No More Hip Pain: Conquer Lateral Pelvic Tilt with These Simple Steps

causes of lateral pelvic tilt

Ever feel like one hip sits higher than the other? You're not alone! A lateral pelvic tilt misalignment can disrupt your entire postural network, causing pain and impacting your well-being. But here's the key: lateral pelvic tilt is rarely an isolated issue.

Your body is a complex web of interconnected parts. When one element, like your pelvis, becomes misaligned, it can ripple outward, affecting your posture from head to toe. Likewise, tightness in your shoulders or imbalances in your spine can cause a tilted pelvis, just as uneven leg length or foot problems can pull your hips out of alignment. This two-way street – where the tilt can be both a cause and effect of postural imbalances – is why a comprehensive approach is necessary for lasting correction.

In this article, we'll explore the causes, symptoms, and, most importantly, how to address the underlying imbalances to achieve a balanced and pain-free body. From targeted exercises to exploring treatment options, we'll equip you with the knowledge and tools to break free from the cycle of lateral pelvic tilt and restore harmony to your posture.

What is Lateral Pelvic Tilt?

Your pelvis is the bony foundation that connects your spine to your legs, playing a crucial role in stability and movement. Ideally, your pelvis should sit level and balanced, with the right and left hips at the same height. However, the pelvis can become misaligned, causing one hip to sit higher. This condition is called lateral pelvic tilt.

Think of your pelvis like a seesaw. When one hip is higher, the other side dips down, creating muscle imbalance. This misalignment can affect your posture, cause pain in various areas, and even lead to problems in other parts of your body.

A lateral pelvic tilt misalignment can have a domino effect throughout your body, leading to various problems in the hips, spine, or elsewhere. An uneven pelvis can also result from imbalances above and below the hips. The good news is that lateral pelvic tilt is often fixable with proper corrective exercises.

Here's a breakdown of what happens in a lateral pelvic tilt:

The classic illustration above shows a figure standing upright with subtle but clear postural misalignments.

  • Pelvis: The left hip is noticeably higher than the right hip, highlighting the uneven hips. The iliac crest (top of the hip bone) on the left side sits higher compared to the right. In this position, it is impossible for the right and left sides to function the same.
  • Spine: A slight curvature is visible in the spine, convex towards the left. This could represent a minor scoliosis or simply an adaptation to the pelvic tilt. On the elevated hip side, muscles above the pelvis, like the quadratus lumborum and abdominal muscles, are shortened. On the lower pelvis side, these muscles are elongated. Below, the elevated side adductors are short while the abductors are elongated, with the opposite occurring on the other side.
  • Shoulders: The left shoulder appears slightly higher than the right, creating an uneven shoulder line. This can be caused by tight muscles in the chest pulling the left shoulder upwards.
  • Head: The head may tilt slightly to the left as a compensatory mechanism to maintain balance with the tilted pelvis.

Overall, this shows the interconnectedness of the body's posture. The lateral pelvic tilt disrupts postural alignment throughout the body, causing imbalances in the spine, shoulders, and head. Understanding lateral pelvic tilt is crucial because it can impact your daily life and overall well-being. Next, we'll explore the common symptoms associated with this condition.

Symptoms of Lateral Pelvic Tilt: Spotting the Signs

lateral pelvic tilt symptoms

lateral pelvic tilt can appear in various ways that affect your body, though some people may not experience noticeable symptoms. Lateral pelvic tilt can affect your overall posture, causing issues like low back pain, functional scoliosis, uneven shoulders, and apparent leg length discrepancies. When one hip is higher, the sacrum sits at an angle, creating problems like SI joint pain and setting an uneven base of support for the spine. Here are some common signs and indicators to watch out for:


  • Lower back pain: This is a frequent symptom, as an elevated hip can put stress on the lower back muscles, ligaments, and intervertebral discs.
  • Hip pain: You might experience pain or discomfort on one or both sides of your hips, especially when sitting or standing for extended periods. This includes hip arthritis, adductor strains, IT band syndrome, bursitis, and more.
  • SI joint pain: Sharp sacroiliac joint pain can occur when the pelvis is not level, putting uneven stress on the sacrum as it supports the lumbar spine and trunk.
  • Leg pain or sciatica: Tightness or pain in one leg, particularly the hip or gluteal area, can be a symptom of lateral pelvic tilt. Sciatica is often found with uneven hips, such as a hip hike, creating problems in the lumbar spine, SI joint pain, and piriformis syndrome.
  • Pain in the buttocks or IT band: The misalignment can put extra strain on the muscles in the buttocks and the iliotibial band (IT band) on the outside of the thigh, leading to pain and discomfort.
hip hike can cause pain with walking

