Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Small hemipelvis and LLI

Dr PepperDDr Pepper Posts: 3
edited 06/11/2012 - 8:44 AM in Lower Back Pain
Hey there,
I'm in dire need of some guidance.
I've been having lower back pain for about 3-4 years now, and it has increasingly affected my quality of life to the point where i am very depressed and lost. Currently 19 years of age, from austin texas.

Prior to late 2006 i never had any issues or feelings of obliquity/inequality; i was happy and on track to what i thought was a great life.

I sustained a back injury before i turned 16; i was doing heavy deadlifts, military press and squats with no supervision, and was never treated for any type of fracture, which i believe i sustained on a growth plate. I simply toughed it out. I even lifted while injured; i was young and naive.

Whenever i sit now, i feel uneven. The right side of my pelvis is always jutted upward, causing discomfort any time i sit, and the only remedy for this is placing a wedge under my left ischium. I believe i have developed a small hemipelvis. It started with mild lumbar discomfort while seated during early 2007. Now instead of tension in the lumbar spine, I feel hip/back pain and an extreme feeling of unevenness when seated and even lying down. The feeling is like having a wedge under the right pelvis, which causes a functional scoliosis in my spine because my pelvis isn’t level. This occurs at ALL times, making acts such as sitting on the floor extremely depressing and uncomfortable.

I wear a heel lift of 3/8ths of an inch for leg length inequality (of 14mm from a ct scan, left leg is shorter in both tibia and femur) , but i believe this to be insufficient as i have read that the lift should also address my hemipelvis, which leaves me feeling imbalanced even with a heel lift.
I dread car rides, and going to class (UT Austin) because i can never find comfort.

Have had a decent run up, with all problems attributed to the leg length inequality. Have had MRI and CT, although i feel my symptoms have worsened significantly since they have been taken.
They thought i had scoliosis, but after CT they say minor spinal asymmetry with apex to left.
Is it possible that i fractured something and now my pelvis is highly asymmetrical?
What can i do? Ischial lifts for the rest of my life along with shoe lifts at all times?
Any way i can see if i fractured something in the past? Or if its congenital and never noticed it?

I have a much more detailed document, which thoroughly addressed my complaints and prior treatment; send me a PM if you think you can help. Or simply reply here.

Any insight is greatly appreciated.
-Dr Pepper


  • Hi Dr. Pepper,

    Has anyone mentioned the possibility of sacroiliac joint dysfunction?

    I'm sending you a PM...

  • Nobody has actually, i'm going to attack that route and see how it goes.
    I've also noticed my right hip flexor often tends to spams up during many exercises and motions that dont bother the left at all, even hamstring stretches and a number of other stretches. I remember pulling it during a rugby game and having to play through the plane or we'd lose, ridiculously stupid, which may have contributed to the difficulties i was beginning to notice at the time, including leg length inequality and pelvic obliquity. I believe the flexors have been chronically tight since and am going to new stretches to my regimen.

    One difficulty for stretching is that i feel very uneven on the ground and my pelvis definitely feels tilted, since putting something under the left remedies it. Could SI Dysfunction cause this?
    Also i've seen many MD's without satisfactory results and who haven't seemed to take much interest in my case, and have been thinking about seeing a D.O. instead. Any opinions on if they would be more beneficial in my case?

  • Wanted to Update everyone incase someone is going through similar stuff.
    So i have a 14mm leg length discrepancy. I got a seated X-ray taken and it was found that the right half of my pelvis is 17mm bigger than the left, causing a functional scoliosis and further contributing to my Leg length discrepancy.

    In may I am going to have surgery to correct the pelvis.
    The surgery is called a Transiliac Lengthening- a modified salter innominate osteotomy-

    Basically they take a bone graft from my right pelvic ilium, shooting for a 17mm graft. Then they cut through the entire left acetabulum, open up a gap between the cut bone and insert the bone graft. Then screws/pins are inserted to hold it in place until the graft takes, and eventually it will be just as dense if not moreso than the current bone.

    This will fix my seated pelvic asymmetry and greatly reduce my leg length inequality to the point where i will probably be able to use a lift instead of a buildup on the outside of my shoe.

    I won't be able to walk or bear weight for 8 weeks. Its going to suck. But there is light at the end of the tunnel after all.

    A few months after my last post my chronic pain led me to seek painkillers more and more and eventually landed me in rehab for heroin addiction. I attribute it completely to my pain. Kicked that 13 months ago, and now that i will be able to escape chronic pain and discomfort via this surgery I don't ever need to go back. When nothing but drugs provides relief you will seek them unless you eliminate the root cause of the problem.

  • I have a similar issue to yours. I was wondering if you had
    the surgery done? Were you able to get relief?

    I have been having middle back tightness and tension on the
    right side of my back for 2 years and also started having low back pain on the
    left side for the past 2 months as a result of a lot of exercise. I found out I
    have scoliosis of the spine curving to the left and my right hip is higher than
    the left one which causes the scoliosis to the left, or the scoliosis causes
    the higher right hip, I’m not sure which came first.

     I got a different
    diagnoses from different specialists about the low back pain. One
    physiotherapist told me I have a leg length discrepancy and the low back pain
    is lumbar faucet syndrome. Another physiotherapist told me my low back pain is
    a bulging disc and I have a bigger right hemi pelvis but my legs are the same
    length. Another chiropractor told me the low back pain is caused by sacroiliac
    joint pain and also bulging disc. Another chiropractor told me my legs are the
    same length and its just the scoliosis causing a higher right side hip. I’m not
    sure who to believe or what to do any more, its so frustrating. Everyone is
    telling me something different. But I feel uneven when I sit, I feel like my
    left hip is always lower and my upper body shifts to the left when I sit. I
    feel more comfortable when I sit somewhere where I can elevate my left hip. My
    low back pain goes away when I sleep though. I have so much tightness in the
    middle of my back on the right side I cant sleep properly. I cant sit anywhere
    for longer than 30 minutes my back starts getting very tight and tense and I
    have to stand up and walk around to feel better. 

Sign In or Register to comment.