Anterior Pelvic Tilt

Anterior Pelvic Tilt

Anterior pelvic tilt (APT) is a condition that occurs when the front of the hips rotate too far forward and downward. It is also known as lower crossed syndrome. The common physical presentations are protruding abdomen and buttocks, and an increased low back arch (lumbar hyperlordosis). Refer to the figures below.

pelvic 1

We also frequently see a compensatory forward head carriage, loss of the cervical curve, and increase of the thoracic curve (upper crossed syndrome).

Beside presenting a poor posture, APT can be a source of significant low back pain. The increased lumbar curve puts significant pressure on the structures of the low back. This includes the discs, nerves, muscles, and joints. Along with pain, APT can cause premature wear and tear degeneration.

The most common causes of APT are thought to be muscle imbalances and malalignment of the pelvis and lower extremities (legs and feet). This would include weak abdominal muscles, gluteal muscles (buttock muscles) and hamstrings, and tight hip flexors (psoas, quads- especially rectus femoris), as well as tight low back muscles (erector spinae). Genetic predisposition can be a contributing factor.

The best treatment protocol is an integrated approach, to include, strengthening the weak muscles, stretching and massage to the tight muscles, and alignment of the bony structures. With our group of healthcare professionals here at OSR we will be working together to insure the best results for each patient. With a combination of physical therapy, chiropractic care, and massage therapy, along with our many modalities in our office, we can help ease your pain as quickly as possible. If you are suffering from anterior pelvic tilt or hip pain in general, call us today at 488-5555!


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