Postural Issues:

  • Uneven weight distribution: Weight in one leg will likely be greater on the lower hip side. With a true leg length discrepancy, the weight is often on the higher hip side.
  • Tilted torso: Your torso may appear tilted to one side, with one shoulder sitting higher than the other.
  • Uneven shoulders: One shoulder may appear visibly higher or more forward than the other due to the pelvic disparity. This asymmetry is often noticeable when standing or walking.
  • Head tilt: In some cases, the head may tilt slightly to the side to compensate for the pelvic misalignment.
  • Misaligned spine: A lateral pelvic tilt can contribute to or worsen a curved spine (such as scoliosis). However, while these may be considered two distinct conditions, they are often found together.
  • Apparent leg length discrepancy: The misalignment can create a visual illusion of one leg being shorter, even if the actual bone lengths are the same.

Other Indicators:

  • Tightness in hip flexors or glutes: Muscle imbalances are common with lateral pelvic tilt, often causing tightness in the hip flexors on the higher hip side and weakness in the glutes.
  • Limited flexibility: Lateral pelvic tilt can restrict your range of motion, making it difficult to bend forward, twist your torso, or perform certain movements comfortably.
  • Visible asymmetry: In severe cases, the asymmetry of the hips may be visually noticeable when standing or walking.
  • Uneven wear on shoes: The uneven body weight distribution caused by the tilt can lead to faster wear and tear on the outer sole of one shoe compared to the other.
  • Difficulty standing straight: Maintaining proper posture can feel challenging due to the imbalance in the pelvis and uneven muscle activation.

Differentiating from Other Postural Issues:

It's important to distinguish lateral pelvic tilt from other postural problems with similar symptoms. Here's a brief comparison:

  • Pelvic tilt disparity: One side of the pelvis tilts further forward or backward than the other, making it appear as a lateral tilt. It’s fairly common to see one side in more anterior or posterior pelvic tilt than the other.
  • Femur disparity: One leg can be more valgus (knock knees) or varus (bow legs), one hyperextended knee versus flexed, or one has more external or internal rotation. Simply put, the right leg does not look or function the same as the left leg, creating muscle imbalances.
  • Anterior pelvic tilt: In this case, the entire pelvis tilts forward, causing an exaggerated arch in the lower back. While both conditions can cause lower back pain, the overall pelvic position differs.
  • Scoliosis: Scoliosis is a curvature of the spine, but the pelvis is often involved as one side of the body functions differently. Lateral pelvic tilt can sometimes be a compensatory mechanism for scoliosis or an underlying cause of functional scoliosis.

Remember, this is not an exhaustive list, and the severity of symptoms can vary.

By being aware of the symptoms of lateral pelvic tilt, you can take proactive steps to address the issue and prevent potential complications. In the next section, we'll delve into the various factors that can contribute to this misalignment.

Tired of Quick Fixes That Don't Last?

Our FREE consultation is your gateway to a long-term solution for your lateral pelvic tilt. We'll uncover the root cause of your misalignment and equip you with the tools and knowledge to achieve lasting postural balance and prevent future pain. Schedule your consultation today and take control of your health!

Causes of Lateral Pelvic Tilt: Why Does My Pelvis Tilt?

Understanding the root cause of your lateral pelvic tilt is crucial for effective treatment. Outside of rare leg length discrepancies, the problem often stems from asymmetrical musculature affecting the body in the hips, pelvis, and beyond. Several factors can contribute to this misalignment:

Muscle Imbalances:

  • Tight hip flexors: When overly tight, these muscles on the front of your hip can become shortened and pull your pelvis out of alignment.
  • Weak glutes: The gluteus maximus and gluteus medius, located on your hip's back and outer side, play a vital role in stabilizing the pelvis. Weakness in these muscles can contribute to a lateral tilt. 
  • Uneven core strength: Weakness or tightness on one side of your back extensor or abdominal muscles can also lead to pelvic misalignment.

Leg Length Discrepancy:

Even a slight difference in leg length can cause your body to compensate by tilting the pelvis to one side. This can be due to anatomical differences in bone length or functional imbalances in muscle strength and flexibility between the two legs.

