I seem to have a more anteriorly pelvic tilt on one side and a more posteriorly pelvic tilt on the other side of my pelvis. The left side is more APT and the right more PPT. I do not have much pain related to this but it has been crippling in everyday life. I suffer from a chronically tight calf and a chronically tight right lower back and right adductor. When at it’s worse it is difficult to run or walk and recently I have had issues with plantar’s fasciitis in the left foot. I have developed a mild wobble to my gait. These symptoms developed a couple of years ago and have progressed since.
I have had CT scanogram done for an LLD(I thought this was the issue for a bit) which was of course negative for a discrepancy but the shot of my pelvis would seem to confirm what I am empirically feeling.
I am well acquainted with the biopsychosocial model. This is for the most part not a pain issue. Any pain I have experienced from this has been from 2nd or 3rd order effects(ie. plantars fasciitis). This is a disruption of normal movement patterns. I can feel it very distinctly. My brain is not making up chronic and severe muscle tightness and a weird gait. Things seem to be stuck this way.
I took some time off from training and that did no good(of course). I have come back to training at a very slow pace and progression. This seems to have helped somewhat but the symptoms prevail.
Is there anything you can recommend for this? I have scoured the internet and there seem to be many “cures” for this which seems to suggest there may be no cures.
I’m happy to expound on any information you need. I was an avid athlete before this occurred. This has been severely disruptive to my lifestyle, very frustrating and I’ll be honest it hasn’t been great for my mental health. I will be happy to go through any consults and hell, I’ll travel personally to you if that’s what it takes.
@ezmacncheese sorry to hear about your situation. Can you provide background on your situation? When did this begin? Who have you consulted with previously? What narratives have you been previously supplied?
I began to notice tightness in the left lower leg maybe about two or three years ago. I didn’t think much of it at the time. It progressed over time to more extreme tightness in the calf and then in the lower back on the right side. I tried to do an SS style LP last summer and that’s when it got pretty bad.
I have consulted with an orthopedic surgeon and a PT. Ortho thought maybe it was compensation in the hips caused by what he thought was PTTD(I had arch pain at the time). The PT felt I had uneven hips due to a glute imbalance.
What is the likelihood this is sacroiliitis or some kind of a nerve issue? The tightness in my lower leg and back feels like a hard lock a lot of times. If this is the case, could your consult docs help with this sort of thing or would you recommend seeing a specialist?
I’m going to get checked out of ankylosing spondylitis. Some other things I didn’t mention: shoulder pain, symptoms get worse with coffee and alcohol consumption, symptoms seem to lessen with fish and vegetable consumption, hot tingling pain down hip seem to match up with AS. It’s worth looking into.
This is in part a conversation of what is normal deviations what what is cause for concern. No one should question what you are feeling as if you are feeling it, it is definitely real. It ultimately comes down to if an image is really cause for concern. From yours, AS would not even blip on my radar as something worth exploring at this point. Pelvic tilt misalignment can be a slippery slope as there is a high degree of variance even side to side in what is normal for individuals. Unfortunately, there has been a push towards looking for a single cause of symptoms for a long time. The best analogy I have heard for this is that an image is like a picture of a telephone, it does nothing to tell you if the telephone is ringing or not.
My honest thoughts are this is going to be something that will be difficult to work through in the forum and there likely needs to be a dialogue with a provider to discuss what you are feeling and what can be done about it.
This occurred maybe three years ago very gradually. There was no acute injury if that’s what you are aiming at.
This is in part a conversation of what is normal deviations what what is cause for concern. No one should question what you are feeling as if you are feeling it, it is definitely real. It ultimately comes down to if an image is really cause for concern. From yours, AS would not even blip on my radar as something worth exploring at this point. Pelvic tilt misalignment can be a slippery slope as there is a high degree of variance even side to side in what is normal for individuals. Unfortunately, there has been a push towards looking for a single cause of symptoms for a long time. The best analogy I have heard for this is that an image is like a picture of a telephone, it does nothing to tell you if the telephone is ringing or not.
Thanks for your input on this and it’s good to have another opinion.
My honest thoughts are this is going to be something that will be difficult to work through in the forum and there likely needs to be a dialogue with a provider to discuss what you are feeling and what can be done about it.
Yeah this is the rub. Nobody has a goddamn clue. When I consider how many providers have no clue about BB training, are going to think I’m making this up because this does not follow something they’ve seen before or in a textbook, will pass me off to a PT because they just don’t want to deal with it, will misdiagnose, or are just plain incompetent, the outlook of this path looks bleak. I have had enough trouble in the past just getting proper care and diagnosis of standard everyday stuff. Going through provider after provider trying to find somebody to give a **** will come at a great expense in money, time, and emotional energy.
Where are you located at? There are providers that do have a good understanding of BB training and maybe we can put you in touch with one. I’m curious as to why you would see being passed off to a PT being a bad thing when you are talking with a PT right now? Operating under the assumption of someone misdiagnosing or being plain incompetent likely does not set you up for much buy in no matter if the person is correct in their plan of care or not. There are a lot of providers who do care and we can possibly put you in contact with one of them close to you, they may be a PT though.
