ANTERIOR PELVIC TILT COULD BE THE REAL VILLAIN OF POSTURAL PROBLEMS

Welcome to the first part of our Postural Tilt Series! Here, we will be diving into anterior pelvic tilt — the sneaky postural misalignment behind a whole lot of low back pain, stiffness, and muscular imbalances you might not even realize are affecting your body.

What Is Anterior Pelvic Tilt?

Picture your pelvis like a bowl. In a neutral posture, that bowl stays level. In anterior pelvic tilt, the front of the pelvis tilts forward, causing the lower back to arch excessively and shifting your entire alignment out of balance.

What Does Anterior Pelvic Tilt Look Like?

Common visual cues include:

  • A noticeable arch in the lower back
  • The butt sticking out (“duck posture”)
  • The belly protruding forward (even if you're fit)
  • Hamstrings that always feel tight
  • Shoulders and head may shift forward to compensate

It’s a postural pattern we see in a lot of clients, especially those who sit for long periods or train hard without proper balance in their routine.

What Causes Anterior Pelvic Tilt?

A few common culprits:

  • Prolonged sitting (desk work, driving, etc.)
  • Weak core and glute muscles
  • Tight hip flexors and lower back muscles
  • Poor postural habits
  • Wearing high heels frequently
  • Imbalanced strength training (such as lots of squats and no core strengthening)

These factors all create muscle imbalances that pull your pelvis out of neutral.

Symptoms of Anterior Pelvic Tilt

  • Low back pain, especially when standing or walking
  • Tight hips, especially the front of the hips (hip flexors)
  • Weak glutes and core
  • Postural fatigue (it takes more effort to stand tall)
  • Chronic hamstring tightness that does not improve with stretching

These symptoms often sneak up gradually, making it easy to ignore—until pain or movement restrictions show up.

How It Affects the Rest of the Body

Anterior pelvic tilt does not just affect your pelvis and low back. Left untreated, it can lead to:

  • Increased curvature in the lumbar spine (lumbar lordosis)
  • Joint stress in the hips, knees, and lower back
  • Compensations in the upper body (rounded shoulders, forward head posture) causing neck and shoulder pain down the road
  • Decreased performance in sport and workouts
  • Higher risk of injuries such as disc issues, sacroiliac joint (SIJ) dysfunction, or knee pain

It’s a whole-body issue—and it needs a whole-body approach.

How to Fix Anterior Pelvic Tilt

Effective Anterior Pelvic Tilt Exercises

1) Transversus abdominus (TA) strengthening strengthening

How to do it:

  • Lie on your back with your knees bent and feet flat.
  • Flatten your lower back against the floor by gently tilting your pelvis upward and drawing your belly button down.
  • Hold this for 5-10 seconds.
  • Should feel a tightening of muscle between the two bony parts of your pelvis.
  • Do not hold your breath. You should be able to breathe normally while working through this exercise.
  • Relax and return to the starting position
  • Perform 10 times X 3 sets.

2) Glute bridges – activate and strengthen glutes

How to do it:

  • Lay on your back with your knees bent, feet flat on the floor at hip width distance
  • Pull your belly button down towards the floor, squeeze your glutes and lift your hips up
  • Hold for 5 seconds at the top squeezing your glutes
  • Lower down to start position
  • Repeat 10 X 10 reps, 5 sec hold

3) Planks – build core endurance

How to do it:

  • Prop yourself up on your forearms
  • Pull your belly button towards your spine and gently tuck your tailbone to engage your core
  • Keeping knees on the floor, push yourself up into a plank position
  • Actively push the floor away from you with your forearms to keep shoulders engaged.
  • Hold for 10-30 seconds
  • Repeat 3 times

4) Dead bugs – reinforce controlled pelvic movement

How to do it:

  • Lying on your back bring your arms up and knees up to 90 degrees
  • Pull your belly button towards your spine and gently tuck your tailbone to engage your core
  • Slowly straighten on leg out and lower it down towards the floor
  • Do not allow your low back to arch
  • Exhale and bring your leg back up to 90 degrees
  • Perform on other side and continue alternating sides
  • 3 X 12 reps

