APT: What is it and how can you fix it…because you probably have it

On October 1, 2011 by Juliet

I have been a hip tucking fiend the last few weeks in a grand effort to finally cure myself of a pretty drastic anterior pelvic tilt (APT).  When I first posted that I was going to resolve this issue once and for all, I got a number of requests to do a post on the subject. Unfortunately, as I have not yet mastered curing my own, I do not feel comfortable writing a post on the subject.

So I’m not. Erika is! She was kind enough to volunteer to write a piece on the subject and, let me just say, it is great! You guys are lucky, Erika did a far superior job than I could have.  I was literally so excited about it, I could not wait until tomorrow to put it up.

No more of my blabbering, on to some hip-a-fixin’!

What‘s up! I’m Erika and I blog over at Sweat and Dirt.  I’ve been a certified trainer for just under a year and I’m currently pursuing a degree in Exercise Science. I’m very excited to be doing this post for Joob because besides the fact that she’s a total stunner, her blog is definitely one of my favorites to read. She always keeps things fresh and motivating and displays the perfect mix of honesty and brilliant sarcasm ;)

I jumped on the chance to do this post because I’m a total geek when it comes to preventative and corrective exercises and using them to improve clients‘ lifestyles and fitness and I believe there is definitely a lack of that (or just general apathy towards it) in the fitness industry.  I’m not saying we should treat our clients like rehab patients and do things we aren’t qualified to do, but if a client is lacking certain mobility or flexibility that effects their routine and performance, it’s our job to step in!

Enough about that though, let’s get into this.

Anterior Pelvic Tilt is a very common postural issue where the pelvis is pulled downward towards the front.  The best way to tell if you have APT is to look at the waistline of your pants.  If it’s facing downward or your pants seem to be pulled up higher in the back than they are in the front, it’s very possible that you’re a victim of APT!  Another common indicator is if your butt and stomach stick out, causing your lumbar spine (lower back) to be hyper extended, or bent too far backwards (which will also lead to lower back pain).

Our biggest culprit here are the hip flexors.

These bad boys have an incredible impact on our movement and can easily influence our quality of life.  If the hip flexors are tight they will pull the pelvis downward, which in turn lengthens and stretches out the hamstrings…makes sense, right?  Hip flexors, those tricky s.o.bs, can become tight from either lack of movement or from constant activity…total catch 22.

Someone who sits a lot will most likely have tight hip flexors (among other things..) because their muscles are in a constant shortened, flexed position, which over time will result in them staying shortened and therefore tight.

On the other hand, like any other muscle, constant activity and contraction of the muscle will also cause it to become tight.  The hip flexors are no exception.

We can‘t place all the blame on the hip flexors though.  Our lower bodies have a huge influence on our posture, and our upper bodies in general, so paired with tight hip flexors are tight quads and a tight lower back (erector spinae).  On the opposite end of the spectrum, you’ve got the weakened muscles: the hamstrings, glutes and abs, which become weak, loose and…inactivated.  These guys cause your tightened muscles to have to overcompensate.

To break it down so far:

Tight Muscles: (need to be stretched to fix APT)
-Hip flexors
-Quads
-Erector Spinae

Weaker Muscles: (need to be strengthened to fix APT)
-Glutes
-Hamstrings
-Abs

So let’s break these suckers up and fix some pelvises (or is it pelvi?) …We’ll start with the weaker, less activated muscles, the glutes in particular.  Two great exercises to activate the glutes are the glute bridge (these will work the hamstrings as well) and the quadruped hip extension, seen here:

A third one is the clam, which Joob demonstrated here:

If you are more advanced, you can also hit the glutes with weighted or one legged bridges, deadlifts, lunges and/or split squats.

The abs also need to be strengthened as well, but don‘t even think about doing a single crunch. Please.  In this situation the spine needs to be kept in a neutral position.   Best option: the plank and it’s many lovely variations.  Once you get comfortable with a regular plank, try side planks, plank ups (walking up to a chest plank from an elbow plank), plank walks (walking side to side in a plank position), planks with opposite arm and leg lifts, decline planks and I could write another three listing about the rest.  Another great move is the bird dog, which will hit your glutes as well, if done correctly.  No matter which exercises you choose, squuueeeeeze your butt as you‘re doing them, imagine you’re trying to pinch a marble between your butt cheeks and always keep your abs tight.

