The oblique pelvis is the asymmetrical position of the left and right pelvic bones, their displacement relative to each other in the area of the pubic symphysis and sacrum.
The pelvis plays a significant physiological and biomechanical role in human life. At the same time, it represents the basis for the spine, contains organs, it is a mechanism for ensuring smooth walking, as well as balance when standing. The pelvis in women is actively involved in the activity of the reproductive organs.
Reasons
Experts identify a number of causes of pelvic tilt:
- muscle disorders - lack of sports activities, pain from sedentary work, and as a result, some muscles weaken, while others, on the contrary, are constantly in a state of tension; in humans, against the background of such processes, the pelvis may shift;
- physical activity - carrying weights in one hand, lifting them in a jerk, pelvic tilt is often diagnosed in weightlifters who exercise without instruction from an experienced coach;
- various injuries - disorders of ligaments, bones and muscles in the pelvic regionbecome a frequent cause of the development of the disease;
- pregnancy and childbirth;
- Patient's previous pelvic surgery;
- pathology of the spine (scoliosis, intervertebral hernia, etc.);
- legs that differ in length, causing the pelvis to move sideways, forward or backward, and twist.
Pathology manifests itself in the form of pain in the limbs, back and groin, unsteadiness when walking, intestinal dysfunction, disorders of the genitals and bladder. Pain from sedentary work is very pronounced. To prevent serious consequences, you need to start treatment in a timely manner.
External and clinical signs
How does a pelvic tilt manifest?
- Different leg length. Reflex contraction of the iliopsoas muscle and a turn of the pelvic ring on one side cause a functional shortening of the lower limb.
- Acute or chronic pain in the pelvis and lumbosacral region. Most often, the pain appears due to the displacement of the surfaces of the joints of the first sacral or fifth lumbar vertebrae, sacroiliac joint.
- Defects in posture (first degree scoliosis). It develops as a result of an inclination or distortion of the sacrum, which is the basis for the entire spine.
- Arthrosis and arthritis of the hip and knee joints. Usually develop on one side due to a shift in the center of gravity and different stress on the joints due to differences in leg length.
- Defects in the functioning of organs. organs,located in the pelvic region, are attached to the bones of the pelvic ring through ligaments. As a result of a change in the correct position of the pelvic bones, the apparatus of the ligaments of the internal organs of a person is overstretched, the organs themselves, their nerves and vessels are either displaced or compressed, which negatively affects their activity.
Diagnosis
Pelvic tilt: how to determine it? This can be done through a diagnosis by a doctor. First of all, the specialist will ask the patient to talk about the initial signs of the development of the disease and the first symptoms.
In addition, the patient needs to remember the presence of all provoking factors, for example, a fracture of the pelvic bones or a long stay of the patient during the day in a sitting position.
To eliminate discomfort, it is necessary to undergo a series of instrumental examinations that will reflect the degree of development of the pathological process.
X-ray
Initially, you need to get a referral from a specialist for an x-ray, which will show the condition of the pelvic bones and the pelvis as a whole, including the femurs, which suffer to a large extent with this disease.
If the disease is at an early stage, the main symptoms may be barely noticeable. That is why the state of the pelvic bones in case of misalignment should be judged after an MRI study. And based on its results, decide what to do in the future.
Treatment
When a pelvic malformation has been diagnosed, treatment must begin. Its a mustcarried out by traumatologists along with orthopedists. Sometimes a consultation or assistance from a surgeon may be required.
It must be remembered that the curvature can be corrected only after the cause of its appearance has been eliminated.
The following methods are currently the most effective:
- Therapeutic exercise, selected strictly individually.
- Manual Therapy.
- Gymnastic exercises that focus on strengthening the lower body and lower back.
- Physiotherapy.
- Massage.
Operation
If necessary, the patient is prescribed surgery, but only if conservative treatment is not effective.
Of all the drugs used, those that are included in the number of NSAIDs. If the patient is in pain, pain medication may be prescribed. In a child with a pelvic tilt, treatment should be fully age-appropriate.
exercise complex
You need to start with a fairly simple exercise - put your feet shoulder-width apart, press them to the floor of the foot. Then rise on your toes and lift your thigh. After that, lower the leg, return to the starting position. For each leg, repeat the exercise up to ten times.
The second exercise for pelvic tilt - swinging the hips to the left and right side and in a circle. You need to keep your hands either on your belt, or press them to your hips.
Then the legs also need to be placed shoulder-width apart, pressed to the floor of the foot. Bend the toptorso and try to reach the floor with your fingers. If it doesn’t work out right away, you need to swing the body slowly and smoothly until you can touch the floor with your fingers. At the same time, you need to watch the pelvis so that it does not deviate back.
As soon as the fingers touch the floor, you must take the starting position and bend back, the exercise is repeated ten times.
Pelvic tilt therapy through exercise can be done as follows: stand up straight, pelvis, feet and chest should be on the same plane. You need to imagine that you are between two high walls that restrict movement.
How is this pathology treated in the center of Bubnovsky?
Bubnovsky exercise
In order to ensure the functions of the movement of the hip joint, doctor Bubnovsky developed a special technique. To create it, he used progressive results in the field of modern neurology and traumatology. The basis was the idea of stimulating the internal reserves of the human body, helping to resist the disease.
Everyone knows that movement is life. The development of motor reflexes in the patient in the Bubnovsky technique plays a major role. A set of exercises was developed that allow you to restore ligaments, expand the number of movements, increase muscle strength, but most importantly, improve the patient's well-being.
Although classes at the Bubnovsky center do not require a specific training from a person, some points need to be emphasized.
Just before classyou need to stretch your muscles well. You can independently massage the hip joint, while any warming ointment is suitable.
With the help of a warm shower, blood outflow improves, muscles relax.
If possible, it is advisable to combine training with swimming.
If you walk in the fresh air, then a positive effect will be exerted on both muscle tissue and the body in general.
After the warm-up it is allowed to train.
Starting position of the patient: lying on his back, while bending his knees. With the heel forward, you need to stretch the half-bent leg, simulating the wheels of a train. To make it more comfortable, you can hold on to the headboard with your hands.
Keep your legs half-bent, arms should be spread apart. Alternately, each leg should be lowered inside the leg.
An excellent solution to the problem is to perform exercises on the simulator at number 18. Leg press lying - local action. Thanks to this, it is possible to do exercises such as femoral extension without giving longitudinal loads to the spine, the occurrence of which is a disadvantage of exercises that are performed by the type of getting up-squats in a standing position, as well as with weights in the arms or on the shoulders. This is great for strengthening the pelvic muscles.
If during the exercise a person feels severe pain, muscle tingling or cramps, then it gives a positive result. To reduce pain, it is necessary to stop for a few minutes so that the muscles rest, and then againstart training.
Consequences
Pelvic tilt is one of the dangerous conditions that definitely need treatment. In the absence of decisive action, spinal dysfunction and deformity may begin. At the same time, osteochondrosis, radiculitis, hernias begin to appear - the most common diseases.
If the course of the disease is long, dysfunction of the lower and upper extremities occurs. In addition, there may be pain that is almost not eliminated by painkillers. Many patients are diagnosed with carpal tunnel syndrome - it is not treated and haunts a person throughout his life.
If left untreated, you can become disabled after a while.
We looked at how to fix a skewed pelvis.