5) Hip flexor stretches – release tension in the front of the hips

How to do it:

  • Start in a low lunge with your back knee on the floor. This will be the side you are stretching.
  • Gently tuck your tailbone and hold here. You may feel a stretch at the front of your hip already with this tuck.
  • Shift your weight forward to increase the stretch. Keep your tailbone tucked.
  • Sidebend your trunk away to increase the stretch even more.
  • Hold for 20-30 seconds
  • Repeat 2-3 times

6) Pelvic tilts – to retrain your neutral posture

How to do it:

  • In standing, place your hands on your hips
  • Tuck your tailbone down and under and gently pull the bottom of your ribcage at the front towards your pelvis
  • Hold for 5 seconds
  • Relax, repeat
  • Perform 3 X 10 reps, do this throughout your day consistently

Anterior Pelvic Tilt Exercises to Avoid:

  • Excessive hamstring stretching (they’re already lengthened in this posture)
  • Heavy back extension exercises that reinforce the arch (eg.) cobra pose)
  • Crunches with poor form that further pull the pelvis forward
  • Heavy barbell squats with poor form. It’s essential to get a professional such as a Physiotherapist or qualified Kinesiologist to observe your form during barbell squats and correct your form before adding on the weight

Correcting anterior pelvic tilt isn’t just about stretching—it's about restoring balance across the body.

How to Incorporate These Fixes Into Daily Life

  • Take movement breaks every 45-60 minutes if you sit a lot. Get up to get yourself a glass of water, take a washroom break, or get up and walk around for 1-2 minutes and perform some of the corrective exercises above.
  • Add a 5–10 minute corrective routine before or after workouts such as the exercises above.
  • Practice good posture while standing, walking, and even lying down. Gently tuck in your tailbone to neutralize your lumbar spine. Unlock your knees to allow for a microbend while standing if you tend to hyperextend normally.
  • Be mindful of footwear choices that affect alignment (like high heels).

The key is consistency—just a few minutes daily can lead to major improvements over time.

What Happens If You Don’t Address It?

Chronic anterior pelvic tilt can lead to:

  • Structural changes in your spine leading to disc injuries
  • Persistent low back pain
  • Increase hip tension and pain
  • Decreased flexibility and mobility
  • Postural fatigue and early joint degeneration
  • Greater risk of injuries due to poor mechanics

Anterior pelvic tilt doesn’t have to be something you live with long-term. With the right treatment plan, it can be corrected. Addressing it now can help prevent future injuries, improve your posture, and finally relieve that nagging low back pain you’ve been carrying around for years.

How Therapy X Can Help

The best approach is collaborative—and that’s exactly what we do. While each of our services can help relieve low back pain, the right combination for you will depend on your unique presentation. Your clinician will determine the best course of treatment plan after a thorough assessment tailored to your specific needs when you come in. Not sure where to start? Entering through any of these services will be a great start and from there, your clinician will be able to refer you on to the best ones suitable for your needs as part of your plan.

🔵 Physiotherapy
Your physiotherapist will assess your posture, mobility, and movement patterns, then design a corrective plan tailored to your body.

🟢 Chiropractic
Realigns the spine and improves joint function, especially in the lower back and pelvis, reducing compensations and restoring optimal alignment.

🟠 Massage Therapy
Targets tight muscles like the hip flexors, quads, and lower back, improving tissue health and reducing muscular tension.

🟡 Fascial Stretch Therapy
Releases deep fascia and restores movement through the entire kinetic chain—not just isolated muscles.

🔷 Kinesiology
Helps retrain how you move. Our kinesiologists design strength and movement plans to help you stay aligned and strong in daily life.

The best part? We work together on your care plan. Everyone’s on the same page, with shared treatment notes and team discussions so you don’t have to play telephone between clinicians. Your body deserves a team that works as one.

