The Anterior, Superior Ilium

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Pregnant moms may experience a limp or some type of pain near the site of an injury—or they might not. When it comes to the A.S. ilium, we
need to think deeper than a standard chiropractic visit. The problem is we often can’t know until we’ve tried everything else, and then in one or two visits, we can become sure that we’re dealing with an A.S. ilium tension pattern. Approximately 80% of the time now I can identify it immediately, but it has taken me years to get there.

The A.S. ilium tension occurs when the ilium has moved into the anterior and superior position. Even though the pelvis is mobile, the ilium is somewhat fixed in that position, leaving the pelvis able to bend and move but slightly less.

Women are particularly vulnerable to an A.S. ilium, especially during pregnancy. It’s not that hard to imagine that the female pelvis does something completely different than the male pelvis, particularly (but not exclusively) in pregnancy. In fact, the female pelvis is affected by relaxin, a woman’s hormone, during pregnancy. When the female pelvis relaxes, it can cause the pelvis to move forward on the sacrum. This is the place for a chiropractor to check the alignment of the pelvis to make absolutely certain that it has stayed properly aligned. If it hasn’t, then the chiropractor corrects the pelvis with a minor adjustment.

The male pelvis is fairly easy to correct, whether a chiropractor is using the traditional side posture method or is using some form of a drop procedure. The female pelvis, however, is somewhat tricky, depending on the type of involvement one sees. If it is the A.S. ilium, you will use direct contact with the ischial tuberosities in either prone or side posture.

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