What is a rotated pelvis?

The tensor fascia lata (TFL), rectus femoris, and sartorius muscles often become tight or dominant, especially in the presence of weakened gluteal muscles (gluteus maximus and gluteus medius). The pelvis can develop an anterior pelvic tilt as a result. This can happen on one or both sides of the pelvis.

When one side of the pelvis is tilted forward more than the other side, I refer to this as a rotated pelvis. When the pelvic bones become rotated, the muscles controlling hip and knee movements are adversely affected and create pain. This also can appear to be a leg length discrepancy.

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