Why I Know You are a Left AIC and Not Right AIC
Вставка
- Опубліковано 26 сер 2019
- Many people think that they are a right AIC pattern because it seems like the right side of their pelvis is rotated forward. Either that's what they perceive, that's what they see, or that's what someone told them.
This video explains why people are left AIC and the test that we use to know this.
Hey there, my name is Neal Hallinan.
The purpose of this channel is to help people understand and resolve chronic muscular and joint pain, primarily through the discipline of Postural Restoration.
As someone who lived with chronic pain for many years of my life, I know how debilitating and isolating it can be. But I also know it can be resolved.
I hold the following credentials:
Postural Restoration Trained (PRT)
Strength and Conditioning Coach (CSCS)
Licensed Massage Therapist (LMT)
Amateur Historian (AH, my own self-designation)
I live and work in the great state of New Jersey, USA.
I offer one-on-one training as well as online consultations via Skype. Feel free to e-mail me at Nealhallinan@gmail.com for more info.
/ neal_hallinan
***************************
Subscribe to my channel here: / @nealhallinan
*****************************
For an example of typical exercises for a beginner program, you can look here:
pritrainer.com/pri-left-aic-r...
Please note, this is quite generic and not sufficient for everybody!
For further information about Postural Restoration defined patterns, check out these videos and blog posts.
pritrainer.com/left-aic-pattern/
• What is the Left AIC p...
• Introduction to the Ri...
pritrainer.com/right-bc-pattern/
• RTMCC Pattern Basics
pritrainer.com/right-tmcc-pat...
Thanks for this Neal. I would like to ad to it that unfortunately some physios would think the same. I have been there and not until l started watching your vids my problems are resolving step by step. I am your fan forever. Thank you.
Love your new videos!
Great video, explained very well especially well done handling the explanation of why our assumptions or self assesments are likely wrong without alienating the uninformed like myself.
I did the test on myself and tested positive! Haha thank you for the video
Thank you for explaining this so succinctly
You're welcome.
Very good explained . Keep it up
Thank you.
Amazing vidéo…makes completely sense for me as lying down my lower body shift completely on the right side
When wearing shorts and boxers, I notice that they always tend to shift to the right (I. E. belt buckle is off-center shifted to the right about an inch and a half when looking down from above). Is this indicative of a left aic pattern?
Thank you for this video. I have ADHD and tend to hyperfocus on things I can't get a certain answer on. Although this doesn't offer a certain answer it explains why diagnosing the type of pelvic misalignment was so difficult.
From a feels perspective you are spot on it feels like from a frontal plain your right hip bone is twisted forward and down and the left hip bone is hiked up and pulled back. I can also see how it would be very easy to think that a diagnosis either made by yourself or by a professional can't possibly be right as your mind is screaming the opposite.
If you want a good way of explaining it (imo), the thing that really made what you were saying click in my brain as oh yeah that's right was actually my hip position whilst seated.
I feel like my right hip goes all the way back in the chair but my left hip is a few cm off the backrest. This alone could be explained many ways but that feeling and pelvis position clearly shows a hip alignment in which the legs are angled to the right. Logically then the back would have to curve in opposition to twist the torso into a perceived neutral. This would then logically stretch out the back muscles on the righ hand side and leave the opposite muscles either hypertensive or unable to fulfil their normal role of stabilising the upper body. This explains why I load so much weight over my left hand side and why I feel like my left leg is further in in relation to the body's midline without it forming any kind of angle (straight down from joint capsule).
The specific thought is at a pc if your lower body is twisted to the right and upper body is compensating my twisting to the left arm positioning and function should be uneven. Thinking on this I realised it is far easier for my to put more of my left arm on the table *comfortably* and it was also more comfortable when producing a less than 90 degree angle at the elbow (pivoting inwards). I have also thought I had a forearm pronation limitation due to how uncomfortable it is to keep a parallel in relation to the desk forearm placement with my right forearm.
My terrible desk position which with this newfound perspective is really bad for me could make for an ideal easy at home test.
Test methodology
The testee would sit at a desk with their stomach pushed gently against the edge of the desk. The chair should be reclined in a typical productive angle of 90-120 degree. The testee should then raise or lower the chair height until the arm rests naturally with a slight to moderate amount of pressure on the tabletop so the forearms are parallel to the floor. The testee whilst locked in with their stomach or chest area pressed against the table edge, fully pronate the forearm so the palm is facing straight down. The testee would then move both forearms around in various positions on the desk and comparing how the positions feel with how the other forearm felt in an identical placement.
The diagnosing factors you would be looking for would be:
A left side that feels strong, secure and balanced but a right hand side that doesn't feel comfy, balanced and mainly secure.
If the testee finds keeping a relative amount of pronation in their forearm more tiring, more difficult and mainly it doesn't feel as natural or fluid- in fact it may feel very tense and strenuous to maintain full pronation, as if your arm muscles are fighting you in order to pull you into supination. This is only a positive test if it occurs in one arm and not the other.
The feeling of putting most of your weight on your left side specifically the left butt bone even though it is further forward in the seat in relation to the right butt bone. It may feel like a diagonal pressure or tension from your core out to your left knee making the inner thigh region feel stiff/ rigid but not overly tense.
Ps I've been struggling for ages to find a comfy sitting position at my desk and trying a tone of things to help my posture and flexibility. But now I actually have a real roadmap to restoring a healthy spine and body alignment. My most promising route up until now has been to try to restore some internal hip rotation as it was very poor on both sides.
That test at the end also explains why my sleeping position is very unilateral as I sleep on my front with one leg pretty straight the other forearm rotated 90 degree outwards, so the inner leg is resting on the surface.
When I discovered PR I thought I was in Right AIC until I heard your explanations. Here you mention rotation of the lumbar spine. I was assessed and told I have rotary scoliosis in the lumbar spine. I also have a chronic SI joint issue on the left side. On testing I actually feel restricted adduction on both sides, confused now!
