Pelvic Misalignment – Causes and Treatment

Sacroiliac_Joint (1)Misalignment of pelvic joints (more properly known as sacroiliac joints) can cause back pain, pinched nerves, numbness or tingling of the feet. When the relationship between the tailbone (the sacrum) and the pelvis (iliac) of the body changes, not only is free movement of the sacroiliac joint lost, but the pressure and tension in the lower back increases. The pain may be near the back of the back or the sacroiliac joint (the back of the pelvis), but it’s caused by your pubic symphysis joint being out of position.

When it is confirmed that there is pelvic misalignment, your chiropractor will start using conservative adjustments to restore the structure and function of the spine. Treatment may also include adjuvant therapy such as ice and electrical stimulation. Home care includes aggressive home icing and stretching programs. It may be recommended to change specific activities at home.

What Causes Pelvic Misalignment?

The lumbar vertebrae, hips, pelvis, and knees must be radiographed and examined by an orthopedic surgeon to clearly understand what is happening and to correct or treat it.

  • You may be suffering from walking Trendleburg syndrome.
  • You may have been sitting for a long time. Muscle imbalance will occur if there is little activity even if sitting for a long time, the position of the pelvis will shift, leading to pain and dysfunction of the spinal cord.
  • There is a possibility of pregnancy. Pelvic displacement is relatively common during pregnancy, because your ligament loosens.
  • There may be a “short leg” syndrome.
  • You may have fallen directly to your buttocks or pelvis.
  • You may cause congenital hip transformation (you were born with it).
  • Scoliosis (S-shaped curvature of the spinal column – it is so small that it is difficult to see except for X-rays, but there is a possibility of affecting walking).
  • Even if your knees are structurally fine, you may be developing spinal or hip arthritis that affects your gait and causes knee pain.
  • Or there may be a problem with another knee.

Check some YouTube videos to see if your walking fits one of these conditions. If so, your muscles may be too weak. Certain muscles may be strengthened or you may be building a higher arch.


“Pelvic” or “sacroiliac” disorders are often misdiagnosed. Practitioners often tend to feel misaligned pelvises try to find them with X-rays, but in fact, looking for misalignment is a very unreliable task. The best way to really detect SI faults is to perform a barium injection. If that is not available, they will perform a series of manual tests on the pelvis to see if it will reproduce the pain.
What to do about it:

Unfortunately, there is no really easy fix for this. There is reinforcement practice that works to strain the muscles and re-adjust the muscles around the pelvis to some extent.

Although you can perform bone reconstructive surgery, it is very expensive and painful, and it is unknown whether such surgery will actually succeed. Typically, reconstructive surgery is to reserved for cases very severe misalignment and severe pain, or where pelvic misalignment would prevent a person from completely walking.

1) Try conservative care. Chiropractic treatment is ideal for correcting misalignment of the body. It may fix the whole paralysis problem with no surgery needed.
2) If it does not work, wait for it and see if the problem gets worse. Again they normally do not undergo surgery without major progressive nerve symptoms.
3) After conservative care, consult a neurologist about receiving a surgery if there are gradual neurological symptoms (eg foot pain, ambulatory, cold, lower extremity pain) At that point I will probably recommend it.


Having your pelvis misaligned starts in your back muscles. When one of them is tight they pull that side up to be shorter which pulls into your pelvis to tip it and turn it. As a result, despite being actually the same length, one leg is shorter than others. You need to relieve your tension that causes your back muscles to release and tilt your pelvis.

Conservative treatment of buttocks pain using chiropractic adjustment is very effective for correcting proper spinal dynamics of the pelvis. Taking over-the-counter medicine simply hides the pain without actually solving structural problems and misalignment of the joints. Indeed, taking medications may actually worsen the overall problem by hiding the body ‘s natural defense mechanism.

Pain from Pelvic Misalignment

Pain is usually a deep ache just to the side of the “butt crack” and is usually made worse by standing, walking and climbing stairs. It might radiate down the leg, but this is a little rarer (as compared to a disc related pain) and it almost never goes below the knee. Moving the lumbar spine has little or no effect on the pain and the range of motion of the lumbar spine is usually normal.

Pain in one side of the buttock that does not go away within twenty-four hours indicates a significant problem. The pain may be achy, sore, stiff, dull, tight, and throbbing or any combination of the above. You may experience an increase in pain when sitting or standing for a prolonged period.

Pain may include deep blunt pain, and / or buttock pain. Sometimes, it may be sharp and intense. Easy tasks such as putting on your socks in the morning seem to be monumental. Sleep may be hindered. Pain increases from the seated position, making it very difficult or impossible to straighten. Pain may be radiated from the buttocks to the hind legs. Pain in the foot may be recognized as pain or paralysis. Pain in the butt increases with the bad first things in the morning and / or as the days pass. Other symptoms may appear.

Pelvic Misalignment Exercises


Bracing, positioning and exercising are of great help. PT is not mere exercise. A Physical Therapist is a very well trained person in biomechanics and physiology that will tell you what you can do to evaluate your situation and make it better. Sometimes there is something to make it do better by exercise, but that is just a tool in the toolkit.

Here’s how to do a quick misalignment release:

(Sitting in a chair)
1.) Place your left hand on the left leg next to your body.
2.) Place your right hand on your left shoulder, your fingers on your back, the palms in front, pull them firmly and hold.
3.) After 30 seconds, slowly lower the body forward to the outside of the left foot and make the left arm as straight as possible.
4.) When you reach your lap, stay there for another 10 seconds and release the pressure, but please put it there for 30 seconds.
5.) Then, reverse the position of the hand and do your right.

For best results, first take a deep breath and relax your body, then relax after exhaling. Please refer to the physical therapist who knows how to correct the alignment of the pelvis and the way to evaluate the mobility of a good hip joint. They will rate your pelvic alignment, test the pelvic hip strength, and evaluate whether the exercises that teach you to arrange your pelvis and correct your alignment at home are appropriate.