Muscle for Life with Mike Matthews - Everything You Need to Know About Anterior Pelvic Tilt
Episode Date: January 16, 2018Some people say that anterior pelvic tilt is caused by weak and tight muscles, and that it’s likely to lead to back pain, injuries, and other dysfunctions.Others say that anterior pelvic tilt is t...otally normal and can’t be changed, so it’s not worth worrying about.Well, the short story is that anterior pelvic tilt is normal and probably isn’t a major cause for concern. If it is a problem, it’s probably just poor posture, which can be corrected.So, by the end of this episode, you’re going to know know what anterior pelvic tilt is, how it affects your body and physical performance, and what you can and can’t do about it.Let’s get started. Want to get my best advice on how to gain muscle and strength and lose fat faster? Sign up for my free newsletter! Click here: https://www.muscleforlife.com/signup/
Transcript
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Hey, this is Mike and welcome to another installment in my in five minutes or less series where
I answer one common question quickly and simply because while long form content is great,
sometimes it is also nice when someone just gets right to the point and tells you what to do and how to do it in five minutes or less. And that's what I do in these episodes.
In this video slash podcast, we're going to talk about anterior pelvic tilt, which is a condition
where your hips are a little bit off kilter. As you can tell from the name anterior being front
pelvic being having to do with the pelvis and tilt being tilted. And this is a condition that many people have and mistakenly
believe one is detrimental to their health and performance and two can be corrected with certain
types of exercises or stretches. And the long story short here is one, there is very little reason to believe that
anterior pelvic tilt is caused by weak or tight muscles. Two, your individual level of pelvic tilt
is mainly determined by your bone structure. And somewhere around 80% of people studied have
anterior pelvic tilt to one degree or another. And three, you can use
mobility exercises and strength training to improve your hip flexibility and strength,
but not necessarily to quote unquote fix anterior pelvic tilt, which in many cases
doesn't require fixing. So let's start at the top here. What is anterior pelvic tilt? Well, if you stand
like this and not like this, then you have anterior pelvic tilt. So for those of you who
are listening and can't see the images that just got put up on the video, anterior pelvic tilt is
a situation where your hips are leaning toward the front, toward the anterior side of your body.
And if we want to get a little bit more technical here, there are two points on your pelvis,
one on the front, which is called the anterior superior iliac spine or ACIS, and one on the back,
which is called the posterior superior iliac spine or PSIS. Now we can draw a line between those two points. And if that line
is straight, then we would say your hips are in a neutral position. If the line is tilted downward.
So if the posterior superior iliac spine, the PSIS, the point on the back of the hips,
if that is higher than the point on the front of the hips, then you are in posterior pelvic tilt.
And if the front point, if the anterior point, the ASIS is higher than the posterior, the back
point, then you are in anterior pelvic tilt. And if you want to see that, just pause the podcast
and hit Google and, uh, or actually just go to Muscle for Life and search for posterior pelvic tilt,
and you can see an article that I wrote on this subject, and you will see some simple images as
well that will make it very clear. And this has been a hot topic of discussion over the last
year or so, at least is what I've seen on social media and so forth, because many people are saying that if you have anterior pelvic tilt to any degree, one, this is caused by usually by weak and tight muscles and two,
that it is likely to lead to back pain, injuries, especially injuries in weightlifting and on
certain exercises like the squat and deadlift and other physical dysfunctions. And the bottom line
here is, as I just mentioned,
when you review the basic physiology in play, as well as the research that is available on the
matter, it quickly becomes clear that this really isn't a cause for concern. And even if it is,
in some cases it can be a bit extreme, it's usually just bad posture, which can be corrected.
stream. It's usually just bad posture, which can be corrected.
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So let's talk physiology first, because many people will say that there are a number of
powerful muscles that attach to the hips and influence the hips, like the glutes, hamstrings,
hip flexors, and core muscles, and that if there are muscular imbalances or muscular tightness, it can then really jack up
the hips. And in the case of anterior pelvic tilt in particular, they'll say that you can develop a
very specific type of muscle imbalance known as lower crossed syndrome. And the problem with this theory is that it just runs afoul of basic physiology because anterior pelvic tilt is a very normal variation of human anatomy. Out of the 120 subjects analyzed, about 85% of the men and 75% of the women had some degree
of anterior pelvic tilt, yet had experienced no low back pain and no hip pain in the previous
year.
And other studies have shown that most people have about 12 to 13 degrees of anterior pelvic
tilt.
