Rotated Pelvis/Pelvic tilt

@leesal123 You are doing right by continuing PT - IF the PT is listening to you and your body and switching things up to help your recovery.
But - here is what can be said about pelvic tilt/rotated pelvis:
https://www.medicalnewstoday.com/articles/317379
Yup, almost EVERYBODY has it. But, it is only a problem if it is causing pain or health issues.
My PT focuses more on cause, form, function and prevention.
Cause - possible skeletal issues, otherwise, too much sitting, and poor posture.
Cure - First, find out if there are structural issues that are correctable - scoliosis, uneven leg length, to name a few.
Second stop doing those things that cause or aggravate it, and work to strengthen the surrounding muscles.
So, if I go to PT twice a week, do my exercises at home once a day for 15 minutes, then continue to sit for 6, 8 or more hours at work, go home and slouch on the couch or in the recliner messing with the phone, watching TV or playing video games for a couple more hours before bed - I can't be cured.
Maybe, do some standing & walking around at work, get a better workstation and chair, maybe even a stand-up desk. At home, sit in a firm chair with feet on the floor; use a proper work surface for any tablet or phone use; better yet replace sitting time with a walk, some active chores...
Here on Connect, as a Mentor on busy days, I use my office chair and a tilted keyboard and go do something else for part of every hour. And if I want my sit down crafting or painting time, I balance it with walking and chores.
Have you and the PT talked about "the other 99% of the time" when it comes to dealing with your pelvic tilt?
Sue

@sueinmn Thank you for your response. I was misdiagnosed at first as no one was listening to my symptoms and what happened before the onset of symptoms. ( I sat incorrectly for 9 months before doctors finally diagnosed me with vulvar contact dermatitis- that is another story). My first PT kept telling me it was my back and I needed prednisone. I went to an orthopedist and he was not convinced it was my back and sent me to another PT. This one did an actual eval. and she was helpful but she left to start her own business. I am now with another therapist in that same practice. We do the same thing every session ( 2x a week) and she just gave me some exercises to try at home about 3 weeks ago( I have been going there since the beginning of Nov). I have asked for goals, a plan, etc. She wants me to see a chiropractor as a supplement to my therapy. There is no scoliosis, leg discrepancy, etc. The therapist says it is all muscular-related. I bought a new workstation set up since I am a remote worker(desk that can go up to standing, a good chair, etc.) I walk around /stretch about every hour and have exercise equipment in my basement that I am slowly able to use again. I also have 4 dogs so I am walking them throughout the day, which gets me moving. I guess I am just frustrated as this has been such a long haul and was curious how others were doing. Again thank you.

https://www.chiropractic-singapore.com.sg/causes-of-pelvic-tilt-how-chiropractic-helps-pelvic-pain/#:~:text=Chiropractic%20adjustments%20are%20highly%20effective,be%20helped%20through%20chiropractic%20adjustment.

I'd like to invite @soph77 who you have already met and @mom2five to share if they have had any new information or experiences they could share in their pelvic title journey.

I am so sorry to hear about her struggle as I’ve been down that road now for over two years even with a CAT scan my pain physician is still convinced it’s my SI joint on the side where I had a total hip three years ago and things have went downhill sense. I know all about frustration. It’s like soon as you leave the office you’re just a number until your next visit. I am in partial belief, that because they did change the length of my right leg when they did my hip replacement they adjusted that leg to the length of my left which I had to advise them prior to surgery not to do because I had been that way since the age of 12 when I was in a bad auto accident. I’ve even had great chiropractors, adjust me over the years and the good ones finally said it’s just the way your body is leave it alone and I never had any issues until the hip surgery. I am still unable to walk, standing up straight because I lean forward and all ADL activities is a bit of a struggle.

Hi @leesal123
I know it's been a few months since this post and I'm not sure how I missed it.
In any case, I am still doing physiotherapy and like you mentioned in a previous post, I am also feeling stagnated and frustrated. My physiotherapist also believes it is muscle related. I have mentioned leg length descrpancy (as it runs in my family) but both my physio and previous chiropractor have said I don't have that.
I am currently looking for other options in my area, physiotherapists that specialize in pelvic health.
Have you had any impovement, and if so can you share what has helped?

@soph77 So since my last post I have been to a chiropractor, my pcp, and to ortho who ordered a lumbar MRI. Chiro said I have gluteal tendinapothy and pelvic tilt, pcp ordered xray of hips and pelvis. Structurally ok but you can see my left side is higher than right. Lumbar MRI came back fine and they referred me to their hip person. I saw the PA. She was incredibly helpful with info. She also gave me a cortisone shot in each hip for inflammation (bursitis).I have finally gotten into a pelvic floor therapist. I have had 2 visits.She measured all sorts of things. My left hip is higher and I have lots and lots of tight muscles and weak muscles in both hips that are helping to create a misalignment. Ortho PA said strengthening is a huge part of pelvic tilt recovery. I am told it is a long process. I will keep you posted. Please post your updates here too.

@leesal123 Sounds like you've had some progress. I will likely get an xray which I am hoping will give some answers (e.g. to confirm the tilt). I like my PT (he really helped me with another issue) but I feel like I need someone who specializes in pelvic health so I am still searching.
I will update when I can!