How to align the pelvic bones exercises. What to do if a beveled pelvis? Methods of therapy for displacement of the pelvic bones

The human pelvis belongs to the department of the skeleton, connects upper part torso from the bottom. It is in the pelvis that the intestines and bladder are located. Deformation of this part of the human body is fraught with undesirable consequences. The main functions of the pelvic bones include:

protective - prevention possible injuries some vital important organs, localized in the area under consideration;
the pelvic bones are involved in the process of blood formation, this is facilitated by the presence of red bone marrow in them;
motor - a healthy pelvis becomes the key to harmonious, natural movement of the body;
the bones of the pelvis hold the column of the spine and are responsible for a straight, correct posture.

One of the most common diseases of the pelvis is the displacement of its bones. The pelvic tilt develops under the influence of factors:

Sedentary lifestyle (lack of exercise)- frequent visits sitting position leads to a weakening of some muscles and contributes to the constant tension of others. This phenomenon does not pass without a trace, being the cause of an oblique pelvis.
Lifting heavy objects- weightlifting without proper instruction is not recommended. Wrong physical exercises(jerks, lifting and carrying dumbbells with one hand, etc.) lead to the development of the pathology in question.
Various injuries of the pelvic bones- Injuries usually appear as a result of blows, falls, bruises. Of particular danger are open fractures bones, rupture pelvic ring.
Pregnancy status- structure female pelvis ideal for childbirth, but during gestation, bone displacement in this area often occurs.
Pelvic muscle injury- damaged muscles become less elastic, are constantly in a tense state. The direction of displacement depends on which muscle is damaged. The defeat of the lumbar muscles leads to the displacement of the pelvis forward, and the injury of the quadriceps muscle leads to a modification (flexion) of the hips.
Hernia intervertebral disc - the development of pathology in this case due to chronic muscle spasm.
leg length difference- when a person has one limb from birth or as a result of past illness shorter than the other, then the pelvis is twisted or shifted from right to left, rarely from back to front.
congenital or acquired scoliosis.
Transferred surgery in the area of the pelvic or ilium.

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Symptoms of the disease

Some symptoms of the disease can be recognized on early stages development. It is necessary to take a closer look at the features of the course of the disease in a timely manner and seek the help of a specialist for further treatment:

Severe pain that manifests itself during walking, running, leg movements.
Unsteady gait, unreasonable frequent falls, loss of balance.
There is pain in the back, lower back, neck, shoulders. The pain gradually radiates to the legs.
Unpleasant sensations in the genital area, groin.
Dysfunction of the genital organs (in men, against this background, there is a sharp decline libido).
Pain in the buttocks, thighs.
One limb becomes gradually longer than the other.
Dysfunction Bladder.
Diseases gastrointestinal tract(intestinal disorder).
Pain in the knees, ankles.
Movement becomes stiff.
One shoulder will be higher than the other (the person unconsciously raises it).

If you find several signs of the disease, you should visit a doctor and think about rational treatment twisted pelvis.

Diagnostics

You can determine the disease yourself, but for completeness clinical picture you need to visit an orthopedic traumatologist. The doctor begins the examination of the patient after a detailed anamnestic analysis. It is important to identify the root cause that provoked the development of pathology, and then proceed to treatment. After completing the history taking, the specialist will visual inspection the patient, probes the damaged, disturbing areas.

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Supply accurate diagnosis impossible without instrumental medical examination. To the most effective methods Such diagnostics include:

X-ray study spinal department and the patient's pelvis.
Magnetic resonance imaging, which will reveal possible curvature, spinal injury, or pelvic bones.
Tomography performed using computer technology.

Treatment of pelvic tilt

For effective treatment displaced pelvic bones, it is necessary to identify the root cause of the disease. The fight against the disease is to eliminate the factors that contribute to its development. Medical therapy in the treatment of pathology is based on taking the following medications:

Anti-inflammatory drugs (non-steroidal).
If pain is often disturbing, then it is advisable to use various analgesics.
Recommended application healing ointments to the damaged area of the body.