YOUR LONG-TERM RECOVERY STARTS NOW!

Welcome to the final part of our Ankle Sprain Recovery Series. We’ve covered acute ankle sprains (when the injury first happens) and subacute recovery (when healing is underway but not complete). Now, we’re tackling chronic ankle instability—a lingering problem for many who’ve sprained their ankle but never fully recovered.

If you’ve been dealing with chronic ankle pain for weeks or even months, you might have noticed some serious issues: instability, weakness, pain, and difficulty with certain movements. You’re not alone—chronic ankle sprains are common because once ligaments are stretched or torn, they don’t return to their original strength. That’s why repeated ankle sprains happen so often. But here’s the good news: with the right treatment and corrective exercises, you can rebuild stability and prevent future injuries.

Understanding Chronic Ankle Instability

A chronic ankle sprain happens when your ligaments don’t heal properly after an injury. Instead of regaining full strength and function, the ankle remains loose and unstable. Over time, this can lead to chronic ankle pain, swelling, and difficulty with everyday movements.

A chronic ankle instability test can help determine if your ankle is still unstable. Common symptoms include:

  • Feeling like your ankle might “give out” when walking or exercising
  • Difficulty balancing on one foot
  • Ongoing swelling or tenderness
  • Pain when running, jumping, or changing direction quickly

Why Early Intervention Matters

Many people wait too long to seek treatment, hoping the pain will go away on its own. The problem? Without proper rehabilitation, the body compensates for the weakness, altering your gait (the way you walk). This leads to imbalances in your knees, hips, and lower back, increasing the risk of further injury to other parts of your body.

Physiotherapy is key to long-term recovery. By starting treatment early, you can:

• Reduce recovery time

• Improve stability and strength

• Prevent compensations that lead to other injuries

• Avoid repeated ankle sprains (which become more common after the first one)

Chronic Ankle Sprain Treatment: What Works?

A strong rehabilitation plan includes a mix of manual therapy, balance training, and strength exercises. Here’s what a solid chronic ankle sprain recovery program looks like:

1. Balance & Proprioception Training

Your ankle contains tiny receptors that help with balance and movement control. When these are damaged, they need retraining. Exercises incorporating single-leg stance, drills performed on unstable surfaces such as foam pads, wobble boards, or on a Bosu ball, help restore coordination and prevent future sprains.

2. Strength Training for the Ankle & Lower Leg

Weak ankles lead to instability. Targeted strengthening exercises include:

  • Strengthening exercises for the ankle
  • Strengthening exercises for the knees, core, and hips

3. Mobility & Stretching

A restricted ankle can limit movement and put stress on other joints. Stretching exercises can help improve range of motion, including:

  • Lower extremity stretching exercises
  • Self joint mobilizations
  • Foam/ball rolling exercises
  • Mobility exercises to correct muscle imbalances

4. Sport-Specific & Functional Movements

If you’re an athlete or active individual, your rehab should include jumping drills, lateral movements, and agility training to get you back to peak performance.

  • Stability and balance exercises to prevent future injuries and/or respraining the same ankle again
  • Agility exercises especially if the focus is to return to sport to prevent future injuries and enhance performance

The Bottom Line: Don’t Settle for Instability

Living with chronic ankle instability is not the answer. Without proper treatment, it’s only a matter of time before you sprain your ankle again. Physiotherapy offers a long-term solution—helping you regain stability, reduce pain, and prevent future injuries.

If you’re still dealing with chronic ankle pain and instability from an old injury, don’t wait. Early intervention leads to a stronger, healthier, and more stable ankle for the future. Book an appointment with a physiotherapist today and take control of your recovery!

This concludes our Ankle Sprain Recovery series. If any of these signs and symptoms sound like issues you're dealing with, book an appointment with one of our expert Physiotherapists to learn more about what physiotherapy can do for you.

Have more questions? Call us at 604-742-3688 or visit our clinic in South Granville, Vancouver to speak with one of our clinical coordinators for more information.

With care,

Therapy X Collective