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Pelvic Tilts (lying and standing)

Clinical content from the Auto Injury Chiropractic home rehab program. Final clinical reviewer: Dr. Seth Hill, DC. How we review content

These exercises are for education. After a car accident or injury, get checked by a provider before you start. They do not replace an exam.

Demonstration video: Supine Posterior Pelvic Tilt (OrthoIndy). Follow the steps on this page if the video differs.

In our programs

The dose and steps can differ by program.

Low Back and SI Joint, Phase 1: Pelvic Tilts LB-1 #2

Wake up low back motor control

Dose2 times a day, 10 reps
You needA mat or carpeted floor

Photos

Pelvic Tilts: Arch: low back lifts slightly
Arch: low back lifts slightly
Pelvic Tilts: Flatten: low back presses toward the table
Flatten: low back presses toward the table

Why it helps

Your pelvis can rock forward and backward. After an injury, this motion gets stuck. Pelvic tilts wake up the small muscles that control your low back and pelvis, and teach your brain that gentle motion is safe.

How to do it

  1. Lie on your back with knees bent, feet flat on the floor, about shoulder width apart.
  2. Find your natural low back curve. There should be a small space between your low back and the floor.
  3. Tilt your pelvis backward by pressing your low back flat into the floor. Like trying to flatten a fold in a sheet under you.
  4. Hold 3 seconds. Then tilt your pelvis the other way, lifting your low back slightly away from the floor.
  5. Hold 3 seconds. Slowly switch back and forth. Do 10 full rocks.

Too hard? Try this

Just do the flatten-to-floor part. Skip the lift-up part. Or hold each position only 1 second.

Too easy? Try this

Add slow, controlled breathing: inhale as you tilt one way, exhale as you tilt the other.

Common mistakes

  • You move from your hips and legs instead of your low back.
  • You tighten your buttocks hard to push your back down.
  • You go too fast and bounce.

You should feel

  • Small, controlled motion in your low back.
  • Your low back feeling like it is waking up.

You should not feel

  • Sharp pain in your low back.
  • Pain shooting down a leg.

Stop right away if

  • Sharp pain shooting down your leg.
  • Numb or tingly leg or foot.
  • Sudden weakness in a leg.

If you are one of our current patients, call the clinic and inform your provider right away, or seek emergency care right away. For a life-threatening emergency, call 911.

Low Back and SI Joint, Phase 2: Standing Pelvic Tilts LB-2 #4

Carry awareness to standing

Dose2 times a day, 10 reps
You needA wall (helpful but optional)

Photos

Pelvic Tilts: Arch: low back moves away from the wall
Arch: low back moves away from the wall
Pelvic Tilts: Flatten: low back flattens into the wall
Flatten: low back flattens into the wall

Why it helps

Last phase you did pelvic tilts lying down. This phase you do them standing, which is how you actually need to control your low back during real life: at work, in line, doing chores.

How to do it

  1. Stand with your back flat against a wall if you can. Heels about 6 inches from the wall. Knees slightly bent.
  2. Find your low back curve. There should be a small space between your low back and the wall.
  3. Tilt your pelvis backward by pressing your low back flat into the wall.
  4. Hold 3 seconds. Then tilt the other way, lifting your low back slightly away from the wall.
  5. Slowly switch back and forth. Do 10 full rocks.

Too hard? Try this

Skip the lift-away phase. Just practice flattening to the wall.

Too easy? Try this

Do them without the wall. Or hold each end position for 5 seconds.

Common mistakes

  • You move from your knees instead of your low back.
  • You squeeze your buttocks too hard.
  • You hold your breath.

You should feel

  • Smooth control of your low back.
  • A reset feeling in your spine.

You should not feel

  • Sharp low back pain.
  • Pain shooting down a leg.

Stop right away if

  • Sharp low back pain.
  • Pain shooting down a leg.
  • Dizzy when you tilt.

If you are one of our current patients, call the clinic and inform your provider right away, or seek emergency care right away. For a life-threatening emergency, call 911.

Research behind this program

Auto Injury Chiropractic

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Oregon City, OR 97045

(503) 723-4462

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Milwaukie, OR 97222

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Troutdale, OR 97060

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