Poor Posture and Lifting Techniques:

  • Asymmetry: Sitting or standing with a lean to one side or participating in one-sided activities can put uneven load and strain on your spine and pelvic muscles, leading to a tilt over time.
  • Uneven weight distribution: Carrying a heavy bag on one shoulder or uneven weight distribution while walking can contribute to a lateral tilt.
  • Improper lifting: Lifting heavy objects with improper form or favoring one side can strain your lower back and pelvis, potentially leading to misalignment.

Other Contributing Factors:

  • Injury: A previous injury to your hip, back, or leg can lead to muscle imbalances contributing to a lateral pelvic tilt.
  • Pregnancy: During pregnancy, the mother's underlying postural imbalances combined with hormonal changes and weight gain can enhance or cause pelvic asymmetry, leading to temporary or long-term misalignment.
  • Certain activities: Activities that repetitively stress one side of your body more than the other, like some sports or one-sided exercises, can increase the risk of lateral pelvic tilt. These can include driving, heavy computer use, work habits or setup, fishing, tennis, pickleball, golf, and so on.

It's important to note that these factors often work together. For example, tight hip flexors combined with weak glutes can significantly increase the risk of a lateral pelvic tilt.

Lateral Pelvic Tilt Tests: Checking Your Alignment

While a professional trained in posture can better assess you, you can try some simple self-assessment methods at home to see if you have a lateral pelvic tilt. These tests involve observing your posture and performing basic movements.

are your hips level

Static Posture Check:

  1. Stand in front of a mirror: With your shoes off, maintain a relaxed stance with your feet shoulder-width apart and your arms hanging by your sides.
  2. Observe your hips: Visually check if one hip appears higher. Look for any asymmetry in your shoulders or the tilt of your head.
  3. Weight distribution: Close your eyes and sense whether you feel more weight on the right or left leg. How does this match up to your visual observation? Is your weight heavier on the elevated hip side or the lower side?

Dynamic Movement Test:

  1. Stork test: With your shoes off, raise one foot off the floor, bringing your knee in front of your hip.
  2. Right or left side balance: Do you feel more stable on one side versus the other when your leg raises? Is this the elevated hip side or the lowered hip?
  3. Observe your hips: Does your hip shift out to the side more when loading one leg versus the other?
  4. Observe your shoulders and trunk: Does your upper body lean to one side when loading one leg versus the other? Does one shoulder drop when you load a certain side? Is this the same when loading the other leg?

When to Seek Professional Evaluation:

  • You experience persistent pain in your lower back, hips, or legs.
  • You notice a significant difference in height between your shoulders or hips.
  • You have difficulty maintaining proper posture or experience discomfort while standing or sitting.
  • You suspect a leg length discrepancy.
  • The self-assessment tests suggest a potential lateral pelvic tilt.
  • You have any concerns about your posture or overall musculoskeletal health.

Early observation and treatment of lateral pelvic tilt can help prevent further complications and improve your overall well-being. In the next section, we'll explore effective strategies for correcting a lateral pelvic tilt.

How to Fix Lateral Pelvic Tilt: Regaining Balance Through Posture Alignment Therapy

Living with a lateral pelvic tilt can cause pain and disrupt the natural flow of energy within your body. Posture alignment therapy offers a holistic approach to address this misalignment, restoring balance and promoting overall well-being.

fix the root cause of chronic pain through posture exercises

The Power of Posture Alignment Therapy:

Traditional approaches often focus on strengthening and stretching in isolation. Posture alignment therapy, however, takes a more comprehensive approach:

  • Identifying Fascial Restrictions: Tightness isn't just about muscles. Fascia, the connective tissue web throughout your body, can also become restricted, contributing to pelvic misalignment. Posture therapists observe and address these fascial restrictions.
  • Restoring Energetic Flow: In posture alignment therapy, the body is viewed as an interconnected system where imbalances disrupt the natural energy flow. Correcting the pelvic tilt and improving alignment can restore this essential energy flow and improve circulation, lymph flow, and breathing, promoting overall well-being.
  • Movement Re-education: Beyond exercises, posture alignment therapy emphasizes retraining your body to move in a balanced and aligned way throughout your daily activities. This helps maintain the corrected posture and prevent future imbalances.

Why Choose Posture Alignment Therapy?

