Therapy for pelvic tilt can be treated with holistic therapy approaches.

Pelvic tilt is a widespread phenomenon and can be accompanied by a variety of complaints. integrative osteopathy examines the connection between pelvic tilt, the craniosacral system and systemic organ stress in order to develop comprehensive therapeutic approaches.

Pelvic tilt: causes and consequences

Pelvic tilt often results from stress in the craniosacral system, which generally responds to stimuli from the entire organism (CNS, peripheral nervous system), and can be associated with long-term physical changes. While anatomical leg length discrepancies are rare, they often arise after fractures or surgeries and must be correctly diagnosed.

Diagnosis in Osteopathy 

Successful treatment requires a comprehensive history and diagnosis. This includes the identification of compensatory patterns and underlying pathologies through specific osteopathic techniques, muscular testing, and neurological analysis.

Therapy of pelvic tilt in integrative Osteopathy

Holistic therapy includes the correction of the visceral, parietal, and craniosacral systems. To achieve lasting therapeutic success, it is essential to also treat systemic factors that are causally responsible for the static changes. Western and Chinese herbal medicine, nutrition, and orthomolecular therapies are suitable for this purpose, including the microbiome and issues of Environmental medicine to consider.

Conventional medical approaches and their limitations

Traditional medical treatments such as orthotics and physiotherapy often fail to address the underlying causes of pelvic tilt. Therefore, a systemic approach and treatment are necessary.

Complex compensation patterns: Details of changes in the musculoskeletal system

• Liver strain and spheno-basilar joint lateral inclination right:

  This leads to an enlarged liver, which restricts the mobility of the right costal arch. This results in a posterior rotation of the left pelvis and an external rotation of the left leg, resulting in an altered foot position with the leg externally rotated and the foot supinated. Right shoulder elevation is also characteristic. 

• Lymphatic stress and lateral bending to the left:

  When the immune system, especially the spleen, is overloaded, posterior rotation of the right pelvis occurs, which is compensated by external rotation of the right leg with the foot in supination. Left shoulder elevation is also typical. 

• Liver/lymphatic spleen pattern – double lateral bend:

  This complex pattern represents an overlap of the liver and splenic patterns and results in a bilateral, posteriorly tilted position of both iliac wing bones. Both legs rotate externally, the knees are hyperextended, and the feet are supinated, resulting in a caudally displaced fibular head. 

• Small bowel and bladder pattern – SSB inferior strain:

  This compensatory pattern is very similar in appearance to double lateral bending and is usually associated with digestive and bladder problems. 

• Cranial-genital pattern – torsion:

  Inflammatory processes in areas such as the ovaries lead to asymmetrical loading, where the leg on the affected side rotates outwards and the opposite side rotates inwards, causing a change in foot position and gait. 

• Caudal urogenital pattern – sphenobasilary rotation:

  Deep inflammation in the urogenital tract causes a noticeable external rotation of the affected leg with marked supination of the foot. This change is more pronounced on one side and is often accompanied by pain in the pelvis and sacrum. 

Conclusion and systematic therapeutic approaches
A comprehensive understanding and systematic treatment of the complex causes of pelvic misalignment are crucial. Combining Chinese herbal therapy, particularly to support the microbiome, with osteopathic treatments offers a holistic approach that addresses not only the symptoms but also the underlying causes to promote long-term health.