If symptoms of a twisted pelvis are detected, treatment for this disease should begin as early as possible. The neglected form of pathology requires surgical intervention Therefore, it is better to treat the disease in the early stages. In Moscow and other large cities of Russia there are specialized clinics where effective complex treatment is carried out with an oblique pelvis.

There are other methods of treating pelvic tilt, which should be consulted after a medical consultation:
When the pelvis is tilted in a child, treatment should be urgent. Wellness treatments in this case, more time is required. Among the reasons for the displacement of the pelvic bones in babies, congenital pathology is distinguished. But most often the disease is acquired. Children spend a lot of time at their desks at school, and then at home in front of computer monitors and TVs. Low physical activity leads to the development of the disease in question.

For the treatment of children's oblique pelvis, it is important to normalize the deformed parts of the body.

It is worth strengthening the child's back muscles, leveling his posture with the help of a variety of physiotherapy procedures (mud therapy, hydrotherapy, massage treatment, exercise).

The articulation of the pelvic bones performs a frame and support role. Inside are the pelvic organs. plays important role in the function of movement, taking on the load when walking, jumping, running, squatting, etc. The sloping pelvis has a very Negative consequences in terms of the health of the spinal column, since it is a supporting structure for it, participating in the distribution of mechanical, kinetic and static loads. The main negative consequences of a beveled pelvis are the development of the following pathologies:

violation of the position of the femoral heads in the acetabulum - deforming osteoarthritis (coxarthrosis) develops;
due to the displacement of the spine, its depreciation ability is lost, protrusion of the intervertebral discs is quickly formed, there is a curvature and a violation of posture;
with the wrong position of the head femur develop pathology of the knee and ankle joints;
man with oblique pelvis suffering from compression internal organs(men may have erection problems, women may experience severe forms PMS, pain during menstruation, etc.).

It is possible to identify a beveled pelvis by external signs and with the help of radiographic images. You can see on them wrong position iliac bones, pathological pubic articulation and disruption of the cross-iliac joints.

The main causes of a tilted pelvis include:

a state of pregnancy in which there is an excessive divergence of the pelvic bones;
shortening of one limb, including against the background dystrophic changes in muscle tissue with osteochondrosis in radicular syndrome;
wrong setting feet;
changes in posture and curvature of the spinal column in lumbar;
injury and infectious lesions iliac bones;
congenital genetic pathologies.

In almost all cases modern methods treatments can eliminate such a problem as a beveled pelvis. But this is possible only when using manual therapy techniques. Pharmacological and surgical methods There is no cure for this pathology.

What to do if a beveled pelvis?

Before doing anything, it is important to identify the cause of the violation. This may be a functional restructuring of the position of the ilium. In this case, the oblique pelvis can be easily corrected using manual therapy methods. For this, the underlying disease is treated. So, with osteochondrosis, the elimination of compression helps radicular nerves. If the innervation of the lower limb is restored, then the gradual development of muscle tissue is possible. As a result, the limb "returns to service" and the skew in the pelvic bones is eliminated.

It is more difficult to treat if the oblique pelvis is a consequence organic damage joint tissues. At advanced stages coxarthrosis also occurs shortening of one limb, the position of the iliac bones changes. In this case, treatment will be possible only after hip arthroplasty. With congenital hip dysplasia in children, it is better to start rehabilitation manual therapy at an early age. infancy, until the moment when the baby begins to stand up on his own. In this case, it is possible to effectively prevent the development of an oblique pelvis by strengthening and developing certain muscle groups of the thigh and back.

The sooner the treatment of this pathology is started, the higher the chances of success. Therefore, we advise you to pay attention to typical external signs oblique pelvis:

sensation of shortening of one limb and dips when walking to this side;
visually visible rotation or tilt of the pelvic ring (determined in a standing position);
drawing pains and cramps in the lower limb on one side;
discomfort in the hip joint without load (for example, in the supine position);
constant pain in the lumbar region and sacrum;
change in posture - curvature of the spinal column of a small degree;
fast fatiguability lower extremities when walking;
problems with the pelvic organs, for example, overactive bladder syndrome, decreased potency, pain in menstrual cycle etc.).

