Upslip

Aug 25, 2010
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Upslip Fix
by: Mitch - MTS

Upslips and Rotations can be very tricky to treat and solve, especially if your Physio isn't used to treating them. You would likely have more luck with a Chiropractor (if they exist in the UK) than you would with your Physio. It will be hard for me to treat you over email accross the pond, but we'll see what we can do to help out a little bit.

With that being said, many times when people are experiencing lumbopelvic dysfunction, they get a lot of muscle spasm and tightness, so the stretching is very important, so don't stop it.

The first part of understanding your problem is knowing if you have a leg length descrepency. It sounds like you have that figured out. The second part is knowing if you have an upslip, rotation, or anatomical leg length descrepency. If you are an adult and your symptoms are a sudden onset, I doubt it is an anatomical issue.

If you have been told you have an upslip (or downslip) we'll go with that. The terminology is not a big deal as basically you are describing half of your pelvis being higher or lower than the other half.

At this point, what I would recommend you do is to get a 1/4" (5 mm) heel lift and put it in the shoe of your long leg. I know this sounds a little bit backwards, but if you put it in the short leg, it will only cement the problem and make your pain worse. If you put it in the longer leg, it will push it upwards and allow the shorter leg to drop (assuming it is an upslip). If it is a rotation, or an anatomical issue, I would recommend putting it in the shoe of the short leg.

Don't leave it in forever, but use if for 3-5 days, all-the-while continuing to stretch and do the things your physio recommended. Then take the lift out and see how it goes. If you aren't better, then you may try putting it in the short leg for a few days to see if you get any relief.

Basically, you are trying to alter the feedback loop in the body to change the mechanics at the hip and allow the restricted muscles to release and get back to a more neutral position.

Upslip

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Upslip