Orthopedist Questions Tipped pelvis

What causes a tipped pelvis?

I'm 35, and in my recent exam my doctor told me that I have a tipped pelvis. First, what does this actually mean? Second, what causes a tipped pelvis in the first place?

4 Answers

You would need an Orthopedic Evaluation and may need a Spine/ Pelvis/and possibly Lower extremity scanogram. Your Orthopedic Doctor would be able to Evaluate and let you know.
Tipped Pelvis is a general term. If you are referring to pelvic obliquity, the causes are centered around differences in leg length or a major muscle imbalance. Prior trauma or abnormalities of the spine or sacroiliac joints can also contribute to obliquity of the pelvis. Small asymmetry or obliquity is not in itself serious. However, the conditions contributing can be painful and alter gait, sitting balance and make standing straight an issue. A thorough exam with an orthopedic surgeon or spine surgeon may be appropriate.

Sincerely,

Kevin Jon Lawson, MD
I am honestly not sure what “tipped pelvis” means either. Perhaps your doctor was referring to pelvic obliquity, an anatomical variation wherein one aside of the pelvis is higher than the other (like left vs. right or vice versa) when you stand up. It can be due to spine curvature, muscle imbalance of one side vs. the other, trauma, limb length difference, or a congenital deformity. Measurements of limb lengths and X-rays can provide useful information as to your potential cause. Ask your doctor which cause you have so you and he/she can design an appropriate treatment program.
Either one leg is longer than another, or a curvature of the spine are the usual causes. Try a shoe lift in the shorter leg to "level" your pelvis. Not always, but it usually works.

Hope it helps!!

Dr. Bose