The pelvic region contains numerous nerves and muscles interconnecting and influencing each other based on the specific problem. Pelvic discomfort is commonly felt in areas such as the lower back's base, the Sacroiliac joints (SIJ), or the sides of the gluteus maximus muscles.
Anterior pelvic tilts happen when the pelvis shifts forward towards the pubis, causing the Sacroiliac joints (SIJs) to rise. This can create a sensation of an exaggerated curvature in the lower back, potentially leading to discomfort or even pain.
Posterior pelvic tilts happen when the pelvis tilts backward, causing the Sacroiliac joints (SIJs) to lower and lifting the pubis. This experience may present as stiffness and a decrease in the natural lumbar curve, possibly leading to heightened pressure on the intervertebral discs and contributing to degeneration over time.
Lateral pelvic tilt results in alterations to perceived "leg length" and can be induced by lumbar spine scoliosis, leading to imbalances between both sides of the body. This imbalance may result in one side experiencing more pain and disparities in muscle tone between the two sides.
Pelvic instability can stem from various sources, including trauma such as pubic symphysis dislocation during childbirth or changes in the sacroiliac joints. Symptoms of an anterior pelvic tilt encompass low back pain, a sensation of tightness in the lower back, thighs, or hamstrings, and a perceived weakness in the gluteus and core muscles.
Pelvic pain symptoms include low back pain, neck or upper back pain, shooting pains down the leg, buttock pain, soreness in the gluteus maximus, soreness in the legs, lack of strength in the low back and core muscles, changes to posture, sore joints (hip pain, knee pain).
Chiropractic care proves beneficial for addressing pelvic concerns, employing joint mobilisation and muscle relaxation to influence overall biomechanics positively. Simple spinal adjustments, involving the application of force by the chiropractor to move joints back to their "regular" state, can alleviate pelvic pain resulting from tilting or rotation. Low force techniques, like drop pieces or pelvic blocks, are also utilised to encourage the pelvis to assume a more comfortable position, thus reducing pain.