Uneven Hips

Also known as: pelvic obliquity, lateral pelvic tilt, hip hike.

What it is

A lateral pelvic tilt is a left–right height difference of the pelvis. It commonly pairs with weakness of the hip abductors (gluteus medius) on the dropped side and tightness of the quadratus lumborum on the hiked side.

How to spot it

From the front or back the hip crests are not level. The scan estimates this from the hip-centre line.

Muscles involved

Muscles involved in Uneven Hips, front view — typically tight muscles in coral, typically weak in teal
Front (anterior) view
Muscles involved in Uneven Hips, back view — typically tight muscles in coral, typically weak in teal
Back (posterior) view

Coral = typically tight, teal = typically weak. Anatomical illustration from Z-Anatomy (derived from BodyParts3D), licensed under CC BY-SA 4.0.

Typically tight: quadratus lumborum, hip adductors

Typically weak: gluteus medius

How to correct it

  • Strengthen the gluteus medius (side planks, banded work).
  • Stretch the quadratus lumborum on the hiked side.
  • Retrain level-pelvis standing and single-leg control.

Educational wellness content — not a diagnosis. See a clinician for pain or concerns. Run a posture scan to check your own alignment.