The Connection Between a Tilted Pelvis and Back Pain

A tilted pelvis, also known as pelvic tilt, can contribute to the development of back pain.

The pelvis supports the spine and acts as a foundation for the entire body. Ideally, the pelvis should be aligned in a neutral position, with the hip bones and the sacrum level. However, certain factors, such as muscle imbalances, poor posture, or injuries, can cause the pelvis to tilt either anteriorly (forward) or posteriorly (backward).

A photograph of a man with an excessively curved back, next to an illustration of a skeleton with vertebra at incorrect angles.
  1. Anterior Pelvic Tilt: Anterior pelvic tilt occurs when the front of the pelvis rotates downward and the back of the pelvis rises. This tilt places excessive stress on the lower back, causing an exaggerated inward curve in the lumbar spine. This increased curvature, known as hyperlordosis, can lead to muscle imbalances, strain on the spinal structures, and ultimately result in chronic lower back pain.
  2. Posterior Pelvic Tilt: Posterior pelvic tilt, on the other hand, involves the backward rotation of the pelvis, causing the lower back to flatten or even round. This tilt can disrupt the natural alignment of the spine and affect the distribution of forces throughout the body. The altered biomechanics can lead to muscle imbalances, tightness, and discomfort in the lower back.

Effects on Muscles and Structures: A tilted pelvis affects the surrounding muscles and structures, exacerbating back pain. In the case of anterior pelvic tilt, the hip flexors and lower back muscles become tight and overactive, while the glutes and abdominal muscles become weak and lengthened. In posterior pelvic tilt, the hip flexors may become elongated and weak, while the hamstrings and gluteal muscles tighten. These imbalances can cause strain, muscle spasms, and contribute to chronic back pain.

Good posture is a great way to relieve a painful pelvic tilt. And if you have been told that good posture requires mindfulness and muscular effort, you have been told wrong.

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