If you have similar symptoms we invite you to the primary free consultation to our chiropractic clinic. If treatment is not started in a timely manner, then in the future a beveled pelvis can deliver great amount problems. In particular, not carrying a pregnancy will be observed, constant pain development of hemorrhoids and varicose veins veins of the lower extremities. In addition, patients are at risk of getting coxarthrosis, which will make their independent movement in space impossible.

Oblique pelvis is malposition of the pelvis. An oblique pelvis leads to the development of joint diseases, flat feet and different lengths legs. If you look "as is," in reality, a person's legs are always (except for very rare cases) of the same length. But since the legs are attached to the pelvis from above, then with its oblique position, the leg that is attached to the higher part of the pelvis will be shorter, and the leg that comes from the lower or inclined part of the pelvis will be longer.

different leg lengths

The pelvis is perpendicularly attached to the spine, so if the spine is curved (scoliosis), then the pelvis will tilt or twist (twisted pelvis) according to the position of the spine.

The curvature of the spine itself occurs as a result of the displacement of the first cervical vertebra(Atlanta) - see article. Therefore, with the restoration of the position of the first cervical vertebra, we get a significant or complete straightening of the spine and, consequently, the position of the pelvis and the length of the legs also change.

In my practice, if on average people have a difference in leg length of 1-2 centimeters, then somewhere in 1-2 months after the atlasprofilax procedure in an average adult, the difference can be 5-7 millimeters. If we are talking about children, middle school students, then 1-2 months after the procedure, the difference is reduced to zero.

Of course, these are approximate figures, but this order of magnitude was confirmed by me in practice by hundreds of people to whom I did the procedure for correcting the position of the first cervical vertebra (atlasprofilax).

oblique pelvis how to fix

As you probably guessed, the cause of an oblique pelvis is a curvature of the spine. In a very, very rare situation, the pelvis is twisted for some other reason. In the vast majority, it has an inclination or some kind of rotation due to subluxation of the atlas, the first cervical vertebra. Many experts will dispute this fact, but I can prove the opposite to you.

In newborn children, you will never meet such a diagnosis as an oblique pelvis, the only diagnosis is torticollis, or simply birth injury. And with age, due to torticollis, the curvature descends to the rest of the spine, and in adolescence comes to the pelvis. Just during this period or later, a person develops and develops an oblique pelvis. Observe carefully this situation, you will see for yourself that this is a fact.

The pelvis is one of the most important, though sometimes overlooked, parts of the skeleton.
The pelvis is shaped like a basket with a tip and contains many vital organs, including the intestines and bladder. In addition, the pelvis is in the center of gravity of the skeleton. If the body is compared to a pencil balancing horizontally on a finger, its point of balance (center of gravity) will be the pelvis.

Therefore, it is obvious that the location of the pelvis greatly affects the posture. This is the same as if the central block in the tower is displaced, in which case all blocks above the displacement are at risk of falling. And if you compare the central unit with a box, then the tilt can lead to the box falling out. Similar mechanisms take place when the pelvis is tilted, and the contents of the pelvis are shifted forward. As a result, there is a protruding abdomen and bulging of the buttocks. Since the pelvis is the junction of the upper and lower torso, it plays a key role in body movement and balance. The pelvic bones support the most important supporting part of the body - the spine. In addition, the pelvis allows the lower limbs and torso to move in a coordinated manner (in tandem). When the pelvis is in a normal position, it is possible various movements, twisting, tilting and movement biomechanics are balanced and the distribution of load vectors is even. Displacement (skew) of the pelvis from normal positions causes dysfunctional disorders of the spine, as there is a change in the axis of distribution of loads during movement. For example, if there is an axle shift in a car, then the wheels wear out quickly. Something similar happens in the spine, the effects of leverage and excessive load on certain points occur, which leads to rapid deterioration of the structures of the spine. Therefore, often the main cause of pain in the back and neck is a change in the position of the pelvis (displacement, distortion). A change in position changes biomechanics, which can lead to degenerative changes in the spine, disc herniation, scoliosis, osteoarthritis, spinal canal stenosis, sciatica, etc. also leads to pain and dysfunction in the neck, pain in the neck with irradiation to the shoulders, arms, contributes to the development of the syndrome carpal tunnel and others have limb problems.

