With much relief, I can report that the last remnants of my post-tilt hip discomfort seem to have disappeared. As far as I can remember, the sequence of events occurred like this:
July/August Lateral Pelvic Tilt
1. In July of last year I was experiencing lower back/SI Joint pain. Later in the month, some horrible lower back spasms prevented me from standing up for at least two days. I first wrote about it in this post. As I re-read the post, I thought I had fixed the problem, but I was mistaken.
2. The spasms subside but I am still experiencing pain.
3. I can see in the mirror that something is “off” with my appearance. I look lopsided, to a degree.
4. I take pictures of myself in just my shorts and the tilt is quite noticeable. My pelvis on the left side is higher than the pelvis on the right side. I consult my physical therapy oriented books and realize it is probably my QL and/or psoas. I do some stretches for the QL and the majority of the tilt goes away.
September of 2011. I still have a tilted pelvis
1. I STILL had a slightly tilted pelvis and I couldn’t figure out the reason. I was obsessing over my right hamstring because I had right side SI joint pain. My obsession was misguided because no matter what I did for the hamstring, the tilt was still there.
2. As I documented in this post, I finally just put an insert from my Nike Frees and put them into my Chuck Taylors. Luckily the insert was a perfect fit and leveled my pelvis perfectly. The back pain was gone immediately but it didn’t fix the underlying cause of the pelvic tilt. Mentally, though, I was done with it. I wanted nothing else to do with my damn tilt. As long as the insert was in my shoe, I felt fine–temporarily at least.
January-ish of 2012
1. A few months go by and at this point I start getting nervous about pains that I am getting in my “man region”. To say that it was disconcerting is an understatement. Worrying thoughts of a hernia and cancer fill my mind (the human brain always seems to imagine worse case scenarios). In fact, it was just my tilted pelvis rearing it’s ugly head again. It must have been compressing some nerves in my lower back that continued into the nether regions.
2. A trip to a decent massage therapist finally ends my ordeal. I gave her explicit instructions to work on my lower back muscles on the left side, primarily the QL (again) and psoas. When she tried to get at my QL through my side, I felt nothing noticeable. When she pressed on my psoas, however–Eureka! The psoas released and my lateral pelvic tilt disappeared.
In the aftermath of my pelvic tilt, I was still experiencing hip/glute discomfort on the left side, primarily in the mornings. In addition, I often felt tightness in my psoas. I finally knocked out the morning hip/glute discomfort by bombarding it with Aleve for a week straight. It worked; I suppose it was just inflammation.
I haven’t a clue as to whether my psoas was actually still tight after the tilt was resolved. Muscles can’t talk, so perhaps we interpret various muscle “agitations” as tightness because we have no other way to express the feeling. It’s like tinnitus in the ears (which I have–lucky me). Scientists now believe tinnitus is caused by over-active brain neurons that never shut down, and our brain interprets this as sound. Maybe my psoas was over-active and I interpreted it as tightness.
Finally, I’ve read online that some people doubt the validity of massage since it hasn’t been studied experimentally. I couldn’t care less about whether it’s been studied in a controlled setting. The only thing that got my psoas to relax was the therapist pressing on it. In this case it worked. I went in with a tilted pelvis, I left a new man.