Adduction can be limited on both sides. It's called a PEC pattern. It will just be more restricted on the left.
When I first started watching your videos, I originally thought I was backwards from everything you were saying. I stood with both feet up against a wall and saw that the left side of my pelvis is more forward than the right side. It was very confusing at first because you always talk about how the right side of the pelvis is more forward than the left side.
Everything finally made sense when I looked down at myself when I was *not* forcing both feet to be up against a wall. I tested myself by standing straight (whatever "straight" meant to me at that time) in the middle of the room with my head facing forward. *Then* I looked down at my feet and found that my right foot was in front of the left, even though it felt to me like my feet were even. The fact that my right foot was in front of the left meant that my right pelvis was in front of the left pelvis. Then I finally understood that I was, in fact, in left AIC and not backwards.
Bubblyfrog5, I don't say the right side is forward. I say the pelvis is "oriented" to the right.
I always say the left side is forward compared to the right. The left AIC is when the left side is forward compared to the right. Maybe you read someone's comment that they are forward on the right (which they aren't). I know this can be very confusing.
@@NealHallinan i am forward on the right tho
I’m forward on the right also… 🤔
@johnwestgarth8011 well, I guess it's just us 3. I probably would of been right pelvic oriented too but i had a cast on my right leg when I was young and always kept my weight on my left leg after that. I think we're built to favor the other way..ya know, (left aic pattern) because it ripped me apart.
@gerardcoyne1738 ye similar story here. Firstly, i always walked around on my toes and forefoot when i was young. (till i started focusing on changing at aged 16) i likely always had short achilies tendons.
I badly tore my ankle ligaments and since then have had ankle issues constantly. This made me not trust my right ankle so i started putting all my weight on my left leg and avoiding my right side. I have had a fair few times where my right ankle or knee has buckled and ive gon flying.
Would like to know, do you also find yourself leaning back onto your left leg and wrapping your right ankle round the front of your left ankle?
I always stand like then despite a tone of mental effort to break the habbit.
Great work
Thank you.
Hey Neal! Grateful I found this information. I wanted to ask about a client I have. She has severe left QL pain, no real right Glute medius activation, and a previously injured right shoulder. I’m trying to understand why hurt left QL would be super active and the right Glute medius under active if we are oriented to the right. She’s just different than my other clients. Thank you sir!
The left QL is easily explained: her left lower back is in a state of extension and the lumbar spine is being rotated to the right, so the left QL is being pulled transversely and probably tight due to extension. A left QL is always due to the left AIC/right BC pattern. It could also be stressed out if the left SI joint isn't functioning properly.
Right glute medius: in general, in the left AIC pattern the right anterior glute medius is overactive (due to IRd position of right femur) and the posterior glute medius (necessary for good swing phase of walking) is weak, also due to the IRd position of the right femur. It comes down to the position of the pelvis, and the compensatory position of the right femur.
In a resting state my pelvis is forward on the right side and lower on the left side. I just got my x-rays yesterday so what does it mean then?
It’s been 3 years since this comment and nobody has bothered to answer. That’s sad
My pelvis is forward on the right side and also my leg is lower on the right side. It is right or left AIC?
Hi Neal, first of all thanks for all your work and all your videos. Your content is literally eye-opening.
I have been intensely watching your videos for the past six months or so and I am pretty sure I am Left AIC/ Right BC. Could I be Left AIC and still pass all these tests though? I believe both of my legs can both adduct and abduct but I am pretty sure I am Left AIC/ Right BC as I have pretty much all the symptoms, from neck and shoulder to back and hips. I am fairly strong and flexible though.
Would all of this suggest that I have Patho PEC on top of my Left AIC/ Right BC?
I have a butt sticking out (anterior pelvic tilt) pretty much since I was born but I can't figure out if I am PEC or Patho PEC as I am passing all these test easily when doing it on my own. Also important to add is that I had ACL injury on my left leg 15 years ago and never really got fully back to sports like soccer or basketball. Looking back, I believe I was Left AIC/ Right BC even before my ACL injury but I think I got into even deeper Left AIC/ Right BC pattern afterwards with all the inadequate rehab etc. Ever since my ACL surgery I have had this feeling of not walking properly. And I believe I kept pushing myself deeper in the pattern with all the strengthening and stretching all these years.
Sorry for the long post but I don't have any PRI therapists in my country or anywhere even remotely near that I know of.
And my experience with regular physiotherapists is that all of them are adjusting your problem to their solutions instead of vice versa.
All the best in 2024!
Good day... I have a tight, conjested feeling QL on the right. Oddly my hip is minimally but notably lower on the same right side. I get back spasms to varying degrees when doing things from leaning forward to jogging. Any ideas?
Sir not exactly by means.....but I have anterior pelvic tilt on the right side and posterior tilt on left side...and also the test is positive exactly opposite leg about what you sawn...
I love your videos! You really help me out what my PT says into context. I would never understand this stuff or why I'm in pain if it wasn't for you. I have the lumbar rotation like you mentioned that I cannot seem to understand in relation to PRI. My L5 is twisted left so it seems my right side is forward. My left facet gets stuck closed. Does PRI address lumbar rotations with a stuck facet and sacral torsions? Is there a more common type you see?
Quite honestly, I don't usually see MRIs so I'm not sure I've seen the "pelvis rotated left". It would be hard to recognize without imaging. Why L5 would rotate to the left I don't know, but I know it can happen (or somewhere in the lumbar area there is an extra "twist" back to the left). It is beyond my knowledge base. Sorry.
Alright, I am another person that thought my right side is rotated forward. I found this channel almost two days ago have have watched a few of the videos and I have seen enough to know you are right. For one, I was able to turn off my right ql (for the first time) without stretching. I was doing the 90 90 hip shift and was concentrating on how the bottom of my foot felt against the texture as I pull down, and my right ql turned off. It never occurred to me this is a sensory issue in my brain. The other reason I know my right side is rotated back is my belly button slight points to the right. You see that before?
