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Conditions and Diseases > Back Pain Forum > Innominate Rotation / Treatment
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Q: Innominate Rotation / Treatment
asked by: young_matthewd on December 22nd, 2007
New User
met with a sports theripist connected with a back clinic to look over stomach exercises to support a spondylothesis (grade 1 maybe 2) after a disk rupture. theripist noticed that the left hip (innominate) is rotated posteriorly causing a length difference between the legs of about 12 mm (measured lying not standing). she performed massage to the external hip rotators (muscles on the outside of the rear) and back muscles (between the ribs and hip) plus did some type of chiro move (pulling the left leg diagonlly back). afterwards the leg difference was half at 5/6 mm.

before i dive into researching the web i hope somebody can give me insight into how treatment works for 'innominate posterior rotation'. was unclear with my visit with the theripist. is it done solely via theripists (ie. adjustments/massage)? or can i do exercises (strenth training)? or stretching? or are we looking an insert (shoes) for a temporary solution?
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RichT
replied on December 22nd, 2007
Active User, very eHealthy
Hello Young matthewd,

First, do you know how long 12 mm is? That is 1/2 inch. I have no idea what is significant and what is not regarding a difference in the length of ones legs. HOWEVER, may I suggest that you make an appointment with your doctor and discuss the issue with him/her.

I commend you for wanting to get additional information, and to do some research on the internet. Me thinks you and I are on the same wavelength on this.

Okay, a question if I may - When you walk does it feel you are walking "straight" with no back and forth motion? No sure how to state this properly. Has any of your friends, or anyone ever commented that it appeared one of your legs was shorter than another?

Stay in touch. Let us know what your doctor says.

I hope others may be able to better advise you.

RichT
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young_matthewd
replied on December 22nd, 2007
New User
Not Noticable to Me
exactly about half an inch. everybody has some sort difference in leg length but i have heard that it has to be over 15 mm to cause chronic pain (astrex...coming from the swedish health care system which doesn't move if you don't scream).

nothing is noticable to me with gate or how i feel when i walk. no freinds or family have mentioned the hip displacement.

however, several sports theripists have reacted to the hip tilt. odd that the ortopedic didn't.

will have to pose that question to the theripist (if i need a visit with the orthopedic and why he didn't notice).

anyways. have hunted around on the net without finding a clear line of treatment.
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RichT
replied on December 22nd, 2007
Active User, very eHealthy
Hello Young matthewd,

I'm embarrassed to have converted mm to inches. Sorry, guess my ole mind was stuck in the outdated U.S. system.

Interesting that the therapists noticed your "hip tilt", but none of your friends/family OR your Orthopedic doctor noticed. Would seem that a visit to your orthopedic doctor would be in order. Can you make an appointment to see the doctor without going through others? Hope so. Would be most interesting to know what your doctor has to say as to whether anything needs/should be done or not. And does your "hip tilt" have anything to do with causing the spondylothesis (I still can't pronounce that word. LOL)?

Let us know how things progress and what you learn from your doctor if you don't mind sharing.

RichT
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gsdadmarty
replied on December 28th, 2007
New User
I Have Same Dx.
I have a severe innominate rotation post rt. hip resurfacing. How much pain do you have?
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expatient
replied on January 10th, 2008
Experienced User
That is very common other innominate has rotated, many times lifted/slipped up too, but so badly known by doctors. Medicine experts have been taught it can not move so they never even check that. If other leg seems shorter they say it is shorter, even it is not. I had over 1/2 inch difference.

You very lucky to find someone who saw and knew that can even exist. Here a demo I made about it:
http://www.youtube.com/watch?v=XZ6M4ZNt6Ak

It is corrected by manipulation like pushing it back. Not many has that skill. Many experts try to push the wrong side...

I was lucky I found one after 10 years of searching for help to my pains.
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