While physical therapy and chiropractic care offer valuable treatments, posture alignment therapy provides a more integrative approach:

  • Addresses the Root Cause: Posture alignment therapists look beyond symptoms to identify the underlying reasons for your lateral pelvic tilt, such as whole-body stress and repetitive postural patterns.
  • Promotes Long-Term Balance: By addressing muscular and fascial restrictions and retraining movement patterns, posture therapy aims to create lasting postural balance and prevent future misalignments.
  • Holistic Well-being: This approach considers the mind-body connection, recognizing how stress and emotional factors can contribute to postural imbalances.

Remember, posture therapy is a journey, not a quick fix. With a commitment to personalized sessions and incorporating the learned techniques into your daily life, you can experience significant improvement in your lateral pelvic tilt, pain reduction, and a renewed sense of well-being.

Natural pain relief

Ready to Ditch the Tilt and Discover Pain-Free Movement?

Tired of unexplained pain and feeling out of alignment? Schedule a Free Consultation with a Posture Therapy professional today! They can assess your specific needs and create a personalized treatment plan to address your lateral pelvic tilt and restore balance to your body. Don't wait – take the first step towards a healthier, happier you!

Lateral Pelvic Tilt Exercises: Balance, Strength and Flexibility

While posture therapy is recommended for a comprehensive approach, these targeted exercises can help activate and balance key muscle groups to correct a lateral pelvic tilt. As mentioned above, muscle imbalances can affect your entire posture, including adductors, abductors, glutes, hamstrings, shoulder, and spinal muscles. Remember, these exercises are a general guide, and consulting a qualified professional for a personalized plan is recommended.

Exercise 1: Standing Windmill

standing windmill exercise position 1
standing windmill exercise position 2
standing windmill exercise position 3
standing windmill exercise position 1


  1. Stand with your back to a wall, heels, hips, and shoulders touching. Start with your feet hip-width apart and pointing straight ahead.
  2. Bring your arms out to the sides, keeping the backs of your hands touching the wall with your fingers spread wide.
  3. Keep your hips stable against the wall (not shifting side to side), bend your trunk to one side slowly, and find a comfortable stopping point. Return to the center, then lower to the other side. This is one repetition. Complete 5 reps, then change your foot position as described below.
  4. For the second set, separate your feet just slightly wider than shoulder-width. Keep your feet pointing straight ahead and your heels touching the wall, and do another set of 5 reps in this position.
  5. For the third set, separate your feet wider (2-3 feet apart) and complete another set of 5 reps.
  6. For the final set, return to hip-width and complete another set of 5 repetitions.

If you have pain, stop the exercise or reduce the amount of side bending to comfort.

Exercise 2: Abduction-Adduction

abduction-adduction exercise position 1
abduction-adduction exercise position 2


  1. Lie on your back with your hips and knees bent at 90-degree angles, with your feet on a wall.
  2. Starting with your feet 2-3 inches apart and pointing straight up to the ceiling, slowly roll your feet to the outer edges as you open your knees apart.
  3. Find a comfortable end-range of motion with your knees coming apart, then slowly return to the center, pressing your knees together at the top.
  4. Repeat this motion of opening and closing your knees slowly while maintaining vertical with your feet.
  5. Keep your upper body and stomach relaxed through the exercise, breathing easily.
  6. If you feel pain or discomfort, stop the exercise.

Exercise 3: Static Wall Splits

static wall with splits exercise


  1. Start on your back with bottom of your hips touching a wall (or as close as you can comfortably get), legs vertical.
  2. Pull your toes and feet down toward your shins and lock your knees straight. Straighten your feet and legs so that your feet are straight (perpendicular to the wall).
  3. Slowly lower your legs out to the sides, keeping your feet pointing straight out, going to a point of stretch but not pain.
  4. Lower your legs as far as you are comfortable, paying attention to the weight in your hips and the symmetry of your leg position and foot height.
  5. Relax your upper body and hold for 1-2 minutes, keeping your quads tight and feet straight and pulling down toward your shins. Allow your legs to widen as your inner thighs release.

Remember, these are just a few examples. A qualified posture alignment therapist can create a personalized exercise program tailored to your specific needs and the underlying cause of your lateral pelvic tilt. In the next section, we'll address some frequently asked questions about lateral pelvic tilt.

Frequently Asked Questions

What is lateral pelvic tilt?

Lateral pelvic tilt is a misalignment of the pelvis where one hip sits higher than the other. This can cause muscle imbalances, pain, and affect your overall posture.

How can you find out if you have lateral pelvic tilt?

