04/02/2026
Y’all wonder I get sh*tty when you guys come in and your hips are skewed and crooked!
Human posture works as a single interconnected biomechanical system. When alignment is optimal, body weight is distributed symmetrically through the spine, pelvis, hips, knees, and feet. However, even a small imbalance-such as a functional leg-length discrepancy or asymmetrical foot mechanics-can trigger a cascade of compensations throughout the entire musculoskeletal system.
- Knee & Hip Adaptations
When forces rise unevenly from the feet, the knee on the affected side often experiences abnormal tracking and compression, resulting in knee pain. At the hip, altered loading increases joint stress, which may contribute to hip osteoarthritis. The pelvis adapts by tilting or rotating to maintain balance, further disturbing normal biomechanics.
- Pelvic & Lumbar Spine Compensation
A tilted pelvis disrupts spinal alignment. The lumbar spine compensates by side-bending or rotating, increasing shear forces on discs and facet joints. This often presents as low back pain or lumbago. Muscle tone becomes asymmetrical
- some muscles overwork and tighten, while others lengthen and weaken.
- Muscle Imbalance & Energy Inefficiency
Biomechanically, postural imbalance causes increased energy expenditure. Muscles that should stabilize become overactive, while others lose efficiency. This imbalance reduces shock absorption and increases cumulative stress on joints, accelerating degenerative changes.
- Clinical & Rehabilitation Perspective
From a biomechanical standpoint, treatment must address the entire kinetic chain, not just the site of pain. Correcting foot mechanics, restoring pelvic alignment, improving spinal mobility, and retraining neuromuscular control are key to long-term relief. Local symptoms often resolve only when the primary biomechanical fault is corrected.
