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What is Twisted Pelvis & How is it Treated?

What Do We Mean by a Twisted Pelvis?

The pelvis is one of the most important parts of the body. The pelvis helps in maintaining the body its posture and also helps with movement of the body. It also provides support to the spine which is one of the most important structures of the body. The pelvis is the one which provides balance to the body and prevents an individual from falling. It also takes the brunt of the pressure that is applied on both the upper and lower extremities from day to day activities like moving, standing, lifting etc.

Under normal circumstances, the pelvis is level, meaning that it is in its normal position but there are instances where mostly due to an injury the pelvis shifts from its normal position. This is what we call as a Twisted Pelvis. Treatments for Twisted Pelvis may range from NSAIDs to realigning the pelvis manually through surgical procedures. Twisted Pelvis is not a very serious injury and can happen to anyone and even a slightest movement away from its position may result in Twisted Pelvis. Twisted Pelvis may cause significant pelvic discomfort along with hip and back pain.

Twisted Pelvis

What Can Cause Twisted Pelvis?

An injury or damage to the pelvic musculature is the main cause for Twisted Pelvis. These damaged muscles then tighten up or contract and shift to prevent the surrounding structures from damage. If the sacral muscle which is near the pelvis gets damaged then the contraction of the muscles will pull on the ligaments and tendons attached to the pelvic bones and pull them into an abnormal position. This continues until the injury is completely healed which means that until the injury which has resulted in the pelvis to be in an abnormal position completely heals the pelvis will remain twisted. There are also certain conditions which result in spasms of the pelvic muscles causing Twisted Pelvis. Disc bulging is one of the most common cause for a Twisted Pelvis. Certain surgical procedures like a hip replacement surgery can also cause Twisted Pelvis.

What are the Symptoms Associated with Twisted Pelvis?

As the Pelvis is one of the busiest and most stressed areas of the body, a Twisted Pelvis may result in significant discomfort especially with any type of movement or ambulation. An individual with Twisted Pelvis will also have a tough time standing or sitting for prolonged periods of time. Bending and carrying heavy objects will also be painful for an individual with Twisted Pelvis. Another symptom of Twisted Pelvis is back pain with or without activity. Some of the other symptoms of Twisted Pelvis are numbness and tingling in the upper and lower extremities and bowel and urinary dysfunction. In some cases, there are reproductive issues also seen with Twisted Pelvis.

How is Twisted Pelvis Treated?

The treatment for Twisted Pelvis is usually aimed at treating the underlying cause for the condition. Application of cold compresses on the pelvic region for 15-20 minutes two to three times a day will also be helpful. Alternating cold compresses with warm packs can also be a form of treating Twisted Pelvis, although both cold compresses and warm soaks should not be done simultaneously as they may cause blisters in the area.

NSAIDs in the form of Tylenol or ibuprofen are also helpful in treating Twisted Pelvis. In some cases, medical practitioners have attempted to manually realign the pelvis which is successful if done by an experienced physician else this form of treatment may worsen the injury and aggravate the symptoms caused by Twisted Pelvis.


  1. Beware the Tilted Pelvis https://pn.bmj.com/content/2/4/232
  2. Cleveland Clinic. (2022). Osteoarthritis: Hip Exercises. https://my.clevelandclinic.org/health/diseases/15234-hip-osteoarthritis/diagnosis-and-tests

Also Read:

Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:August 23, 2023

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