Moving onto the tighter muscles, stretching is the most obvious solution.  These muscles need to be returned to their normal, relaxed state.  If you don’t already own one, I highly suggest you finish reading this and go get yourself a foam roller!  It will become your best friend (most of the time) and highly improve your training.

Let’s address the hip flexors first.  One of my favorite stretches is the lunge stretch, seen here:

While doing this you’re going to want to clasp your hands together and lift them up over your head to really open the hips up and push your pelvis forward.

Next is the squat to stand:

This is also an excellent move to be included as part of your warm-up.

For the lower back, the ‘cat to camel’ and the classic knees to chest stretches are your best bets.

Grab both of your legs from the back of your knees and simply pull them up to your chest and hold.

*Don’t force any of the stretches and don’t “bounce” into them.  Hold a still, static stretch for about 15-30 seconds or until you feel the stretch ’loosen’.*

Use the foam roller on your quads, calves and IT band and make sure you do your static stretching after foam rolling in order to keep your muscles from returning to a tightened state.  Don’t worry too much about your hamstrings, remember these are already stretched out from your pelvis being pulled downward.  If you decide to foam roll your back, make sure your spine stays neutral and you’re not curving your back around the roller (this is counterproductive to fixing APT!) Then after this feel free to do some mobility work (such as the squat to stand, bridges, clams, fire hydrant circles, etc.)

If you don’t already, start all of your workouts with a dynamic warm-up (whether or not you have APT). Here is a great link for more info on that and include a day or two of mobility work/drills into your routine

I hope this was able to clear up some confusion about Anterior Pelvic Tilt and helped answer some of your questions!  Remember, like most things, fixing APT takes time and consistency, so stick with it!  Please don’t hesitate to ask me any more questions and thanks again Joob for letting me hijack your blog for a day :) Take care!

DON’T YA’LL FEEL SMARTER NOW?! This makes me wanna go do some hip thrusts.
Don’t forget to check out Erika’s Blog, Sweat and Dirt.  It’s killer.  You can also email her if you have any further questions or just want to spam her inbox.

  • http://funfoodandfreeweights.wordpress.com Alexandra

    Dude this was so informative, thanks for sharing all the info Erika!

  • http://teabagginit.wordpress.com teabagginit

    wow, i totally didn’t know what you were talking about before with the whole APT thing but i really get it now & i definitely think this describes my situation. i’ve always dealt with lower back issues, tight hip flexors, and a “pouchy” stomach.
    lately i’ve been foam rolling my hips because it feels so damn good. i’m going to keep doing it, though, & up the planks. hopefully this helps … doesn’t seem like it could hurt!

  • http://twitter.com/SquatLikeALady Sable@SquatLikeALady

    I have SO MANY issues with this. If I’m not being conscious of which muscles I’m using I can conventional DL about 215 3-5x (depending on if I use chalk or not…lol!!) *but* I use my damn quads. Is that not insane? Like who the F uses their QUADS dominantly in a DEADLIFT? Me, obviously. So yeah. I need to get on this.

    I hate you for making me do ab work, btw. >:( I feel so…gay….when I do planks. lol!

    • http://sweatanddirt.wordpress.com Erika

      LOL i hear ya, planks make me feel so…girly…haha.

      this article mentions some quad/hamstring stuff: http://www.elitefts.com/documents/deeper_into_deadlift.htm

    • http://heyjoob.wordpress.com Juliet

      I don’t particularly enjoy core work either, but I don’t mind doing planks. They *really* are a fantastic stabilizing movement (of course, along with things like chops, pallof presses, deadlifts, etc.)

