her knees up with her
feet flat on the couch. However the act of getting onto the couch and
adopting this posture will have put an artificial twist in the pelvis.
The procedure for removing this twist is shown in figures 3 and 4.
3. The therapist has to hold her feet onto the couch, and with the other
hand applies a restraining pressure on her knees. The patient is asked
to raise her hips about two inches, and then gently lower herself.
4. Persuade the patient to relax and to give you the full weight of her
legs, which then should be supported in the manner shown and lowered gently
onto the couch.
5. Position for evaluating pelvic twist or rotation.
Note. If the patient is to remain
in this position on completion of the checks then place a pillow under
the knees. This will make the patient more comfortable by taking strain
away from the lower back.
first thing to consider is the possibility that the legs are not the same
length, in which case the pelvis may have twisted to accommodate the condition,
and the patient may have had their shoes built up to correct the unbalance.
(In one of these cases I have carried out the pelvic correction procedure
to help with an associated, hip, knee and ankle problem. Case No. 22-06-261.)
Figure 6 shows the two methods
of confirming relative leg length.
A tailors’ tape measure is
used to measure from a point on the hip to the ankle bone.
The difficulty here is finding
a definable point on the hips from which to measure from. The two favoured
are from either the head of the upper leg bone, (Trochanter of the Femur),
or the front projection of the hip bone, (Anterior superior Illiac Spine
that the legs are balanced then the next areas to address are the ankles
and the heels.
Figure 7 shows how to position
the thumbs as part of the ankle alignment check.
over the patient’s feet confirm that the thumbs are in line, Figure
8. If not then this is an indication of pelvic tilt. If the thumbs coincide,
then look at the heels to see if they are in line, Figure 9. If not, this
is another indication of a tilted pelvis.The final check is for pelvic
at the side of the patient and place the tip of one or two fingers of
each hand over the two high points of the front of the hips.
(Figures 10 and 6, the ASIS.)
A twisted pelvis will be evident
by the point of the finger of one hand being higher than the other.
things have to be considered in the causes of pelvis misalignment. Stomach
surgery, stresses induced by pregnancy, muscular spasm pulling on the
thigh and other areas. Injury, sometimes induced by over- enthusiastic
correction of the pelvic problem. (Case note 21-11-041). Hip replacement,
(Case note 22-06-261). Pubis Symphysis Disorder, (PSD), where the pelvis
has parted at the front, footballing and the stress of childbirth being
the main causes.
Damage to the sacro-iliac joint
due to load stress from the upper skeletal system.
Copyright reserved. Roy Wilson
- Time to Treat.