What is Pelvic Obliquity? Pelvic Obliquity is the misalignment of the pelvis, typically where one hip is higher than the other. This condition can lead to abnormal postures due to the spine compressing and becoming misaligned to compensate for any misalignment.

Pelvic obliquity is a lateral (sideways) pelvic tilt, it can be caused by leg length inequality, contractures about the hips, as part of a structural scoliosis, or as a combination of two or more of these causes. The imbalance caused by a sideways curve of the spine can have a major impact on the muscles of the back. One common issue for people with scoliosis is a muscular imbalance, where the muscles on one side of the back are weaker than those on the other. A rightward curve, for instance, can result in the muscles on the right side to work harder, which makes them grow at a disproportionate rate and also increases the risk of strains or injuries, while the left side gets less use and becomes weaker. The diaphragm can also be compressed, which may make breathing more difficult.

A curved spine can also have a negative effect on the lower body. When your posture is crooked, you may also have an uneven gait (Trendelenburg gait, I have this myself) which grows worse over time, causing pain that can radiate down one or both legs to your feet.

A similar imbalance to the one affecting the muscles of the back can also have a profound impact on the muscles which are most commonly associated with pelvic pain. These include the hip flexors, levator ani, and abdominal muscles. While mild scoliosis is relatively unlikely to cause serious pelvic pain symptoms, a moderate to severe curvature of the spine can cause the pelvis to slant, putting unusual torsion and pressure on the muscles, tendons, and ligaments of the pelvic girdle. This can also cause hip pain, as the pelvic tilt will force one hip to bear a heftier load than the other.

Treatments could be Nonsteroidal anti-inflammatory therapy, Sacroiliac Joint injections, Sacroiliac ablations, Physical therapy, Mobilization therapy, Surgery (if necessary)

For myself I’m throwing myself into exercises, lets see if that really can make a difference. Though steroid injections in the back could be tempting if I’m honest.