11/13/2025
What is Posterior Pelvic Tilt?
A posterior pelvic tilt happens when the pelvis rotates backward, the tailbone tucks under and the front of the pelvis lifts upward. Think of your pelvis like a bowl of water tipping backward, spilling water behind you.
Effects on the Body
1. Low Back:
When the pelvis tilts backward, the natural curve in your lower back flattens. This reduces shock absorption and can create stiffness or compression. Over time, it may lead to tightness, disc pressure, or limited hip mobility.
2. Hamstrings:
Your hamstrings attach to the bottom of the pelvis. When the pelvis tucks, they shorten and tighten, pulling the pelvis further out of alignment. They often feel tight because they’re constantly shortened, not necessarily weak.
3. Quads & Hip Flexors:
The quads and hip flexors become lengthened and underactive, weakening their ability to stabilize the pelvis. The body compensates by overusing the lower back or leaning forward during movement.
Forward Head Posture Connection:
A posterior tilt rarely happens alone. As the pelvis tucks, the chest rounds, shoulders roll forward, and the head shifts forward to stay balanced. This creates forward head posture, neck tension, and rounded shoulders.
👉 **Chain reaction:** Posterior Pelvic Tilt → Flat Low Back → Rounded Upper Back → Forward Head
Feet Everted (Left > Right):
When both feet turn outward—especially the left—it signals asymmetry through the hips and pelvis. Everted feet mean internal hip rotation and collapsed arches. The left turning out more suggests pelvic rotation to the left, reinforcing imbalance up the chain.
**Posture Therapy Focus:**
We look at the whole body to restore balance:
* Lengthen: Hamstrings, glutes, and lower back.
* Activate: Hip flexors, quads, and core stabilizers.
* Realign: Pelvis first, then head and shoulders.
* Feet: Rebuild arch strength and alignment for full-body stability.
Restoring alignment restores function—helping you move better, feel better, and reduce chronic tension.
If you think you have a posterior tilt pelvis and feeling areas of discomfort Let's book a consultation and see if Posture Therapy is right for you. (online or in person)