Anterior Pelivic Tilt is a condition in which the pelvis tilts forward leading to a pronounced lower back arch, a bulging stomach and internal rotation of the hip. These postural abnormalities are associated with multiple musculoskeletal conditions and can lead to several different pain patterns. In this entry we are going to discuss the conditions and pain patterns associated with the internal rotation of the hip.
The hip is where the power for jumping, sprinting, squatting and dead lifting is generated and must be strong to optimize performance in these activities. When the hip internally rotates the hip flexors start to shorten reducing the amount of power that can be generated and alters posture. As the hip flexors connect to the lumbar spine, and the femur both of these are also affected. The femur is affected by also internally rotating this then leads to rotation of tibia and this all creates torque on the knee and ankle joints causing unnatural wear and pain. These conditions cannot be fixed by stretching alone and your San Jose chiropractor can help identify and correct this problem. They will first evaluate the condition with several orthopedic tests including Thomas Test to see if shortening of the hip flexors is a contributing to your condition. Manual therapy, adjusting, cold laser, stretching, exercise and Kinesio Tape will all be used to help reduce muscle spasm and reposition the pelvis to help re lengthen the hip flexors allowing proper function to resume.