Anterior pelvic tilt (APT) is a condition that has long been associated with lower back pain. However, recent research suggests that the relationship between APT and back pain may not be as clear cut as we once thought.

In fact, some studies have found a correlation between APT and lower back pain, while others have not. For example, a study by Lee et al. (2015) found that patients with chronic low back pain had significantly more APT than healthy controls. However, a study by Minicozzi et al. (2016) found no significant difference in pelvic tilt between patients with low back pain and asymptomatic individuals.

Moreover, some recent research challenges the idea that APT causes lower back pain by itself. For instance, a systematic review by Brekke et al. (2020) found no evidence for the effect of non-surgical interventions in reducing excessive APT and potentially related symptoms. The authors concluded that APT may not be a causal factor for low back pain, but rather a consequence of other factors such as genetics, lifestyle, or injury. APT may just be a normal variation of spinal alignment, and that focusing on pelvic tilt may distract from addressing other factors that contribute to low back pain, such as movement patterns, muscle function, or psychosocial factors.

Lower back pain can result from APT for several reasons. First, the excessive arching of the lower back can compress the intervertebral discs and nerves, leading to inflammation and pain. Second, the tight hip flexors can limit hip mobility and force the lower back to compensate during movement, increasing stress and strain on the spine. Third, the weak glutes and abdominals can impair core stability and increase the risk of injury.

Given the complex relationship between APT and lower back pain, it can be difficult to determine whether APT is causing LBP or if it is simply a structural or genetic variation. Therefore, treatment approaches for APT or lower back pain should take into account all potential contributing factors You may also consult a physical therapist or a chiropractor for a personalized assessment and treatment plan. They can help you identify and correct any underlying issues that may be causing or aggravating your APT and lower back pain.

In conclusion, while APT has long been associated with lower back pain, recent research suggests that this relationship may not be as clear cut as we once thought. Further research is needed to fully understand the role of APT in lower back pain.

References:

- Lee SH et al. The influence of pelvic adjustment on vertical jump height in female university students with functional leg length inequality. J Phys Ther Sci 2015;27(9):2923-2926.

- Minicozzi SJ et al. Low Back Pain Response to Pelvic Tilt Position: An Observational Study of Chiropractic Patients. J Chiropr Med 2016;15(1):27-34.

- Brekke AF et al. Non-surgical interventions for excessive anterior pelvic tilt in symptomatic and non-symptomatic adults: a systematic review. EFORT Open Rev 2020;5(1):37-45.