What Causes Lateral Pelvic Tilt & Leg Length Discrepancy?

This is quite a lengthy video as we discuss the complex problem of lateral pelvic tilt, scoliosis, and leg-length discrepancy. Make sure you check out the detailed article about this in the link below as it features the videos of all the corrective exercises I briefly mention in this video
https://noregretspt.com.au/index.php/resources/blog/43-2014/428-how-to-correct-lateral-pelvic-tilt-leg-length-discrepancy
When the pelvis is not maintained in a square and level position the body compensates by shifting the hip of the supporting leg out to the side, rotating the lower limb inwards, forcing the opposing side of the shoulder to collapse. The body will be always want to maintain an erect head position with eyes level and will sacrifice anything in order to achieve this. This is often where many people are diagnosed as having one leg longer than the other (leg length discrepancy), as this is what appears to be the case upon examination of their posture. However, in most cases the bones of the legs are the same length and it is the muscular imbalance at the hips creating the appearance of one leg being longer than the other. Apart from the immediate problems felt at the hips and loss of function with walking and running, this poor pelvic position places tremendous pressure on the spine, and can lead to development of scoliosis and even shoulder pain.
This is a very complex problem and I must state that there is no magical exercise that will make it go away. You will need a series of exercises to correct this dysfunction and restore the imbalance back to its ideal position.

The first thing you need to determine is if this is something you can change via exercise.
Leg length difference as a condition comes in two types.
1. The anatomical type
2. The functional type

The most common immediate sense of pain from this imbalance is usually felt in the hips and spine. This imbalance is regularly seen with piriformis syndrome and SIJ dysfunction where the gluteal muscles are weakened and the body is relying on stiffness in the hips to stabilize the leg. However, it is not just the hips that are exposed to problems for your pelvis is connected to your shoulders and upper back by your spine.

Functional leg length differences, and especially the pelvic imbalances that drives them, usually come from the day in and day out way you perform common activities (sitting, standing, walking, housework, playing sports, etc.). When bad posture becomes a habit and you sit or stand in the same position daily for months or years, your muscles compensate. Some muscles become shorter and tighter and pull the hip up, and the muscles attached to the lower hip become weaker, longer and looser.

Another way this can happen is if you stay in one position with one hip higher than the other for a long time. This can happen if you always sleep on one side, arch your back while sitting for a long time, or always lean to the same side when sitting or standing.

Try to identify the repeated positions you use during the day and notice if you are standing or sitting unevenly.
Many sports that require a one sided dominance such as a tennis player who serves thousands of times on one side or a fast bowler in cricket who bowls with only one hand. This repeated motion forces one side of the body to become stronger than the other and can easily create a multitude of problems for the pelvis and spine if a corrective program is not used early on to prevent this dysfunction.
There is a dominance of right handed people in society, and many daily activities and postural positions predispose people to problems of muscle imbalance as one side of the body is used more than the other. This is referred to as handedness. This tends to happen less with left handed people as they are constantly having to conform to many activities and positions designed for right handed use.

VIDEOS I REFER TO FOR EXERCISE CORRECTIONS
Basic Stability & Breathing - https://www.youtube.com/watch?v=Y_jvBn1RBlw&t=687s
Foot Stability Exercises - https://www.youtube.com/watch?v=LwnCjLcaYPc&t=284s
Hip Extension Test - https://www.youtube.com/watch?v=eqV8lIQRuKg&t=40s

Horsestance - https://www.youtube.com/watch?v=gu9eD6Zbzu0
Side Plank - https://www.youtube.com/watch?v=7gDkfGiy3C4&t=67s
Hip Hike - https://www.youtube.com/watch?v=SCyqaMaxiAc&t=95s
Toe Touch Drill - https://www.youtube.com/watch?v=0buiXyr_GUY&t=92s
Deadlift - https://www.youtube.com/watch?v=EVaVpzIzJdE&t=34s
Suitcase Carry - https://www.youtube.com/watch?v=imlN5Fz5kAM&t=119s

Видео What Causes Lateral Pelvic Tilt & Leg Length Discrepancy? канала Noregretspt