Causes of skew (displacement) of the pelvis

First of all, pelvic tilt caused by normal muscle imbalance. Technology is developing very fast and sedentary image of life is one of the main reasons for the development of imbalance, because our body requires a certain amount of movement that it does not receive. Prolonged sitting and low physical activity are sufficient conditions for the development of muscle imbalances leading to pelvic tilt and as a result, the appearance of dysfunctional disorders in the spine and the occurrence of back pain.

Accidents and injuries are common causes of pelvic tilt such as side impact, lifting heavy objects while twisting, falling to one side, carrying heavy objects from the side, such as carrying a child on your hip or carrying a heavy bag all the time on one shoulder. In women, the pelvis is less stable from birth than in men, since a certain flexibility and elasticity of the pelvic structures is necessary for the normal course of pregnancy and childbirth. Therefore, pregnancy is often the main cause of pelvic displacement in women.

Pelvic muscle injury is the most common cause skew. Injured muscles tend to thicken and shift in order to protect the surrounding structures. If the muscles in the pelvic area, such as the sacrum, are damaged, then the tightening of the muscles will lead to an effect on the ligaments attached to the pelvis and joints. As a result, structures such as the sacroiliac joints will also have a certain disposition. Muscle compaction after injury persists up to full recovery muscles in and during this period of time the pelvis remains in an abnormal position.

The difference in leg length can also be the cause of the pelvic tilt, and in such cases, the tilt can be from right to left or vice versa. But the displacement can also be forward or backward, or it can be twisting of the pelvis.

Many conditions can lead to muscle spasms that cause the pelvis to twist. A herniated disc can cause muscle spasm adaptive nature and, in turn, in antalgic scoliosis with functional pelvic tilt. At active people often there is tension in the area calf muscles which in turn create tension around the pelvis. Surgery such as hip replacement can also cause the pelvis to reposition itself.

Since the pelvis is one of the most stressed areas of the body due to motor activity and weight support, movement causing pain and stiffness are a strong indicator of the presence of problems with the location of the pelvis. Back pain in particular is a common pelvic tilt indicator. In addition to participation in the movement in the pelvic cavity are: part of the digestive organs, nerves, blood vessels reproductive organs. Therefore, in addition to back pain, there may be other symptoms, such as numbness, tingling, bladder and bowel problems, or reproductive problems. Most often, changes in the following muscles lead to pelvic disposition:

M.Psoas major ( psoas) anatomically can lead to extension and flexion of the hip, which leads to an anterior displacement of the pelvis.

M.Quadriceps (quadriceps), especially the rectus muscle, can lead to hip flexion.

M.Lumbar erectors can cause lumbar extension.

M. Guadratus lumborum with bilateral compaction can cause an increase in lumbar extension.

M.Hip adductors (adductors of the thigh) can lead to an forward tilt of the pelvis as a result of internal rotation of the hip. This leads to shortening of the adductor muscles.

M. Gluteus maximus (gluteus maximus) is responsible for hip extension and is an antagonist of the psoas major muscle.

M. Hamstrings The muscle of the back of the thigh, this muscle can be hardened. The muscle can be weak at the same time harden due to the fact that it is a synergist of the gluteus maximus muscle and this can be of a compensatory nature. deep muscles abdominal wall, including transverse abdominal muscles and internal oblique muscles may tighten due to weakening of the lumbar erectors muscles

Symptoms

Symptoms of displacement (skew) of the pelvis can be both moderate and severe and significantly disrupt functionality body. With moderate misalignment, a person may feel unsteady when walking or frequent falls are possible.