      If you don’t believe me, try this plank variation: http://bretcontreras.com/2011/09/the-rkc-plank/

      DEF gonna get you feeling it :)

      Regarding using your quads… there is *some* quad usage in the deadlift, but they shouldn’t be the predominant players. If I had to hazard a guess, I would say you’re probably right in the assumption that your glutes and hams are weak so your quads are compensating. But what do I know!? LOL

  • http://sweatlikeapig.wordpress.com Tara

    I used to have APT but fixed it after about a year of trying. Funnily enough, I didn’t do any of the things you recommended to fix it! Maybe that’s why it took so long to fix…

    I hate planks. Back in the day my dance teacher told me to stop doing them because they were hurting my lower back. I’d much rather do my core work through deadlifts!!

    • http://sweatanddirt.wordpress.com Erika

      same here..barbell=my kind of ab work. haha.

  • http://www.followingfit.com Kristen

    SO INFORMATIVE!!!

    Thanks, Erika, and thanks, Joob, for posting this!

    I genuinely think a really good chuck of the world has issue with this (hi… me), so getting everyone (hi… me) thinking about this is a good thing!

    • http://heyjoob.wordpress.com Juliet

      Don’t thank me. I needed to hear it just as much as everyone else :P

  • Pingback: Stuff at which I Suck | Following Fit

  • http://www.motherfitness.com Kellie

    Great post! I have a genetic anterior pelvic tilt, and despite the fact that I have insanely strong glutes (I can barbell glute bridge with 315 for 10 reps) and core muscles, I still have it. So, I think if this is the case for the reader, then it’s important to note that you cannot cure it, but improve it through strengthening these muscles.

    I am so glad you addressed this topic as it even further promotes hip and core strengthening.

    • http://heyjoob.wordpress.com Juliet

      YOU CAN GLUTE BRIDGE 315!? I knew you were mega strong but still…… Please post a video of that!

    • ellie

      I was going to ask if you could genetically have anterior pelvic tilt…because I’ve definitely had it my ENTIRE life. I once had a chiropractor friend tell me that it could be from walking at too young an age. (I started walking at 9 months old…) But I’m not sure. Trying to tuck my butt under makes me knees bend and is totally awkward for me. But I also know I have really tight hip flexors and probably should strengthen my glutes. I’m not a seasoned lifter like a lot of you on here! I’ve been athletic all my life – but have never done lots of lifting. I love your posts, Joob as well as the others who comment on here. I’ve learned a lot! :) Thanks!

  • http://ilovefetacheese.wordpress.com ilovefetacheese

    SWEET ASS POST YA’LL. pun intended. propsssss.

  • http://thegreatfitnessexperiment.blogspot.com charlotte

    Oooh I’ve been waiting for this one! So I will admit I am interested in this for two reasons: 1) I’m an ex-gymnast and we’re notorious for having an anterior pelvic tilt because they TRAINED us to stand that way. Sigh. 2) I’m wondering if my apt is responsible for the stupid butt wink I cannot get rid of when I squat. After reading through this post though, I’m wondering if the APT is not the problem. I’m already super flexible in all the aforementioned areas and New Rules of Lifting for Women has us working our butts/hams a ton. (In other news, I’m thrilled with how my butt is looking these days! Thought about doing a post on my build-a-butt routine but decided I didn’t want to put 50 pics of my a$$ on the Internet. Good times.) Is a butt wink really that big of a deal? Does it hurt me to have one??

    • http://sweatanddirt.wordpress.com Erika

      ooh girl i’d go easy on the squats ’til you fix the buttwink! yes and yes to the last two questions, it’s not safe for your lower back/discs..it transfers the load load there :(
      can you do regular bodyweight squats without buttwinking? (that is totally a word, i swear..)
      It could be tight hamstrings..or you might not be engaging your hip flexors as much as you should be while squatting (but easier said than done, hip flexors are the last thing on my mind when i’m under the bar lol).
      have you tried doing box squats?

  • Pingback: Primalfredo + Randoms. « sweat and dirt;

  • Pingback: APT update, progress, and random facts « Hey Joob

  • Pingback: » Blog Archive » Crossfit and restarting

  • Pingback: How To Fight Your Inner Quasimodo. « sweat and dirt;

  • Pingback: What Are You Sitting On? « sweat and dirt;

  • Pingback: First Physiotherapy Session | (Almost) Athletic Ali

  • Pingback: Let me guess, you have tight hamstrings. « HURST Strength