How can I tell if I have problems with my pelvis?

To test for pelvic problems, do the following: 1. Standing on a level surface, have a friend or physical therapist kneel down with both hands on the tops of your pelvic bones (iliac crests). Determine whether one side is higher than the other.

Differences of 1/4 inch or greater can indicate pelvic rotation. 2. Next, slide your thumbs down and forward until you find a prominent ridge on the front of the pelvis.

These are the anterior superior iliac spines (ASISs). Keep sliding your thumbs over the ASISs until they just drop off into a more fleshy part of the hip. Stop when you reach these edges of the ASISs and assess the height difference.

Usually (but not always) if one iliac crest is high, then the opposite ASIS will be low. Again, keep your eyes at the level of the pelvis to get a good look. If both tests indicate level landmarks, don't assume your pelvis is perfect -- especially if you found that you have an extension problem.

It's likely that both sides are equally tilted forward and are contributing to excessive extension in the lumbar spine. This may be due to tightness in the tensor fascia lata (TFL) and quadriceps muscles. If these muscles aren't tight, then your spine is probably biased toward an excessive lordotic curve and you should focus on abdominal strengthening together with correcting poor habits, like locking your knees when you stand, that feed this movement dysfunction.

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