You don’t have much information about the most common cause of pains: twisted/tilted pelvis. Why? It is very common but so poorly known:
https://runningtimes.com/rt/articles/?id=10664&page=1
I wish to get explanation what is sacroiliac sprain, sacroiliac dysfunction, SIJ subluxation, ilium upslip, rotated ilium/innominate, tilted pelvis, etc.
Why doctors never check that but instead offer heel lifts?
Tilted pelvis can cause LLI/LLD as (functionally) short leg. Many anatomical leg length differences are not really anatomically but only seems they are because they are diagnosed from 2D picture that is a projection of 3D world. If other ilium is anteriorly rotated (very common) then other femur head is closer to camera and it looks longer. You can easily see 1-2cm difference in leg lengths even it isn’t anatomical but a perspective error because of viewing angle.
What symptoms tilted pelvis can cause on our muscular and skeletal systems?
-Disc degeneration because other SIJ has lost it’s capability as shock absorber for forces coming from below pelvis?
- Piriformis syndrome, because of twisted pelvis
- Sciatica, buttock/groin/back pain
- Disc herniations, because pelvis is not working symmetrical when bending or lifting
- Scoliosis, many times called as idiopathic scoliosis because of an upslip?
- Hip joint arthritis because of the rotated ilium and changed angle of femur bone?
- Any other? -I know many. I had much more!
Medical literature shows so many different tests and there are a lot of practical studies that show there is no test that using it even two experts would get the same results. Is that a lack of skills or lack of understanding the problem? How can they correct it if they don’t understand what it is?
And (approximately) how common is that tilted pelvis? Many experts say pelvic malposition is very common with LBP-patients. Some are telling it is a cause for problems up to 90% or even 98% of them. Do you agree? Why not? Some MDs say it is a cause of pains in is less that 1% of the cases. What is the reason for so huge difference in opinions? Others are following the pain and others dysfunction?
Do you agree that many children can have it, but they just don’t have any SIJ pain? Pain comes later after walking years with unstable pelvis like I had. And pain comes usually to the other side. And not always even there but sometimes only to groins, buttock or to somewhere else...
I had subluxation/dysfunction on my left SIJ since I was a child and it took 25 years to find someone who found it and knew how to correct it. My low back pain was on my right side so everybody tried to treat that side. Some experts might have tried to treat my left side (I don’t remember because they didn’t explain what they are doing... ) but didn’t get any results, perhaps because of lack of skills I guess.
Even when I had short left leg, tight muscles on the back of my left leg, right heel pain, scoliosis, extended lordosis, bad posture, etc. I also had ischias (sciatica), leg weakness on both legs, high blood pressure, small heart troubles, headaches, shoulder pain, etc.
I don't understand why they treated that other (right) side because my left leg was shorter and my left SIPS lifted when doing the flexion test causing positive signs (also spinal curvature was found) for scoliosis. I guess they just followed the pain and not the cause of the pain? Most of them didn’t check leg lengths nor other landmarks at all...