All the time. Yes, it's a brain issue. Neuro-sensory more than neuro-muscular.
I must say that I still feel I'm in right AIC and it's mainly because of pain on right side. I feel its weaker. I will say though that with chiro work years ago and my own biomechanics understanding I am left AIC. I see now how my rib flares and my upper torso seems to be to the left more. PRI has helped big time helping me understand. I think a consult with you Neal is in order very soon because I really need to just nail this down. I've had so much positives last 6 months with breathing and your "techniques" and PRI in general. Thanks Neal!
Mitch, the pain can show up anywhere. The left and right side of our body have different "challenges". A body that is "stuck" can end up hurting anywhere until balanced movement is restored.
If you're like me you have a right sided bias. My right side feels tighter and more twisted so I always focus on my right side. I spent years focusing so hard on my right side that I almost forget I had a left side at all. I used to think my left side was "my good side" so I just ignored it (I even did right sided hamstring curls for months, exactly like Neal says never to do!).
@@NealHallinan the pain does tend to move but more consistent on right side. I believe now just based on PRI info that I'm weaker on left. At least my body seems to be orienting with left AIC in mind so I'm working things based on that premise now because what I have been doing is having a positive effect.
@@HairyPixels thanks for that. I think you are 100% correct. I have been focusing on right side more because it just always felt weaker. Seems even measuring the circumference of upper thighs it seemed thinner. But was the right thinner or was left overworking? Things are way more clear now. I have days with pain but I have days with great patterns and strength and little to no pain. Thanks again!
yep, with right arm and thighs being 'weaker' and having right side bias (which i know for sure), i think its left aic because now i am focusing more on pain on right side
You can confirm this by standing sideways in front of a mirror, preferably with tile floor so you can use the grout lines to make sure your feet are even. Look at your hips on each side. For me, it was quite obvious on the left side I could see more of my back right at hip level due to the rotation forward of my left hip. It was also just as obvious on my right side that I could see none of my back at hip level as the hip is rotated to the rear. This AIC is all new to me and I have had a difficult time self-assessing due to being very left dominant, playing lifelong golf left handed (and other rotary sports as well) & having accumulated injuries from sport and motorcycle crash(es). I am still assessing my upper body, but my lower body seems to meet the classical LEFT AIC definition.
Have you been able to fix it?
@@rlvllt very slowly, yes. At 50 yo I am trying to undo 40 years of bad posture, which is not easy. ESP when I am not real flexible to begin with.. also, most sport reinforces dominance of one leg combined with one arm, which makes being “even” all the more difficult.
sir
1)when I sleep on my back I cant rotate my left leg outward, but my right leg can be turned outward. I have to bend my left knee to rotate outward
2)when I squat I lift the left heel up
3) I lean towards right
what condition is this? is this left AIC
Wow! Thank you for showing us this test. I thought I was a right AIC just like you suggested in your video, but I tested positive for left AIC according to this test. You are right it is very hard to tell what your pelvis is actually doing. Thank you for sharing this test, this does help clear it up for me.
I have a question though. I got an x-ray of my pelvis while standing and my left SI joint is lower than my right SI joint. How can this be possible with a left AIC?
If someone is stuck in right stance (left AIC pattern) it's normal for a right hip to appear higher than the left hip. It's really not important though, because the underlying issue is the left AIC pattern.
Neal Hallinan I would love to see a skeletal demonstration of this in your videos, how the right hip and right SI joint is higher in right stance (left AIC pattern). Thank you!
@@Silentpartner2176 If you stand on your right leg, all the right sided musculature has to contract to stabilize you. That *should* bring your right hip and right shoulder closer together. When people are "patterned" however, those relationships can get distorted because their muscle function is no longer normal. So people can present visually in many different ways.
Hi Neal! I did your test and my right leg will not go down but my left leg does. However if I am standing comfortably in the mirror, my left hip is higher and I have more or a crease on my left side. What could be going on? All of my pain is mainly on my left side as well. Why would my right leg not go down in your test?
Any help or guidance is appreciated!
Ok I pray you get this message! This video is so old…but, I am seeing a PRI guy on Vashion island…it’s been 5 months. I see him every other week…no help as of yet. He said he’s going to ask his colleagues about me. Listening to this video again makes me think I’m the one with that orientation that’s very rare…feels like everything is coming from my SI joints! 24/7 pain, never goes away! My buttocks, feels like tail bone and my sacrum/low back. All is worse sitting and lying down. Any encouraging info you can give me? It’s been 5 years!
Any progress?
No. None at all. I kept asking him about being opposite of what he thought, which I think I am. But he didn’t think so. I’m not sure he ever asked anyone about me….
Hey Neil,.... I would I finish my therapy I was told i was in netural. Where its been a while sense I been in therapy and I gain some weigh. I still continued to do my exercises. My question does Hruska abduction test also determine your neutrality and does the left knee have to go all the way down.
Seems I have a left aic pattern 🎉 thank you so much ❤
I see that this is the most appropriate lesional pathway for the adjustable management of musk-skeletal disorders
I am going to ask you a question the treatment of the PfS is based on the strengthening of the abductors and not of the adductors of the hip AND stretching
hamstrings and not strengthening
Thank you, important information, there are no specialists in this field in Russia!
Hopefully there will be some day.!
Кирилл, какая у тебя проблема? Тоже пришёл к PRI, пока что разбираюсь, но как я понимаю, я застрял в паттерне экстензии. В России с моими симптомами отправляют к психиатру, как у тебя дела с лечением?
@@zelikmoiseev3717 привет, российский тред) как дела, ребята?
Hi Neal, I have a curve to my lower spine to the left, my left hip is higher, and my left ribs and hip are closer together. My left shoulder is higher than the right. My left leg is longer. This is all told to me by numerous Physio's and Chiro's in the different places I've lived. Everything on my right side, from face to knee and probably ankle (I haven't checked that) ... is all lower than the right.