There are a few ways to get a sense of whether you might have a lateral pelvic tilt:

  • Visual inspection: As described above, stand in front of a mirror and observe if one hip appears higher than the other. Check for any asymmetry in your shoulders or head tilt.
  • Pelvic tuck: While standing, gently tuck your pelvis inwards as if tightening your core. Notice if one hip dips down more than the other during the tuck.
  • Self-assessment tests: The exercises mentioned in the previous section (windmill, abduction-adduction, static wall splits) can also be used as a self-assessment tool. If you experience difficulty performing them with proper form or notice significant imbalances, it could be a sign of a lateral pelvic tilt.

However, for a definitive answer and personalized treatment plan, consulting with a healthcare professional like a chiropractorphysical therapist, or posture alignment therapist is recommended.

What causes a lateral pelvic tilt?

Several factors can contribute to a lateral pelvic tilt, including:

  • Muscle imbalances: Tightness in hip flexors and weak glutes are common culprits.
  • Leg length discrepancy: Even a slight difference in leg length can cause the pelvis to tilt to compensate.
  • Poor posture and lifting techniques: Slouching, uneven weight distribution, and improper lifting form can all contribute to the problem.
  • Injuries: Previous injuries to the hip, back, or leg can lead to muscle imbalances that cause a tilt.
  • Other factors: Pregnancy, certain activities, and even stress can play a role.

How do I fix lateral pelvic tilt?

The key to addressing a lateral pelvic tilt lies in identifying the underlying cause and addressing it. This might involve:

  • Targeted exercises: Strengthening weak muscles, stretching tight ones, and retraining your body for proper alignment are crucial.
  • Physical therapy or chiropractic care: These professionals can develop a personalized treatment plan to address your specific needs.
  • Posture alignment therapy: This holistic approach focuses on fascial restrictions, energetic flow, and retraining movement patterns for long-term balance.

How much lateral pelvic tilt is normal?

The pelvis is designed to tilt laterally during movements like walking and running. However, a slight lateral tilt (less than 5 degrees) is generally considered normal and may not cause any problems. The real issue is how much the hip hike is playing a role in your quality of movement and the effects on your body. If the tilt is significant or causing pain or discomfort, it's important to seek professional evaluation.

Is lateral pelvic tilt the same as scoliosis?

No, lateral pelvic tilt and scoliosis are different conditions. While a lateral pelvic tilt can sometimes contribute to a scoliotic curve (curvature of the spine), they are not the same. Scoliosis is a structural abnormality of the spine itself, not just a pelvic misalignment. A healthcare professional can provide a proper diagnosis.

Conclusion: Realigning Your Body and Regaining Balance

Lateral pelvic tilt can be frustrating, impacting posture, causing pain, and affecting overall well-being. However, the good news is that it's treatable! This comprehensive guide has equipped you with the knowledge to understand lateral pelvic tilt, its causes, and, most importantly, how to address it.

Key Takeaways:

  • Lateral pelvic tilt is a misalignment of the pelvis where one hip sits higher than the other.
  • Muscle imbalancesleg length discrepancies, poor posture, and injuries can all contribute to this condition.
  • Common symptoms include lower back painhip pain, uneven leg pain, and postural imbalances.
  • Simple self-assessment tests can help you identify potential signs of a lateral pelvic tilt.
  • Addressing the underlying cause is crucial for effective treatment. This may involve targeted exercises, physical therapy, chiropractic care, or posture alignment therapy.

Why Addressing Postural Imbalances Matters:

Maintaining proper posture is vital for overall health and well-being. Beyond aesthetics, a balanced posture:

  • Reduces pain and strain on your muscles and joints.
  • Improves flexibility and range of motion.
  • Enhances your core strength and stability.
  • Boosts your energy levels and promotes better breathing.
  • Contributes to a sense of confidence and well-being.

By correcting your lateral pelvic tilt and addressing other postural imbalances, you're investing in your long-term health and creating a foundation for a pain-free and active life.

Remember, consistency is key! Whether you choose to embark on a posture alignment therapy journey or follow a physical therapist's exercise program, dedication and proper form are crucial for lasting results. Don't hesitate to consult with a qualified healthcare professional for a personalized evaluation and treatment plan.

Take charge of your posture, take charge of your health, and experience the joy of a balanced and pain-free body!

Synonymous terms:

  • Hip hike
  • Hip elevation
  • Elevated hip
  • Pelvic elevation
  • Elevated pelvis
  • High hip
  • Uneven hips

Read More About Posture Terms: