Increased Low Back Pain in Performance of a Pelvic Tilt Maneuver: A Report of Two Cases

Increased Low Back Pain in Performance of a Pelvic Tilt Maneuver: A Report of Two Cases

Salvatore J. Minicozzi, DC, CCEP (1), Brent S. Russell, MS, DC (2)

(1) Private practice of chiropractic, Sandy Springs, Georgia, USA
(2) Professor, Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia, USA



This report discusses the pelvic tilt therapeutic exercise as an examination procedure for low back pain (LBP). In the authors’ experience, most patients with mechanical LBP attain some relief from posterior tilting of the pelvis. This report describes 2 patients who experienced increased pain from the maneuver.

Case Presentation

Two patients presented to the principal author with pain in the low back and right lower extremity. They had similar orthopedic, neurologic, and MRI examination findings, and received similar conservative chiropractic care, including drop-assisted manipulation, Active Isolated Stretching and Strengthening, and instruction in a home exercise program. One substantially improved, while the other went on to surgery. The pelvic tilt maneuver was a convenient method
for monitoring patient response in both cases.

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