I need to find a good Bodyworker in the new place I'm living that tests using this PRI method.
If your still interested I wrote a large comment recently which includes a test that I've come up with that's easy to do at home. It is certainly not a reliable diagnostic tool but perhapse it might lead you to some realisations In relation to how your body parts are oriented in relation to one another. You may find what I wrote in terms of the feelings a left aic evoked in me relatable.
Ps, physios are useless and are often prescribed to fix issues or treat pain which is not what a physio is for. There job is to rehabilitate people after injuries or to put it simply strengthen muscles and ligaments. If your body is locked into a bad posture or if there is a structural misalignment they can't really do anything. You might make it worse by strengthening muscles that are contributing towards the poor alignment. Physios should only be prescribed or recommended for muscle based rehabilitation and that should only occur after any structural issues are corrected or injuries have fully healed.
It really is the equivalent of tearing a hamstring, having a physical, mechanical issue and prescribing a workout plan with strength training and expecting it to fix it. What's better than having say a restricted joint in the elbow going to a physio and then doing dumbbell drills. You train muscles in a improper position causing uneven muscle increase which could cause issues down the line. You haven't treated the pain or relieved any irregularities causing pain or nerve compression. Finally the piece de resistance your actively increasing the load on a damaged joint actively repeatedly jamming it together under even more force than normal.
If you have any kind of pain and not just weakness do not go to a physio
I'm really struggling with this. My chiro said that my right side pelvis was rotated forward and left side was rotated backwards. He tested me lying down, and my right leg is indeed longer than my left - this makes it difficult to walk. The leg length issue wasn't there 6 months ago, before I stared having severe issues (or at least wasn't as pronounced). I did the exercises in your
"LATERAL PELVIC TILT AND LOWER BACK PAIN: THE CONNECTION" videos for the right side. Should I also do them for the left side?
You should not do them for the right leg. You'll simply reinforce the pattern you need to get out of.
After getting out of the semi-permanent L AIC, Is it possible to get temporarily stuck a little too much on the right though if you focus too much on it? I swear I was just stuck on right AIC while sitting, but it got fixed when I stood up and walked a little.
I've had multiple PTs and osteopaths consistently tell me I have left posterior rotation, left side posterior and right side anterior. Based on what you're saying, this is still a left AIC pattern? I'm interested in seeing a PRI trainer but none around me so it would only be virtual. Is there any way to confirm this or test with a virtual visit?
This is great. I think I’m oriented with the left forward. I have had non stop left QL issues for years. Like it just gets hammered. Would that be consistent with left pelvis forward rotation?
Yes, it would.
Interesting stuff. You stated people are right dominant. What if they are left handed? Or right handed and left eye dominant? (cross dominant in the shooting world)
Hi Neal, really enjoyed the video. You mentioned that "neurologically brain wise we are built to be right side dominant". Does this change things when someone is left handed and left foot dominant (I.e. would kick a ball with the left foot)?? Obviously I understand the diaphragm is still bigger on the right side.
That's the question we all have. It doesn't seem to matter. It just makes you neurologically "different" and perhaps a bit more difficult to treat.
The left side of the brain controls the right side of the body, and that left side loves-just loves- patterns. I recommend reading "The Master and His Emissary" and you'll see PRI all over it.
Thank you, I will certainly check that out.
95% pain free after 2 months of intense PT, following a correct PT diagnosis just proved my legs are the same size, but I was told 35 years ago my left leg was shorter by 7mm, using X-rays I saw.
my body stands exactly opposite the statue of david. Recently a physical therapist diagnose the right side hip was higher and anterior to the left, and most of my weight was on the outside left leg, which was straight, and the foot pointed straight, so was bearing most of my weight.,
My right leg was usually bent at the knee, turned out, exactly opposite the Statue of David. Right leg and right foot was almost always forward or back of my left leg.
Who knows? Lots of extreme sports, couple car accidents, etc.
But, for 35 years my “left leg was shorter” and I was having increasingly excruciating pain from driving in a car, sciatica, and pain in my low back: right, rear upper hip; mid thoracic mostly on the left side at T4/5/6/7, and my neck feeling kinked, headaches, for decades.
The PT is working on balancing my hips, but I'm watching all manner of anatomy and other videos to learn essentially how to walk, sleep, move differently after adapting to an effective 'leg length difference" for over thirty years, which recently led to such painful IllioTibial Band pain on the outside of my right knee that I went to a PT. However, I almost went to a podiatrist for custom orthotics for my seven millimeter shorter left leg.
Well, the PT's assessment blew my mind, made me start searching for how to correct this issue. Hydrotherapy has helped, the internet is a rabbits hole. Anyway, across the top, my hips, which are for the first time in 30 years almost level top / bottom, left compared to right.
But, by right hip still needs a lot of my right glutes to pull my right hip level up/down. I also know this is related to my internal/external hip flexors / rotators psoas, etc. These muscles are all working together. Range of motion exercises has helped
Believe it or not, ballet basic exersices are helpful because they incorporate so much of these exercises in ballet.
However, for the first time in decades, I have 'level hips' and wake up and ambulate with virtually no low back pain or tenderness for the first time in decades. It used to be where on the upper right hip in my low it's been constant 24/7 for a decade. I've had pain with T-5/6/7 for 30 years, and my right cervical tension and neck/tension and pain for decades.
This has required flexibility work, but also figuring out which muscles to pull against which angles to fix. It's been confusing and required the PT to help me. These terms "AIC" and "BC" etc are new to me.
So, perhaps my situation is somewhat different? It's likely "pathalogical' from an injury, and my body adapted to my left leg being further in it's socket, and the hips needing to rotate, flexion, etc. What's almost unbelievable to me is six chiropractors over 35 years and none of them figured out what a PT figured out, "your legs are the same length, actually." Hard to unthink something that I believed and acted on as true for over half my life. I've been suffering from pain and discomfort for decades and the solution was really never in my 'leg length' but in my hips being misaligned and an apparent difference in leg length.