Now, you could say that, okay, just because it seems to be normal
doesn't mean that it is optimal, doesn't mean that it is good, doesn't mean that it shouldn't
be corrected. Multiple studies have shown that there is no link between the strength of the
muscles around your hips and the big muscles that influence your hips and your actual pelvic
position. So then of course that raises the question of how much
can these muscles then affect the tilt of your hips, which it would be fair to assume not very
much. It's also very unlikely the anterior pelvic tilt is going to increase your risk of injury.
And even when you're weightlifting, which again is a claim often made because your hips are
changing positions frequently when you're exercising,
depending on what you're doing. Your hips are in a very different position when you are squatting
than when you are deadlifting than when you are cycling. So even if when you are standing upright,
your hips are slightly inclined toward the front. They're not necessarily in that position when you
are doing various types of exercises. And based on my research, based on my reading, the most likely reason for the natural variations in pelvic tilt that we see is just the natural variations of the shapes of our hip bones.
One study that I think is good evidence of that was conducted by scientists at the University of Manchester.
good evidence of that was conducted by scientists at the University of Manchester. And what they did is they analyzed 30 cadavers and they found that the shapes of people's hip bones did indeed vary
widely. Most people, just based on their bone structure, had about 13 degrees of anterior
pelvic tilt, while others had as much as 23 degrees and others still had
absolutely none. And what that means then is those people would have stood differently.
They would have squatted differently. They would have deadlifted differently and based purely on
their bone structure, not weak or tight or imbalanced muscles. So in the end, if you have good posture, which is something I
actually need to write and record about, so I'm going to make a note, but if you have good posture
and that happens to include some degree of anterior pelvic tilt, you really don't have
anything to worry about. Slight variations in hip orientation is not going to increase your risk of
injury or increase your risk of developing muscle imbalances
or overtraining certain muscles in your hips or just in your lower body and undertraining others
and so forth. It's just not true. That said, what you don't want to do is make the common
form mistake, the common technique mistake, especially on certain exercises like the squat,
common technique mistake on, especially on certain exercises like the squat, the deadlift, the overhead press, and the hip thrust. And that is to hyperextend your lower back and essentially
put yourself in a position of extreme anterior pelvic tilt while doing those exercises.
So for example, you will see this when people squat, especially at the bottom of squat,
where they will overarch the lower back, They'll hyperextend their lower back, really orienting their hips
forward. You'll see it at the top of a deadlift where people at the lockout, they hyperextend
their lower back and try to lean back really far and put a lot of curvature in their spine.
You also see the same thing at the top of an overhead press, again, where they're
really sticking their butt out as opposed to keeping the hips in a more neutral position with
your butt cheeks really clenched, which is what you want to be doing at the top of the OHP.
And last but not least, you have the hip thrust, again, at the top of the hip thrust where people
are exaggerating the finish and, again, really putting a lot of extension in the lower part of their
spines so doing those things is bad forcing anterior pelvic tilt bad you want your hips to
be in their most natural position when you are doing those lifts so throughout the squat throughout
the deadlift throughout the hip thrust and throughout the hip thrust, and throughout the OHP, you want your hips to be closer to neutral. Again, whatever is your most natural position. For me,
I do have a little bit of anterior pelvic tilt. So the most natural position for me
is with a slight lean toward the front, but others have very neutral hips. And for them,
they want their hips to remain more or less in that neutral position throughout the entirety of those lifts. Now, one little thing worth mentioning here is if
you have trouble maintaining your hips natural position, mainly you find it in the squat and
the deadlift because you have to get some depth. So you have, you know, as you descend in the squat
or if you, when you are bending down to the bar, if you find that your hips start tilting to the front unnaturally,
then that may be due to a lack of flexibility and mobility in the right muscles, particularly
the hip flexors and also some other lower body muscles. And if that's happening to you,
then head over to Muscle for Life and search for two articles. First one is called why your hip
flexors are so tight and what to do
about it. So you can find it by just searching hip flexor, F L E X O R. And the other is called
how to improve flexibility and mobility for squatting. And for that search mobility for
squatting, and it should come up, check those articles out and they give you some simple
exercises you can do that will help. So that's it.
If you have some degree of anterior pelvic tilt, it's probably nothing to worry about. And
especially if it's not causing any pain or discomfort. And if you want to keep your hips
as healthy and mobile as possible for as long as possible, which you should, you really just need
to focus on a few things. One, you want to make sure that you are not overarching your lower back when you're lifting weights. Two, you want to make sure that you are
training your posterior chain, which are the muscles on the back side of your body, like your
glutes, your hamstrings, and your back, as well as your core. You want to make sure that both your
core and your posterior chain are strong. And three, I definitely recommend that you regularly
do some mobility exercise to help
open up your hips and keep them moving freely. Yoga is very good for this, by the way. That is my
whole body mobility routine of choice.
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