The most common symptoms such as pain:

Pain in the hip, sacroiliac joints, or groin
Pain in the knee, ankle or foot Achilles tendon

If the pelvis is displaced for a long time, then the body will correct and compensate for the violation of biomechanics and asymmetry and there will be a corresponding adaptation of the muscles, tendons and ligaments. Therefore, treatment may take some time. In addition, pelvic tilt can be difficult to correct, as a pathological stereotype of movements is formed over time. How longer period pelvic tilt, the longer it takes to restore normal muscle balance

Diagnosis and treatment

It is usually well diagnosed on physical examination of the patient. If it is necessary to diagnose changes in the spine or hip joints appointed instrumental methods examinations such as x-rays or MRI (CT) .

Exist various options pelvic tilt treatment and these methods depend on the cause that led to the skew of the pelvis. In the treatment of, for example, twisting of the pelvis, it is necessary to reduce muscle damage. For this can be used various methods physiotherapy, taking NSAIDs. If the skew of the pelvis is due to the difference in the length of the limbs, then it is necessary to use individual insoles or operational methods treatment.

But, in any case, the treatment of pelvic tilt is effective only in combination with the impact on the pathogenetic links that led to a change in the position of the pelvis and a violation of biomechanics (physiotherapy, massage, manual therapy and exercise therapy). Exercise therapy is the leading treatment for pelvic disposition, especially when muscle problems are the cause of the pelvic tilt.

posture disorder, which is a consequence of the curvature of the spine. Displacement of the axis of the spine leads to a violation of the redistribution of the load on spinal column. Vertebrae experiencing heavy load, undergo degenerative changes, formation of intervertebral hernias, sciatica and other diseases of the spine, in severe cases, stenosis of the spinal canal is formed;
there are complaints of headaches, pain in the back, neck, limbs, which can also be noted as a result of displacement of the vertebrae;
among the complications, I would also like to note a violation of the function of internal organs. This problem occurs due to stress ligamentous apparatus as a result, blood and lymph circulation is disturbed, the patient begins to be disturbed by pain;
functional shortening of one of the lower limbs. When the pelvic bones are skewed, the uniform redistribution of the load on the lower limbs is disturbed.

Causes of skewed pelvic bones:

At sedentary manner life, if a person has a “sedentary” job, a so-called muscle imbalance is formed. The mechanism of its formation is as follows: a certain group of muscles is not fully involved and weakens, while the other group, on the contrary, is in overstrain, the resulting imbalance can lead to a skew of the pelvic bones.
Injuries to the pelvis can also cause it to skew. The most severe are fractures, if they are not properly fused, the shape of the pelvis is disturbed and a displacement of the pelvic bones occurs.
Muscle tension caused by inadequate physical activity(weight lifting).
Consequences of pregnancy and childbirth.
Different lengths of the lower limbs.
The presence of intervertebral hernias. Their formation is observed in degenerative changes vertebrae, which leads to curvature of the spine and functional displacement of the pelvic bones.
Scoliotic changes in the spine.

Treatment of skewed pelvic bones

In neurology, traumatology and orthopedics, there is no definite treatment for the diagnosis of a pelvic tilt. As a rule, the patient is simply diagnosed with a problem without any options for correcting the situation. Often, the shortening of one of the lower limbs is considered the cause, it is recommended to wear a heel pad, which, most often, is absolutely impossible, because. this leads to even more pelvic tilt.

In this situation, the only discipline that can help solve this problem is osteopathy. After all, it is the osteopathic doctor, knowing the biomechanics of the pelvic ring and owning manual techniques for eliminating its violations, who is able to restore correct location pelvic bones.

Our osteopathic center employs specialists with great experience work on this problem. In most cases, after the first session, improvements will be noticeable. Sign up for an appointment, we will be happy to help you and your loved ones!