Could you perhaps share what you did to correct your situation? I have the same symptoms as you.
Great video and content in general!! Couldn’t you self test this by only testing the abduction of the two legs by standing up right and just trying to raise your feet as high possible (sideways)? My right leg is blocked immediately while my left leg goes super high.
The reason I think I have Right AIC or the superior t8 thing conor harris says, is because of my cranium. I think I have Right Sidebend + Left Lateral Shear because of the sphenoid. Other than the sphenoid looking right, it’s right sidebend. Now wouldn’t that either be because of the opposite of Left AIC Right BC Right TMCC, or cause it? Because the Atlas would also be the opposite and the chain would go on as the opposite. I also have less Left shoulder IR and more kyphosis on the left.
Whether these can be brought back with short span or we have to do exercises regularly to maintain good posture.
All my pain is in my left si and it feels like my left rib is collapsed closer to my pelvis, I'm also left handed I'm not sure if that makes a difference for me to be a right aid pattern?
Trying so hard to wrap my head around this, I feel like I'm in left except my right hip is and inch or so across to the right when I look in the mirror and there is more distance from my right hip to right ribs than the left,it feels like the weak stretched side is my right. Please help!
The left AIC pattern is different than what direction your pelvis is "oriented" or facing. I have a video on that subject.
Another question: Would it make sense focusing on left heel proprioception during Squats and Deadlifts trying to integrate PRI into Strength Training?
You can do that. I used to do it with deadlifts. I'd also try to pair it with your right arch, too. Start light while you experiment. See how it feels.
I have this issues..my left hip go foreward snd I have rib hump in right side.... but my right foot pronate I have right knee and hip pain snd right side low back snd right shoulder pain ....I see in other videos when someone have left aic pattern left leg pronate is that true?
Is the left or right heel suppose to carry more weight when lying supine? Also I have right hip hike and right lower shoulder but my left leg has better hip internal rotation. My right leg has almost no hip internal rotation. Normal hip external rotation on left and about 10 degrees more hip external rotation on right. Should I try the PRI exercises when my symptoms don't match PRI's standard symptoms?
My left side of the pelvis seems to be on anterior and the right side on posterior making my right leg shorter or the left leg longer or both,when i walk the left hip feels under pressure and on the right side i feel some short of falling until my feet touch the ground
If i stay stand and relax my body,the left side on the hip area is like i have trendelenburg on the left side(the gluteus medium is stretched) and the right side of the pelvis is dropping(gluteus medium area is sorter)and going slightly forward to the left and whole pelvis is complete uneven also right shoulder is also drop and going slightly forward,like is following the same line of my right pelvic area.
Is that the aic bc im complete confused
Thank you
Could someone tell me if I'm Right or Left AIC? Right QL always seems tight, feels like it pulls pelvis back and up to right. Inner part of right shoe sole always seems unworn (higher - no pronation) , I feel as the C1 or C2 bulges to the left. Tremendous Right eye pain. What feels like L5 or L4 bulges to left, (I always pop the left side). I feel like I have to move neck and torse to the left to "tuck" bulging disc back in. Right gracilis always seems tight, or weak I can't tell. I think my weight shifts to right when I sqaut, I compensate a lot hard to tell what is compensation or root asymmetry. Side note, putting wedge on outer sole right foot seemed to help I pain. THANKS!
I've seen you hold the pelvis model and visually show us what you mean but I'm still having a hard time understanding how the left side of the pelvis can be forward relative to the right and this causes the entire pelvis to be ORIENTED to the right. If the left side is forward (relative to the right) why doesn't that pull/tilt the pelvis towards the left and thus "orienting" the entire pelvis to the left? Does the body try to counter-rotate to compensate or something like that?
If you stand straight with your feet parallel, push the left side of your pelvis forward. Which direction does the pelvis rotate? To the right. And the sacrum and lumbar spine go with it. It's not a PRI concept, just biomechanics. All PRI realized is that we get stuck in that position.
@@NealHallinan Ah that finally makes sense now. Like you say we can't/shouldn't be trying to test ourselves. Too many variables and compensations etc...
My right hip is noticeably anterior rotated and forward relative to the left, whether lying down(legs straight out, knees bent,) sitting, or standing (more noticeable on Xray)
same
same did u find anything about this?
I can't tell whats going on with me, it feels like I'm stuck on my left side, my left foot supinates, my left hip slopes down and my right leg feels significantly longer and I need to keep it bent while I'm standing. I've been this way for 16 years and just accepted I'm stuck like this. Maybe there's a fix here but I'm not sure if its the same thing
8:30 That's Ober's test and my right TFL is inhibiting my leg from adducting. So I have the right AIC?
Hello, when I do this test, my left leg absolutely cannot abduct upwards- it makes a click and can't move further, but it will adduct to the floor with ease. My right leg cannot adduct to the floor but will abduct with ease. I have much more flexibility on my right side in external rotation, during a straight leg raise and in my right shoulder. My left hip is higher and my left shoulder is lower and my right knee turns inward. I thought you might find this interesting and I'm wondering if you have any advice or thoughts for me? Anything would be greatly appreciated!!
Hello Neal, is my right foot turned out a consequence of a left aic pattern? in order for my both knee caps face straight foward i have to turn my right foot a bit. If not I feel unbalanced and the back side of my right pelvis feel s a bit off.
It's definitely possible. The most common compensation on the right side is a right tibia that externally rotates. This external rotation will force the right foot into a more supinated position.
I’ve been that messed up, X-ray showed high left hip…believe it or not I adjusted that myself in the most bizarre movement.
Hey Neil - I've been watching your videos and I'm curious if you have helped any patients doing board sports and asked about stance.
In board sports there's a concept of "goofy." A natural stance for most, is left foot in front. However, for a small for percentage of people, right foot forward feels more natural. A common test for this is to have someone push your back from behind and see which foot you use to stop yourself falling forwards. I wondered if this was a result of postural patterns and musculature.
