A tapered pelvis is an asymmetric position of the left and right pelvic bones, their displacement relative to each other in the pubic joint and sacrum.
The pelvis plays a significant physiological and biomechanical role in human life. At the same time, it represents the basis for the spine, contains organs, this is a mechanism to ensure smooth walking, as well as balance when standing. The pelvis in women is actively involved in reproductive organs.
Causes
Specialists identify a number of reasons for the development of pelvic skew:
- muscle disorders - lack of sports, pain from sedentary work, and as a result, some muscles weaken, while others, on the contrary, are constantly in a state of tension; in humans, against the background of such processes, the pelvis may shift;
- physical exertion - carrying weights in one hand, lifting them jerkily, skewing the pelvis is often diagnosed in weightlifters engaged without instruction from an experienced trainer;
- various injuries - disorders of the ligaments, bones and muscles in the pelvic area become a common cause of the development of the disease;
- pregnancy and childbirth;
- pelvic surgery
- pathology of the spine (scoliosis, intervertebral hernia, etc.);
- differing in leg length, due to which the pelvis is shifted to the side, forward or backward, and is also twisted.
Pathology manifests itself in the form of pain in the limbs, back and groin, instability when walking, intestinal dysfunction, disorders of the genitals and bladder. Pain from sedentary work is very pronounced. In order to prevent serious consequences, you need to start treatment in a timely manner.
External and clinical signs
How is pelvic skew?
- Different leg length. Reflex contraction of the iliopsoas muscle and a turn of the pelvic ring from one side cause a functional shortening of the lower limb.
- Acute or chronic pain in the pelvic area and in the lumbosacral region. Most often, pain occurs due to displacement of the surfaces of the joints of the first sacral or fifth lumbar vertebrae, the sacroiliac joint.
- Defects in posture (first degree of scoliosis). It develops as a result of tilting or skewing of the sacrum, which is the basis for the entire spine.
- Arthrosis and arthritis of the hip and knee joints. Usually develop on the one hand due to a shift in the center of gravity and different loads on the joints due to differences in the length of the legs.
- Defects in the functioning of organs. Organs located in the pelvic area are attached to the bones of the pelvic ring through ligaments. As a result of changing the correct position of the pelvic bones, the apparatus of the ligaments of the internal organs of a person is stretched, the organs themselves, their nerves and blood vessels are either displaced or compressed, which negatively affects their activity.
Diagnostics
Pelvic skew: how to define it? This can be done through diagnosis by a doctor. First of all, the specialist will ask the patient to talk about the initial signs of the development of the disease and the first symptoms.
In addition, the patient needs to remember the presence of all provoking factors, for example, a fracture of the pelvic bones or a long stay of the patient during the day in a sitting position.
To eliminate discomfort, it is necessary to undergo a series of instrumental examinations that will reflect the degree of development of the pathological process.
Roentgenography
Initially, you need to get a specialist for a x-ray, which will show the condition of the pelvic bones and the pelvis as a whole, including the femurs, which suffer greatly from this disease.
If the disease is at an initial stage, its main symptoms may be barely noticeable. That is why the condition of the pelvic bones during skew should be judged after an MRI scan. And according to its results, decide what to do in the future.
Treatment
When a pelvic skew was diagnosed, treatment should begin. It should be carried out by traumatologists along with orthopedists. Consultation or the help of a surgeon may sometimes be required.
It must be remembered that the curvature can be corrected only after the cause of its appearance has been eliminated.
The following methods are currently the most effective:
- Physiotherapy exercises, selected strictly individually.
- Manual therapy.
- Gymnastic exercises that are aimed at muscle strengthening of the lower body and lower back.
- Physiotherapy.
- Massage.
Operation
If necessary, the patient is prescribed surgery, but only in the absence of the effectiveness of conservative treatment.
Of all the drugs used are those that are among the NSAIDs. If the patient has pain, painkillers may be prescribed. In a child with a pelvic skew, treatment should be fully consistent with age.
LFK complex
You need to start with a fairly simple exercise - put your feet shoulder width apart, press them to the floor of the foot. Then stand on your toes and raise your thigh. After that, lower the leg, return to the starting position. For each leg, repeat the exercise up to ten times.
The second exercise when the pelvis is skewed is to swing the hips to the left and right side and in a circle. You need to keep your hands on your belt, or press it to your hips.
Then the legs also need to be placed shoulder width apart, pressed to the floor of the foot. Bend the upper body and try to reach the floor with your fingers. If it doesn’t work right away, you need to swing the case slowly and smoothly until you can touch the floor with your fingers. At the same time, you need to monitor the pelvis so that it does not lean back.
As soon as the fingers touch the floor, it is necessary to take a starting position and bend back, the exercise is repeated ten times.
Pelvic skew therapy through exercise can be performed as follows: stand upright, the pelvis, feet and chest should be on the same plane. You need to imagine that you are between two high walls that restrict movement.
How is this pathology treated in the center of Bubnovsky?
Bubnovsky exercise
In order to provide the function of movement of the hip joint, the doctor Bubnovsky developed a special technique. To create it, he used progressive results in the field of modern neurology and traumatology. It was based on the idea of stimulating the internal reserves of the human body, helping to resist the disease.
Everyone knows that movement is life. The development of motor reflexes in a patient in the Bubnovsky technique plays a major role. A set of exercises was developed that allow you to restore ligaments, expand the number of movements, increase muscle strength, but the most important thing is to improve the patient’s well-being.
Although classes in the center of Bubnovsky do not require a person to exercise, some points need attention.
Just before classes, you need to properly stretch your muscles. You can do hip massage on your own, and any warming ointment is suitable.
With the help of a warm shower, the outflow of blood improves, muscles relax.
If possible, it is advisable to combine training with swimming.
If you walk on foot in fresh air, then a positive effect will be exerted on muscle tissue, and on the body in general.
After warming up, you are allowed to exercise.
Starting position of the patient: lying on his back, while bending the legs at the knees. Heel forward you need to stretch your bent leg, simulating the wheels of the train. To make it more convenient, you can hold the headboard with your hands.
Keep your legs bent, arms should be spread apart. Alternately, each leg should be lowered into the legs.
An excellent solution to the problem is to perform exercises on the simulator at number 18. Leg press - local action. Due to this, it is possible to do exercises such as femoral extension, without giving longitudinal loads to the spine, the occurrence of which is a lack of exercises that are performed as standing-squats in a standing position on the legs, as well as with weights in the arms or shoulders. This perfectly strengthens the pelvic muscles.
If during the exercise a person feels severe pain, muscle tingling or cramps, then it gives a positive result. To reduce pain, you need to pause for a few minutes, so that the muscles rest, and then again start training.
Effects
Pelvic distortion is one of the dangerous conditions that necessarily need treatment. In the absence of decisive action, vertebral dysfunction and deformation may begin. At the same time, osteochondrosis, radiculitis, hernias begin to appear, the most common diseases.
If the course of the disease is long, dysfunction of the lower and upper extremities occurs. In addition, pain can occur that is almost not eliminated by painkillers. Carpal canal syndrome is found in many patients - it is not treated and persecutes a person throughout his life.
If untreated, after a while you can become disabled.
We looked at how to fix the misalignment of the pelvis.