Everyone falls…eventually. A bad fall can knock the pelvis bones out of alignment, and the result can be sciatica and unrelenting back pain. To quickly assess whether the pelvis is aligned, therapists compare the tops of the left and right ilia (iliac crests) and the ASIS to see if they are level. Unfortunately, the higher of the left and right ilia is commonly referred to as an upslip.
In fact, rather than one ilium being high, the other may be low due to an ilium rotation. To complicate matters, the iliac crests may be level when standing, but not when seated. More investigation is required to determine the cause of the discrepancy. Scan reports are extremely useful, but not sufficient. If the therapist does not do any physical assessment, including palpation for muscle tension, then the treatment is going to be a shot in the dark.
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