Cheers!
I skateboard regular, would that promote furthering left aic right bc?
I have been seeing a PRI specialist for a month now. He says I have a left AIC but what bothers me is that I have symptoms that are out of line with the AIC understanding: a recent MRI showed that my right psoas and iliacus are 30% more hypertrophied than the left, and my right quadratus lumborum is about 20% more hypertrophied than the left...isn't that the opposite facilitation pattern than the left AIC?
I'm willing to be open-minded enough to admit that maybe I still stand in right-stance phase and I'm discovering the importance of diaphragmatic breathing, but I can't help but wonder if these exercises are just going to exaggerate my psoas dysfunction and pain!
Have you ever seen anything like this before?
It's not opposite of the left AIC pattern. It's just what is going on over on the right side. The right side has its own issues. Just bc we stand on our right leg doesn't mean we are doing it correctly. A bigger right QL and psoas can be explained by them working overtime in the absence of right glute strength.
@@NealHallinan Thank you so much for taking the time to explain that to me, Neal. That's very kind of you. I hope you have a great Thanksgiving.
Hey, please reply. I have chronic low back pain since 2 years. Have tried everything to get rid of that pain. When I stand all my weight goes on the left side, and my right knee is bended. Pain when i try to balance weight on both my legs and try to stand straight. When I walk my left waist/pelvis rotates to the front. Initially it would rotate on both the sides. This is how I have been all my childhood. My pelvis used to twist. But have been doing strengthening exercises since 3 months now. But there isn’t much improvement in pain. Not able to walk, sit or stand for long. When I stand I feel my left feet is little ahead of right. That means left aic ??? My right foot is rotated outward, left foot is straight
Great content Neal! I was just wondering how a LAIC or even PEC could affect someone with chronic knee pain. Was reading a case study where this young male in his 20's started having a L adductor/medial hamstring pain and later developed chondromalacia patella symptoms on the L and then the same thing happened on the R side. This individual ended up having a L knee arthroscopy done but symptoms came back. Some other symptoms mentioned were "hot knees" and "muscles twitching". This individual had an excessive lumbar lordosis and bilateral hyperextended knees. Would it even be possible for an individual to deal with a bilateral chondromalacia patella and adductor/hamstring site pain at the same time, on both knees?
The Left AIC and/or PEC can lead to knee pain quite easily. The joints are mispositioned and the muscles are thus misused.
my PT mentor and I were assessing our lumbopelvic alignment and we were both in a right AIC pattern; and granted it was in standing. My mentor from her clinical experience has seen more of a right AIC pattern and we revised and elsevier textbook where it state the majority of people 78-80% are going to be in a Right AIC patter. Obviously the PRI techniques and drills and work. We’re just still confused on how it contradicts text and a clinician. Could it simply be the fact that PRI assess the person in supine? Out of curiosity my mentor is going to ask others clinicians who can corroborate or reject her onservations.
P.S strangely enough my right glute reactively contracts in various positions. where as I have to actively contract my left. As it’s my endeavor to become a clinician all this is a fascinating learning experience wanted to know your thoughts on all this. I appreciate you sharing the knowledge. Thank you sir
I certainly understand this can all be confusing. So I'll just list some important things to keep in mind:
1. Left AIC and right AIC are descriptions "invented" by PRI, and they were developed for a specific reason: to describe a pattern of muscular activation consistent with a right-sided dominance found in all humans due to the larger right diaphragm, internal organ placement, and neuro-sensory processing.
2. There is a difference between the left AIC pattern and the "orientation" of one's pelvis overall. I've made a video about this. Some people mistake the idea of rotation/orientation for the left or right AIC pattern.
3. PRI evaluates people through biomechanical testing, and supine is only one of the positions in which people are tested. Left AIC patterns result in the inability to adduct a left leg and inability to abduct a right leg which indicates a human who is "lateralized/oriented" to the right.
4. Once you stand up, gravity starts to act upon the body and now your brain has to figure out a way to "not fall". This will influence how your pelvis is positioned.
5. There is a tremendous influence exerted by the right BC and right TMCC patterns as well that can alter the position of your pelvis in a standing position.
Hope that helps.
Thank you for responding.
I get the fact that the body is constructed so that an left AIC pattern should be the problem for most people. I had a knee injury on my right leg long time ago and my anterior tibialis, quad and hip is what is keeping me from returning my bones and ligaments to the correct position. My right hamstring is so different from my left because it has not been fully activated for years. It feels like the exercises will not help me until I have started to relax the root tension.
Theo Archer all I can advise is that you seek help from a credentialed PRI therapist. It’s complicated, unfortunately
@@NealHallinan In sweden harder to find. It feels like i might solve it pretty soon by myself hopefully. The thing is that it has been going on for 7 years so it takes time for both my body and mind to learn how the body is supposed to feel but i am getting closer and closer by myself i trust. I am very grateful for your channel, big thanks!
I think I have asked on another video but could have these things be the cause of scoliosis or would spoil yoses be the cause of these problems that you're speaking of because I literally have every single problem that you're speaking of
i have the weak tight hip and hamstring but also a pinch on the front left hip too whats your take on that?
Ok so I was told I have a right higher hip, would I have to have a left Aic to have the higher hip. Do they go hand in hand? Also my left inner thigh to my knee is very tight and painful when I walk for long I do side stretches to help loosen. So 2nd ? When I sit mermaid style on my left hip it’s comfortable and my back is close to erect but on my rt hip no way and crisscross applesauce (teacher) is impossible. Does that give any indicators for issues. Thank you for your videos so helpful!!!
Yes, they go hand in hand. You should seek help from a credentialed PRI provider.
what can you tell about the biceps. after your videos i have got achieved pretty much control of my core. but there is still something missing and bothers me. my right biceps seems to be pulled tight that it impacts to my wrist and elbow. similiar to me right leg with navicular fall on my foot when i plantar flex.
