How do I know if I have a rotated pelvis?

The following two simple tests will primarily tell you whether your pelvis is rotated and contributing to unilateral extension or rotation problems. It is better to have someone look at your pelvis for you because you will be unable to assess the differences from one side to the other. When checking your pelvic landmarks, make sure both legs are standing the same.

For instance, one leg should not be straight while the other is slightly bent. 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 the thumbs down and forward until you find prominent ridges on the front of the pelvis. These are the anterior superior iliac spines (ASISs). Keep sliding the thumbs over the ASISs until they drop off into a more fleshy part of the hip.

Stop when you reach this edge of each ASIS 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.

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