♪- [Intro Singer] Bob and Brad ♪
♪the two most famous physical therapists on the internet. ♪
- Hi folks. I'm Bob Schrupp, physical therapist,
- Brad Heineck, physical therapist,
- And together we are
the most famous physical therapists on the internet
- In our opinion, of course, Bob.
- Brad we just did a video on lateral pelvic tilt.
- Sure.
- We spent a good amount of time explaining what it is,
now we're gonna go over some
of the causes of lateral pelvic tilt.
- Okay. So a, just a brief review.
Here's your pelvis.
And if it's tilted,
- One side's higher
- One side's higher but why,
we're gonna go through six causes of this
and maybe we'll get get into a couple more
if we get carried away in a tangent.
- Sure. All right.
The first one is probably the most
one of the most common ones.
- Sure
- Do you have that board yet?
- Oh yes, Bob, why don't you stand there?
And that is the leg length difference.
- Yeah.
- One leg is literally longer than the other.
- So if I'm stepping on the board on one side
this leg is gonna be longer
and that's gonna make this pelvis higher.
- Right.
- So if I poke my hands in here
this hand is higher than the other side.
- Sure.
- So, and this can lead to, you know
especially if it's a significant amount
it can lead to back pain or problems with, with your hips.
- And like after a surgery a new knee or new hip,
- Sure.
- They may have changed the length of your leg.
They don't like to do that.
They don't, it could happen.
- They have to keep that all in mind
because the other leg might still be deteriorated.
- Right.
- And, and they haven't corrected for that yet.
- So the second one
I'm gonna combine these a little bit, Bob
'cause I think that it all works together is
if you got a thick wallet, you know, if you, if you're one
of those people with lots of money, you get that wallet
and you sit there and it pushes your pelvis up.
Okay. While you're sitting there, it makes a pelvic tilt.
But the muscles on one side
because your pelvis is tilted for long periods of time
sitting could tighten up on one side, loosen on the other.
Why don't you stand up Bob and tell,
- You know where I also saw this, Brad
I used to work with some bus drivers up in the cities.
- Yeah.
- And because they're, when you're in a bus
the driver would always lean over to.
- Oh sure.
- And so the, the seat
after a while would get slanted like this.
Yeah. So yeah, they would, they'd be kind of
at a slant all the time
and this side would tighten up on them.
- Right. Right. So yeah, just turn around once Bob.
So we're gonna pretend, this is a nice shirt
'cause you've got the, the lines on those things that
on a shirt, which represents the muscle fibers.
If these muscles tighten up, there we go.
And you can see that tilt there.
These muscles are tight.
These get stretched out and then you need to address
that with some proper stretching.
We're not gonna get into that.
- Okay. What's number three, Brad, well number four really
- This is one that's not that obvious.
Walking can change your pelvis tilt.
If you're walking on a road or surface
and roads always have a grade.
So the water runs off.
- Yeah. There's always that camber.
- Yep. Exactly.
And if you're walking to the same side
of the road and then you turn around and walk
on the other side of the road, the leg to the inside
of the road is gonna be higher
- All the time,
- All the time. So it's essentially a leg length difference.
- Or if you walk around a track
let's say you're a person that walks a track every day
at the YMCA or whatever, you know
and you go the same direction.
You're always gonna be a little bit high
if it's a slanted,
- If it's a slanted track.
- Yeah.
- So if you're walking
I'm gonna recommend you walk down the right side
turn around and walk down the same side.
So it evens off or switch back and forth.
- Always recommend this for my runners too.
Right? Because that, it
it just leads to problems that you, you know
different forces are on your feet, knees and ankles.
- I know what some people are thinking,
- What are they thinking, Brad?
- They live, in an area where they have strict rules where
you have to stay on the same side of the road.
Well, you just tell that officer that Brad and Bob said
you're trying to prevent the lateral pelvic tilt
and he'll say, oh Bob and Brad. No problem.
- All right. The other one you mentioned missed Brad was
the deranged disc.
- Oh, that's a good one.
Yeah. All right.
So we're talking about the disc and the low back
and a derrangement means it could be something
- Herniated
- Or bulging
- And instead of in the back
it's gonna be on the side of the disc,
which is gonna actually
- Make you tilt a little bit.
- Right, now we've got our pelvis here, dismembered,
so we can go through the anatomy.
But if the left side is bulging a little bit
more than likely that pelvis is gonna be down a little bit
we're not gonna get into the details of this, but.
They couldn't relate.
- And the final one is, is talking about where
you might have trouble with your sacroiliac, your SI joint.
And when that's the case
you actually the innominate bone,
- Ah, there you go Bob.
- Which is this bone right here can actually
how does it fit together, Brad like that,
- Oh Bob,
- This can be rotated.
And if you can see this, if it's rotated
this is gonna be a little higher on one side.
- So if I got my hands in there in that test
you can see it's a little higher.
This, you know, this may be a little more subtle, right?
But it certainly can cause pain.
I've certainly picked it up on people.
- Yep.
- That, and I really thought it was a rotation
and I rotated it back and
and their pain went away and the leg length discrepancy
or the pelvic discrepancy went away.
So, so those are all reasons, you know, it doesn't help you
to any large extent if you have it, 'cause we
we didn't really give the answers on how to
what to do about it.
But at least you kinda have a direction where to have right.
- We take it one step at a time
and sometimes you really need to see, a therapist
like in your case where you did the move on the hip
that that needs to be done by, you know a professional.
So anyways, what about that broken heart, Bob?
- We can fix just about anything
- Yeah. Except for a broken heart.
But you know, if we can fix this innominate or this pelvic,
give me some screws
I'm gonna get this fixed and we're gonna fix this.
Oh, there it is.
- Okay. Thanks.