Hard to say. Perhaps an issue with right scapular stability, which needs proper position of the ribcage underneath it, and proper activation of the right lower trap and right tricep. If those muscles aren't working, the right scap may end up protracted and positioning the right bicep so that it creates overactivity.
DogrusoezS I have the same issue. My right bicep always contracts and my tricep isn't working. As you tighten the right bicep the right pec also gets pulled and pulls the ribcage into internal rotation on the right. Hence why all the pri exercises activate the right tricep. My therapist taught me "active isolated stretching" and how to trigger point my bicep. I still have a hard time activating my right tricep but it's getting better. So try stretching you right pec and right neck muscles while activating your tricep and externally rotating your arm. Try to consciously relaxing your bicep and let it "soften". Pay attention to the difference between the left and right bicep and tricep tensions. This really helps realize I lost my ZOA. Hope that helps.
Hello! If I am having problems with this who can I reach out to fix this?
I can’t get my leg down on both sides more on the left but also I can’t get it down all the way on the right side
Sir, my whole body is looking stronger on the right side
I have pain in the left hip, left side of the back and in the right side of the neck..so it is left aic???
Has anyone ever actually become unstuck and if so how did you do it? I watch these videos but somehow miss the actual answer
Anyone know how long it takes to fix it
Hi Neal. Can I be left aic with tight left adductor and a tight right glute med and min. Also tight area behind right hip musculature. Very tight right QL and right erectors. Is this still left aic? I seem to notice the QL get tight especially when stressed. My chiro has said I am left aic but it seems that the tight muscles you mention for left aic are the opposite on me.
Everything you mentioned is normal in left AIC.
@@NealHallinan Thanks for responding. I forgot to mention collapsed right foot arch. I watch your videos left AIC pattern and I can’t help but notice my muscle tightness is on the opposite side from what you mention in the videos. Just curious how’s it possible to have a left AIC pattern if what you mention in the videos as far as muscle tightness with left AIC is different? My right QL and spinal erector is the only similarity I see in your videos with left AIC pattern. Other than that I have tightness right posterior hip, externally rotated right leg, and tight right glute med. and minimus and left adductor tightness.
My right QL gets tight when stressed too and my right groin gets tight
I have a structural leg length discrepancy (left is longer) and my pelvis is for sure tilted like the way you say that never happens :D always these cultish "healers" with their simple claims how they try explaining a complex world.
I have the exact spinal complications. A slipped disc in the lumbar and a pelvic tilt. Right hip higher. Where should I start to fix
i have some problem protrusion disc, i do not have pain anymore but right hip higher did you fix some problems?
How do you explain that in xrays my right hip is lower by 4.5mm but it is the shorter leg side as well.
I can't explain anything beyond what testing tells me. The "visual" is often misleading since all you are seeing is the compensation, not the real issue. I rely on objective tests rather than subjective visuals. The eyes never see the full truth.
Great test thank you. From a fellow 3+ year sufferer 😅
both legs dont adduct properly. my spine sidebents also a lot on both sides when i try. what does that mean?
Look for the video about the PEC pattern.
@@NealHallinan is the pathalogical pec video already finished you`ve talked about at the end of that video? btw, thanks for sharing your content. i am now researching for nearly three years to get rid of my dysfunctions and no one of the dozents and dozents channels got me really forwarded. you have shared so much information and explained the correlation of nvs and phisiology, that your content became practical.
As a PTA, I see quite a bit of SI joint dysfunction, some of which is caused by trauma. Where do we integrate trauma based biomechanical shifts in the restoration protocol?
I'm not sure I precisely understand the question. What kind of trauma?
@@NealHallinan Such as a MVA or fall on the hip or tailbone that preceded the SI pain, even many years prior to the onset
Could you help me with a issue? I have a pulling sensation in my left Quadratus Lumborum when I take a deep breath periodically during the day, I also notice that my left ribs seem to point out more than my right, does this sound like a left AIC pattern to you?
Check out my video about the right BC pattern. It's both the left AIC and right BC.
Neal Hallinan thank you for the response, do you see people with left QL issues with left aic right bc dominance? I’ve been watching a lot of your videos and you mentioned you had right QL tightness I was just wondering what might cause problems in the left QL vs the right. Thank you for the videos btw they’re very interesting
@@nmolina5 yes. Either QL can be tight, sometimes both. Most people are walking around with tight QLs but they have no pain (yet). Your brain has to "decide" that your current situation (your current posture and movement patterns) are threatening before you get pain. Pain is a brain issue. That's why anesthesia works: cut off nerve signals to the brain and you can cut into a muscle with no pain. People always ask how it is that we all get stuck in patterns but not everyone has pain from them....bc the brain decides what is acceptable or not. Tight QLs are not the problem. They are just a symptom of a pattern that you can't get out of.
However, to answer your question more biomechanically, the left QL is usually tight in the sagittal plane and the right QL is usually tight in the frontal plane.
I'm in left AIC pattern while resting. But if standing posture could be so different from resting posture, how could exercises performed while lying down help with pain when I'm sitting or standing?
That's a good question. The standing posture simply recruits more muscular tension (to stay upright) and the appearance of the physical body may be altered by compensatory positions of legs and arms and necks. So body postural deviations can, from a visual standpoint, be deceiving. That's why we don't rely on visual information, it's too subjective. The biomechanical tests are objective.
The "pattern" is still the same no matter whether you are lying down or standing up. All PRI exercises are neuro-sensory techniques (yesterday's video) that allow your brain to feel your body in different position (opposite of the pattern that you are stuck in) and since your feet are almost always on a wall, your brain has sense of a solid surface from which it can organize muscle function.
The only difference between lying down with feet on the wall and standing upright is dealing with gravity, and gravity makes things much more difficult.
All PRI techniques actually mimic a phase of gait (walking). That movement can be replicated in any number of positions. As long as your brain has a "sense" of a surface under the feet, and the proper position and movement of the pelvis/ribcage and appendages, it carries over.
