the muscular attachments

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the muscular attachments
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Poor posture creates habitual compensatory holding patterns and vice versa. When you are in pain, or have had an injury, you will compensate to cope. This compensation will eventually harbour its own aches and pains. It is an experienced therapist that look’s, senses and feels past the symptom to find what has caused it in the first place. You should not simply treat the label of the dysfunction but look and find the cause.

Cause and effect
So let’s look at why people can have a leg length discrepancy. The pelvis has two inominate bones made up of the ilium, ischium and pubis. The 2 sides of the pelvis articulate with the sacrum at the sacroiliac joint at the back, the last lumbar vertebrae, and the pubis symphysis at the front. The sacrum is the keystone of the pelvis. It is made of five sacral segments plus the coccyx. The pubis at the front of the pelvis is a non-synovial amphiarthrodial joint with its role being that of shock absorption, compression and separation, particularly during labour. The pelvis articulates with the greater trochanter of the femurs at the acetabulum.

All human beings tend to have a dominant or tighter side. When an area fascially and muscularly becomes tight the correct articulation at these joints becomes diminished or locked down forcing the body to compensate in other ways to get that particular posture or movement until that is exhausted and so on and so forth. Imbalances in our foundation, the pelvis and lower extremities, will create an imbalance in the thorax, shoulder girdle, and cervical and craniomandibular regions.

So if we look at the most common poor posture, particularly in the pelvis we see a dominant right side yet they may be complaining of pain on their left. They may tend to stand more on their left leg due to it being functionally shorter than the right and complain of pain in their left buttock and back and side of the left leg. As the person is dominant on one side the fascial network tightens asymmetrically in order to function and to meet demand. Even though the presenting pain may be left sided, low back and or grain strain, usually what we see is the right leg longer than the left on supine testing and the right ASIS lower than the left ASIS.

What this means is that the muscular attachments on the right side of the pelvis are pulling the pelvic bowl into an anterior tilt and to compensate the left ilium is moving into a posterior tilt.

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