Tilted Pelvis, Lower Back Pain, and Leg Length Discrepancy

Category: Blog

Back pain is one of the most common pain complaints seen by doctors in the U.S. In many cases, the pain resolves on its own in a week or so. But for others, the pain becomes chronic and a life-long journey of finding methods to alleviate that pain.

I remember as a young adult when my father’s back would “go out”. He would suffer from terrible pain, have muscle spasms, and would not be able to go to work. I also remember that he would not be able to stand straight-he would stand curved like the letter “S”.

In performing thousands of Prolotherapy treatments for patients like my father, I began to think back to my youth, and ask, “why was he so crooked?”

It turns out the crooked posture was a result of a tilted pelvis…

Try This Test To See If You Have a Tilted Pelvis?

Stand in the mirror. Put your hands on your hips at the same place on your body. Is one side slightly higher than the other?

If you answered “yes”, you most likely have a tilted pelvis.

Over 95% of the patients who come to my office, for back pain, have a tilted pelvis.  This is often diagnosed as “leg length difference” by chiropractors and Osteopaths.

Prolotherapy Is The Best Bet

Because I have seen the effects of Prolotherapy, I can confidently say that, chiropractic care, physical therapy, massage, acupuncture, orthotics, or surgery does not correct a tilted pelvis or leg length discrepancy.

Researchers in Israel state that the controversy still exists as to the clinical significance of leg length discrepancy. This is although recent evidence has emerged linking several clinical conditions and leg length problems. In the end, it was concluded that there isn’t a controversy. It was found that there was, indeed, a significant relationship between anatomic leg length discrepancy and walking problems, that would later lead to joint degeneration and osteoarthritis. 1

Why is the correction of pelvic tilt so important?

Our pelvis and lower back were designed to operate on a level plane. Therefore, most of the forces across the low back are linear and do not damage structures such as the sacroiliac (SI) joint, iliolumbar ligament, Pyriformis, and gluteus medius.

However, when the pelvis tilts, the forces that hold the above-mentioned structures become shearing, rather than linear. This causes the ligaments, tendons, and joints around the lower back and pelvis to suffer.

These individuals basically withstand a greater force than those without a tilted pelvis.

If this concept seems difficult to understand, try walking a short distance in your house while only wearing one shoe, then assess how your lower back feels.

It does not take much to alter body mechanics.

In Finland, there is supported research, which suggests that a leg-length inequality of 5 mm (about 1/5th of an inch) can be associated with an increased risk of osteoarthritis of the knee and hip. It was also found that hip or knee replacement, due to degenerative joint disease, is performed three times more often to the longer leg than to the shorter leg.2

I have developed a Prolotherapy technique to correct this type of pelvic tilt. I routinely evaluate and treat this problem and find it an integral part of treating anyone with back, knee, neck, hip, or ankle problems.

My success rate for immediately correcting the leg length discrepancy and pelvic tilt is over 95%.

It is important to state that this is not a temporary fix! It’s probably the most remarkable discovery that I have come across in the application of Prolotherapy.

How does this technique work?

I discovered a dysfunctional muscle pathway that travels from the foot, all the way up to the hip area. I believe that when this pathway becomes inadvertently and unknowingly damaged, the muscle groups in the leg contract the space between the leg and pelvis. As a result, this tilts the pelvis and shortens the leg.

Correction of this muscle problem will immediately restore the normal leg length and place the pelvis back onto a horizontal plane.

I strongly believe this is one of the most important problems to correct in patients with lower back pain and will help to ensure a complete and speedy recovery!

To contact our clinic and learn more about how I treat my patients, visit www.drmagaziner.com

– Scott Greenberg, MD


1 Khamis S, Carmeli E. Relationship, and Significance of Gait Deviations Associated with Limb Length Discrepancy: A Literature Review. Gait & Posture. 2017 May 31.

2 Tallroth K, Ristolainen L, Manninen M. Is a long leg a risk for hip or knee osteoarthritis? A 29-year follow-up study of 193 individuals. Acta Orthopaedica. 2017 Sep 3;88(5):512-5.