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Dorchester Center, MA 02124
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The body is designed to stay upright. The spine, stacked with bony vertebrae and vertebral discs, and supported by a network of muscles, ligaments and other connective tissues, allows it to maintain a uniform posture from head to toe. In a perfect world, the left and right sides of your body would be perfectly aligned with each other.
Unfortunately, our bodies are not perfect and sometimes the body becomes misaligned. Over time, you may find that one of your hips feels higher than the other. When the hips are uneven, with one hip higher than the other, it means that the pelvis is tilted. This is also called lateral pelvic tilt, and only a few things cause it. Symptoms and treatment depend on why your hips are uneven. In this article, I shall be looking at how to fix uneven hips.
A lateral pelvic tilt (LPT) is a common postural misalignment characterized by tilting the pelvis to the side.
People with this condition will appear to have unbalanced hips, with one side lower than the other.
There are several known causes of lateral pelvic tilt including scoliosis and a leg length gap. But one of the most common causes of uneven hips is poor posture.
To understand how poor posture contributes to a lateral pelvic tilt, it is important to consider the structure of the pelvis.
The pelvic bone is located in the upper part of the thigh bones (femurs) and is supported by a network of muscles that help stabilize the hips and allow for a full range of leg movements.
These muscles and ligaments include:
When a muscle imbalance occurs between these muscles, whether due to injury, tension, weakness, or excessive use, a lateral pelvic tilt can develop.
More specifically, a lateral pelvic tilt is the result of the hardening and shortening of the adductors, the middle gluteus and the square lumbar region on one side of the body, and the simultaneous weakening and lengthening of the same muscles on the other side of the body.
This imbalance causes the hips to rise on one side and fall on the other, hence the term lateral pelvic tilt. To fix uneven hips we need to understand its causes.
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Here are some symptoms of Uneven Hips
The main reasons for uneven hips are:
Scoliosis
In this condition, your spine has an “S” or “C” shape curve which is slightly turned. It is the most common cause of uneven hips.
Scoliosis can be caused by the incorrect formation of the spine before birth, usually for unknown reasons. It can also have a neuromuscular cause, such as muscular dystrophy, cerebral palsy, polio, spina bifida, and Marfan syndrome.
Scoliosis affects girls more often than boys and can occur in families. It usually stops progressing when the bones stop growing. The curve is more likely to get worse when
In this condition, one leg seems longer than the other but has the same length when measured. It is caused by poor posture. Poor posture causes an imbalance in muscle strength and tension.
When poor posture becomes a habit and you stand or sit in the same position daily for months or years, your muscles become used to that position. Some muscles become shorter and tighter and lift the hip, and the muscles attached to the lower hip weaken, lengthen and relax.
This can also happen if you stay in one position for a long time with one hip higher than the other. This can happen if you always sleep on one side. Furthermore, it happens if you arch your back while sitting for a long time, or always lean on the same side while sitting or standing.
In this condition, one leg is longer than the other when measured. Most people have legs that are slightly different in length, but it is rare for the legs to be so different in length that the hips are uneven.
According to the American Academy of Orthopedic Surgeons, a difference of about 4 centimeters can cause difficulty in walking or even lameness.
Sometimes it is congenital, which means that a person was born with it. In this case, the cause is usually unknown. In other cases, it is caused by:
The good thing is that, in most cases, one can fix uneven hips by self-massage, stretching, and basic corrective exercises that anyone can do from home. In the next section, we will see how to fix uneven hips.
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There are several things you can do to fix the uneven hips when the measured length of your legs is the same:
To fix uneven hips is more difficult when the measured leg length is uneven. According to the Pediatric Orthopedic Society of North America, treatment is based on the difference in leg length:
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Also, If detected early, an uneven hip is a manageable condition that can usually be corrected with chiropractic care, massage, physiotherapy, or a personalized treatment plan that includes these three therapies.
Your doctor will decide which treatment is right to fix your uneven hips based on the severity of your condition.
Chiropractors take a holistic approach to fix uneven hips, to treat pain, and restore a full range of movement for the muscles, ligaments, and joints that surround the pelvis.
A chiropractic treatment plan can include chiropractic adjustment, massage therapy, physiotherapy, and stretching.
The goal of chiropractic treatment is to achieve better body balance without the need for drugs or injections.
A physiotherapist can not only suggest stretching and muscle-building exercises that can be done at home to relieve the discomfort associated with a lateral pelvic tilt but can also offer advice on how to control your health through lifestyle changes.
The goal of physiotherapy is to restore the symmetry of the pelvic girdle by strengthening the weak and/or elongated muscles while stretching the tense and contracted muscles.
A massage therapist will use a series of manual techniques to relax the muscles that support the pelvis.
Massage therapy also helps improve blood circulation in the affected area, which helps reduce inflammation and relieve pain.
Among the techniques used by professional massage therapists are deep tissue massage, myofascial release, and Gua Sha, a traditional Chinese therapy that involves scratching the skin with a massage tool to increase circulation.
Stretching exercises to relax and lengthen the muscles are used to correct the functional difference in leg length. They also help improve back pain and other symptoms.
The main muscle to stretch is called the quadratus lumborum. This muscle connects the pelvis and the spine.
Any stretch that increases the distance between the hip and the shoulder on the side of the highest hip is good. Here are five exercises to help you fix uneven hips.
To fix uneven hips, it can also help to strengthen weak muscles of the hip including the quadratus lumborum. Exercises that help with this include:
Uneven hips affect everything. The pelvis is connected to the shoulders and upper back by the spine. It is also connected to your legs. Thus, the effects of uneven hips can sometimes be observed in these areas:
Whatever the cause of the uneven hip or pelvic tilt, there are things you can do daily to fix it. It is also important to follow up with health professionals over time.
Checking regularly with your doctor or health care provider can help you get a good diagnosis. Your doctor may notice that you or your child have irregular hips during a routine physical exam, or you may notice this yourself and consult your doctor about it.
Scoliosis is frequently diagnosed during school assessments or during sports sessions.
Your doctor will ask you about your symptoms and do an examination, including a scoliosis check.
Your doctor will also assess your hips and shoulders to see if they are equal or not.
These examinations will help your doctor to fix or stop the progression of certain conditions that can cause uneven hips.