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This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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Pelvic correction", a folk remedy practiced in Japan, is useless.

Thursday, May 6, 2021

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Pelvic braces are useless! About

On March 31, 2021, "Honma Dekka! TV" broadcast on March 31, 2021, I had a chance to watch an episode called "Common Sense Overturned! TV" on March 31, 2021, I had a chance to watch an episode titled "Common Sense Overturned: Your Wasted Efforts SP", and I'd like to explain the contents as an active judo therapist.

Pelvic correction is meaningless!

As for the "pelvic correction" that is being done on the street, let me conclude by saying that what is correcting the pelvis? I believe that there is no point in correcting the pelvis.

Why is it meaningless?

The image shows sacroiliac arthritis, and the part in red is the sacroiliac joint. The mobility of this joint is about 5mm, so it is not as mobile as other joints, but some people may have had the experience of being told that some cause causes misalignment, resulting in a "distorted pelvis".

At first glance, this may sound like a decent theory.

And people who claim this kind of opinion may also claim pelvic distortion by a mechanism caused by pain originating from the sacroiliac joint.


The sacroiliac joint is connected posteriorly by the strong interosseous sacroiliac ligament and the posterior sacroiliac ligament, and has a small range of motion. The articular surface of the joint is near vertical to the line of loading, and the structure is prone to shearing forces under load. Therefore, if the coordinated movements of the muscles around the pelvis are disrupted due to repetitive loads from mid-back work, unintentional movements, or repetitive work, the joint will be slightly misaligned. As a result, functional disorders such as limitation of movement occur, and pain is thought to occur10) .

Fujio Matsumoto. Physiotherapy for sacroiliac joint disorders: Effects of joint mobilization. Arthrosurgery. 1999; 18: 554-558.


The above statement is from a research paper on low back pain originating from the sacroiliac joint, but it is true that small misalignments are thought to cause functional disorders such as limitation of movement, resulting in pain. The most common treatment for this kind of condition is "conservative therapy," but from this point on, the interpretation will vary from person to person.

What is conservative therapy?

Conservative therapy is a general term for treatment methods that do not damage the human body, that is, do not cause bleeding. Hematopoietic therapy, on the other hand, is a method of treatment that causes bleeding.

Quote from wikipedia

As for conservative treatment, as mentioned above, only nationally qualified people can perform this kind of medical treatment or similar medical treatment, so when they say they are doing it for "treatment," unqualified people cannot handle it.

In this program, they said that there is no word for "pelvic correction" in the orthopedic field, and this is true. Therefore, if you use the name "pelvic correction" to describe your treatment, it is not the name of the disease or the method of treatment that should be included in official receipts, so there are many things that can go wrong.

The reality of pelvic correction in the market

The most common practice is to massage the muscles around the pelvis. Some of them are like chiropractic correction. Some of them seem to be doing some kind of chiropractic correction.

Since there are so many different types of muscles in the pelvic area (see the image on the back), these areas are often affected by poor blood circulation and loss of muscle strength due to sitting, being bedridden, or losing exercise habits, so in order to solve these problems, massage on the muscles around the pelvic area is usually performed to make it look like the pelvis is being corrected.

However, since there is no scientific evidence to support such an approach to back pain, it may be a waste of effort depending on the purpose of correcting the pelvis.

By the way, if you have stiffness or lack of exercise, stretching and exercising your muscles is a better solution for pelvic strain. It seems to be a good solution to pelvic strain.

In the program, it was mentioned that "according to the Judo Therapist Law...," but Judo Therapists are not qualified to do pelvic correction. And since there is no such thing as pelvic correction in the medical society, it is OK to claim it if it is not for therapeutic purposes, so it is not being prosecuted.

Conclusion

There is no doubt about what is said in the program as to why there is no point in doing pelvic correction, so it seems to me that it would be more meaningful to have people spend their time improving their exercise habits and sitting habits rather than spending money on such things in the future.

It is often said that the position of your legs is different when you sit down, or the length of your legs is different when you sleep, etc. To some extent, simply eliminating muscle stiffness can make a difference, but the stiffness will return when you go back to your normal life, so a massage in the name of correction may only make a temporary change.

If the ligaments are actually damaged and misaligned, you will need to go to a specialized institution for proper treatment and rehabilitation, so beware of anything that claims to be a slang term for pelvic correction.

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