Pelvic tilt is a movement of the pelvis that involves tilting it forwards or backwards. The pelvis is the bony structure at the base of the spine, which forms the foundation for the torso and supports the weight of the upper body. 

A pelvic tilt occurs when the pelvis is rotated either forward (anterior tilt) or backward (posterior tilt).

An anterior pelvic tilt is when the pelvis tilts forward, causing the lower back to arch and the stomach to protrude. This can cause lower back pain, hip pain, and muscle imbalances. 

A posterior pelvic tilt is when the pelvis tilts backward, causing the lower back to flatten and the stomach to appear concave. This can also cause lower back pain and hip pain, as well as decreased mobility in the hips.

Physiotherapy for pelvic tilt typically involves a combination of exercises and manual therapy techniques. The primary goal of physiotherapy is to restore proper alignment and function of the pelvis and surrounding muscles, which can help to alleviate pain and improve mobility.

Here are some common exercises that can be used in physiotherapy for pelvic tilt:

  1. Pelvic tilt: Lie on your back with your knees bent and feet flat on the floor. Gently tilt your pelvis forward, arching your lower back. Hold for a few seconds, then tilt your pelvis backward, flattening your lower back. Repeat 10-15 times.
  2. Glute bridge: Lie on your back with your knees bent and feet flat on the floor. Squeeze your glutes and lift your hips up towards the ceiling. Hold for a few seconds, then lower back down. Repeat 10-15 times.
  3. Hip flexor stretch: Kneel on one knee with the other foot in front of you. Gently push your hips forward until you feel a stretch in the front of your hip. Hold for 30 seconds, then switch sides and repeat.
  4. Piriformis stretch: Sit with one leg crossed over the other, placing your foot on the opposite knee. Gently press down on your knee until you feel a stretch in your glutes. Hold for 30 seconds, then switch sides and repeat.
  5. Wall squats: Stand with your back against a wall and your feet shoulder-width apart. Slowly slide down the wall until your knees are bent at a 90-degree angle. Hold for 10-15 seconds, then slowly slide back up. Repeat 10-15 times.

In addition to these exercises, physiotherapists may also use manual therapy techniques such as massage, joint mobilization, and stretching to help restore proper pelvic alignment and function. By working with a physiotherapist, individuals with pelvic tilt can develop a personalized treatment plan that addresses their specific needs and goals, helping them to improve their overall quality of life.