03/04/2026
Nope, your pelvis cannot get twisted or get "out of place". It just cannot happen. Let me explain... ๐
The pelvis is formed of 3 bones (the "hip" bones and the sacrum). At the back, your SIJs (sacro-iliac joints) are the joints that connect the sacrum to the hip bones. These are big joints, and they are very strong.
Most importantly, there is very little movement in them โ only 1 to 4 degrees, depending on the literature. So it is a myth to say that one's pelvis is out of alignment or out of place, unless you had a high-velocity traumatic shock, such as a massive car accident or a fall from a very high height. (And trust me, if your pelvis gets dislocated during that accident, your pelvis will be the least of your worries...)
So, your pelvis can't get twisted, but you can get SIJ pain.
SIJ pain is often misinterpreted as lower back pain. The low lumbar vertebrae (L4-L5) are very close to the SIJ, and the joints between the sacrum and L5 and then between L5 and L4 are a lot more mobile than the SIJ and are more likely to be the cause of the pain.
SIJ pain can be caused indirectly by
โ back pain,
โ hip pain,
โ leg discrepancy,
โ the nature of the sports you play
and directly by
โ inflammation in the joint (in arthritic conditions such as rheumatoid arthritis or ankylosing spondylitis) or
โ pregnancy, where the hormone prepares the pelvis to allow a baby's head to come through it in a few months.
So if you have been diagnosed with a twisted or misaligned pelvis, it is most likely nothing to do with your pelvis itself.
If you are in pain after being diagnosed with a twisted pelvis, give us a shout. We will assess you properly, look at the possible reasons for your pain and give you the appropriate rehab programme to help you get rid of it.
๐ Email us at info@benjiphysio.com or DM us.