If it is the pelvis, treatment will need to be directed to this region. When the cause is in the lower extremities, successful care can be expected only with evaluation and correct treatment of the foot, ankle or leg asymmetry. Since the lower extremities provide the foundation and support for the pelvis during standing and walking, it is not surprising that they can have a profound effect on the alignment of the pelvis and spine. Whether the pelvic unleveling originates in the pelvis or the lower extremities, the cause must be either an anatomical asymmetry or a functional imbalance. Anatomical sources include growth asymmetries, anomalies and postfracture discrepancies.
Functional problems encompass subluxations and biomechanical imbalances.
Since these two categories are treated very differently, they must be separately identified. The innominate bones can develop with a substantial difference in height, although this is rare. Luckily, it also is the least likely to cause symptoms. For most patients, standard chiropractic care of biomechanical problems in the spine and pelvis is sufficient. This condition can be caused by work postures, recreational habits, or even a broken-down chair at home.