[Radiographic clinical and functional diagnosis and treatment of XXXX associated with pelvic malposition].

@entity1 @entity1643 @entity72285 @entity3303 @entity158 @entity2720 @entity32908
@entity1643 ist frequently associated with malposition of the pelvis due to an imbalance of the postural muscles. In these @entity1 functional malposition of both the sacrum and the ileum can be observed, resulting in differences in the length of the legs. We investigated whether the return to a normal position correlated with @entity158 relief. METHODS: A total of 40 control @entity1 and 65 @entity1 with @entity1643 were included in this retrospective study. Prior to the start and at the end of the treatment period the differences in the length of the legs were determined manually and radiographically at the ankles with the @entity1 in the supine and sitting position. Furthermore, somatic dysfunctions at @entity72285 were determined in all @entity1 . In the @entity1643 group, 39 @entity1 were treated with manual therapy at the cervico-occipital joints and/or infiltration of the iliosacral joint with local anaesthetics and 26 @entity1 were treated with parenteral non-steroidal anti-inflammatory drugs (NSAIDs). The success of the treatment was determined after 6 months and correlated with a return to the normal pelvic position. RESULTS: Somatic dysfunction at @entity72285 and differences in the length of the legs were observed in 32 control @entity1 and in all @entity1 with @entity1643 . Manual therapy/ @entity3303 infiltration resulted in complete long-term @entity158 relief in 23 @entity1 (59 %), while in the NSAID group only 4 @entity1 (15 %) became @entity158 free (P < 0.05). Long-term @entity158 relief significantly correlated with normalization of the pelvic position. CONCLUSION: Differences in the length of the legs can be successfully treated by manual therapy at C0/C1 or @entity32908 in the majority of @entity1 with pelvic malposition. However, infiltration of the @entity2720 is often required as additional therapy for short-term and long-term @entity158 relief. Treatment with NSAIDs alone is only seldom effective in cases of pelvic malposition and rarely affords long-term @entity158 relief.
