How does Pelvic Leveling Fit into the Wellness Plan

An unlevel pelvis is a common condition that can cause or contribute to other painful biomechanical issues, such as pain in the low back, groin, knee, or foot. The two sources of an unlevel pelvis are structural and functional.  In the presence of a structurally unlevel pelvis, the bony structure has created asymmetry in the pelvis, often from a chronic compensation pattern.  

 The pelvis is the functional link between the lumbar spine and the lower extremity. When the pelvis is unlevel, either structurally or functionally, there is increased stress on the lumbar spine, joints in the lower extremity, or both. It is well established that patients with low back pain have poor motor control of their trunk musculature and abnormal gait firing patterns.  

Restoration of pelvic stability will likely improve the patient's overall organ health, circulation, posture, flexibility, mobility, and mechanical efficiency, which are major components of a chiropractic wellness plan.  An unlevel pelvis can be managed with different interventions, depending on the patient and root causation. Patients with a functionally unlevel pelvis due to acute compensation patterns may respond best to joint manipulation and corrective rehabilitation.  Also, current research supports the utilization of custom foot orthoses in patients who exhibit an unlevel pelvis.

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The American Chiropractor/ January 2026 Issue