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Back pain? It may not be what you are being told!

It is reported that more than 80 percent of Americans will experience lower back pain and that total costs of the condition are estimated at greater than $100 billion annually. There are many causes of lower back pain but one of the most common, and missed by practitioners, is a rotated or tilted pelvis and restricted sacroiliac joint movement. This condition creates muscle tightness and spasm in the lower back, hips, upper and lower legs, pelvic muscles and even up to the neck region. A rotated pelvis creates more pressure and stress on the lumbar discs and can result in disc herniation or bulges and nerve compression like sciatica. 

Back pain from a rotated pelvis is very often misdiagnosed and treated as something entirely different. Millions of people continue to suffer often debilitating pain and are treated erroneously with pain medications, surgeries, therapy and more that don’t provide lasting relief or a fix. 


The key to correcting and eliminating lower back pain is correctly identifying its source. If one is being treated and the actual source is a rotated or tilted pelvis, relief is not going to come.  If properly identified and treated, you may eliminate that nagging pain once and for all. 

The pelvic bones consist of two large bones, the right and left ilium. They are connected in the front by a small joint, the symphysis pubis. In the back, at the base of the spine is the sacrum. The sacrum sits between each ilium and the connection forms the right and left sacroiliac joints.These joints are large joints and there is very important movement in these joints. The movement is not a lot, but very important for normal spinal and hip joint function. Restricted movement occurs due to pelvis rotation or tilting and creates pressure, irritation and inflammation in the SI joint itself. This is the source of a majority of back pain. 

The hip joint is the connection of the head of the femur, (upper leg bone), and is formed by the ball and socket joint at the pelvis where the femur connects. Movement of the hip joint involves movement at the SI joint as well.  People refer to the top of the pelvis as their “hips”. In reality, the hip is lower. The top of the pelvis creates the “waistline”. 


The pelvis and sacroiliac joints construct the base or foundation for the spine. They should be balanced with no abnormal or unlevel rotation or tilting.  They should also not be tilted forward or backward.

Any abnormal sacroiliac joint function, alignment or movement can create abnormal spine function, misalignment, muscular tightness and imbalances, abnormal posture, wear and tear, eventual degeneration, and resultant lower back pain. A big cause of arthritis in the spine is abnormal SI joint function. 

Often this condition is misdiagnosed as low back spasms, arthritis, degenerative disc disease, lumbar disc herniation or a “slipped disc”. The fact is that the actual cause of your lower back pain is most likely a rotated pelvis. The disc degeneration or lumbar disc bulge may occur eventually, but it is caused by the chronically rotated pelvis.


The primary causes of pelvic tilt are sprained pelvis ligaments, strain, weak, or imbalanced muscles, fallen arches, flat feet and over-pronation, tight hamstrings, knees issues or a combination of any of these.  Women often suffer pelvic issues during and after pregnancy. The ligaments that normally hold the pelvis stabile are overwhelmed by the changes in the body and the release of a hormone called relaxin. Its job is to relax those ligaments so that the pelvis can open and allow the baby to enter the birthing canal upon delivery.

As long as these causative or contributing factors go uncorrected you cannot expect much long term improvement or an elimination of your lower back pain. You may experience relief with pain pills, muscle relaxers, or even massage but lasting relief will be elusive until these factors are addressed and corrected to their fullest extent possible.


When left uncorrected, a rotated or tilted pelvis will continue to be the major contributing or causative factor in your lower back pain.

You must identify the cause of the rotated or tilted pelvis and take steps to correct it. Treatment may include chiropractic manipulation to balance the pelvis and SI joints, but shouldn’t stop there. This is essential. Additionally, you may require massage to loosen and release tight and imbalanced muscles and tendons. You may require foot orthotics and new shoes. Strengthening and stabilizing exercises are a must.

Correction of postural issues is vital. This can include all of the above. A thorough and corrective strengthening, flexibility and endurance plan should be implemented that will address weakened areas and balance muscular function. Regular exercise is essential, especially in this day and age when so many are stuck behind a computer most of the day.

Elimination of back pain can be a reality, even in the worst of cases. We see it in our facility every day. Contact us and let us determine if pelvic rotation/tilt is causing your issues. It may be easier to correct that you ever imagined. In no time at all, you may be feeling like a BOSS!

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