@@NealHallinan Wow thanks for the reply! So basically by doing exercises lying down(which is much easier) your brain and body gets used to the new positions. Then when standing or walking you will start to be able to get into the correct postures?
@@hw1451 yes. Eventually people have to get progressed into upright techniques to better match the demands of life.
Can you please share some progressed techniques? I dunno if you have problems with emails but I have tried to setup an appt a few times and you simply dont respond.
i’m still confused, my hip is higher on the left but my right hip is rotated forward and body shifts to the left. i need help pls reply, thanks.
I have videos about that. A "pelvic pattern" and "pelvic orientation" aren't the same thing.
I cannot adduct either top leg when trying those positions...does that mean no lateral pelvic tilt?
It means you are a PEC. Anterior pelvic tilt on both sides. That can lead to a lateral pelvic tilt.
her bottom leg is not the same angel on right and left test so that will effect the test no?
Please help - this test hasn’t confirmed anything for me, perhaps I’m not letting me legs fall?
Aside from the test, maybe you can help. My left leg caves in slightly with hip flexion, and tibia appears to externally rotate looking at my toes too, they flare out a little when I lift my knee. My meniscus on this knee has a medial tear in it as well that’s taking ages to heal.. I’ve been told to strengthen glute med this side and work on ankle mobility. My adductors both legs feel very weak in hip flexion. I would love to get your thoughts! Thanks, and subscribed.
There is nothing I can really tell you without assessing you in-person. Try to find a PRI provider to help you.
If you have left AIC pattern, is that pretty common for your left side of the hip bone seems to be higher than the right side when you stand straight?
Mine is higher on left
What if xray shows right pelvis massively rotated inward?
😮 my left leg is going down and right is flat or going up. Is that some serious condition? I feel pain in my right hip (for a few months it is good, and than for six months i am in pain).🤯
Has anyone overcome their left AIC? I have extreme lack of internal rotation and adduction on my left hip. I have tried to fix it but to no avail
I've watched all your videos about how I can't possibly have the right AIC pattern and all of the explanations you've given for why my pelvis might rotate left instead of right have been false for me. While standing on my left leg, my left hip is adducted and internally rotated, while my right hip is abducted, externally rotated and a little bit more forward. This is true whether my right leg is straight or bent and whether my feet are aligned or skewed. My ribcage is lower on the left, obliques and intercostals are tight on the left, upper body collapses to the left and rotates right. From what I can tell, my diaphragm is anatomically normal, as the right side of my ribcage is larger. I think you're overlooking reasons this pattern might exist, perhaps because it doesn't fit the PRI narrative. The fact that this pattern is unnatural doesn't make it impossible.
May I know if you have had a car accident with seatbelt in a right seat (seatbelt crossing from left shoulder to right hip)?
Or if you don't sleep alone, is your partner in your left or right side?
I can do abduct and add duct on both sides sir. Is uneven hips causes uneven lips ???? My lips are uneven.
My right hip which is higher has long leg and it also causes back pain and shoulder pain on my right side sir. In my legs, fourth toe is curled on both legs.my right foot size is larger than the left foot size.what is the reason sir??? Is this a left aic right bc pattern???? How I correct it sir.please reply sir...
I think I already know the answer to this question, but I hope to have some closure/confirmation, please. After watching your videos and researching the Left AIC pattern, I'm pretty sure I've been terribly stuck in this pattern most of my life, and I'm left handed but use a mouse with my right, and have been sedentary most of my life. I can see my bad posture/pattern in photos of me as a child. In 2011, my body got really tight, especially on my right side instantly, and my scalp tightened, and started getting numb and tingly. I thought it was a stroke, but it wasn't. Can years of a bad Left AIC pattern cut off blood circulation to the scalp and cause tightness and tingling there? My right side neck muscles got extremely tight, especially the SCM/scalenes/hyoid bone area. And the more tight my scalp got, the faster I lost my hair. I've been doing PRI exercises for a couple of weeks now and finally, after almost 8 years of trying literally everything else, my body is slowly loosening up everywhere, up to my scalp.
Hi. Sounds similar to my case. What exercises are you doing? Are they on UA-cam?
@@davsss6406 I've been doing all the exercises on this channel, like the 90/90 hip shift except I mostly do it with my exercise ball pressed against the wall. I do the "all fours" left ZOA exercise and I do Bird Dogs out of it as well. Also right side lying left adductor pullbacks, left side lying right glute max, left side planks, Russian twists with my right arm reaching above, etc. I also do yoga, and incorporate PRI principles into poses like Warrior I and II, like reaching my right arm above and side bending to the left while standing on my left leg, taking very deep breaths.
@HoosFan05 If you feel "symptoms" all the way up to your scalp, you could have a neck pattern also (right TMCC). It just means that your neck is oriented to the right, just like the spine and pelvis. This neck position can lead to a compensatory head position where the right and left side of the cranium are somewhat mispositioned. So any muscle/fascia that attaches to the neck/head can be placed in a shorter or longer position. In addition, all the important blood vessels and nerves that operate in the area can be effected.
@@NealHallinan thank you! I did a bit more research on the right TMCC pattern, and it's exactly me! I could cry. Hopefully I'll be back to normal by the holiday season. Thanks again brother!
@@VCULoneWolf If your "HoosFan" name indicates that you live in Virginia, you'll probably want to get help from a PRI provider. Necks are complicated. There are a number of providers in Virginia/DC area.
So do you address the orientation before the left aic pattern?
Could you still be a left AIC if you have a tendency to stand on your left leg rather than your right?
Yes.
Neal Hallinan Okay. I did have something like this and I did similar exercises as what you prescribed and it improved. I know you say the opposite pattern doesn’t happen, but after reading through your home page I swear I did have the opposite pattern. When I did the exercises I did do them on both sides because I wasn’t sure then what was correct and I figured exercising muscles would on both sides just seemed right. Anyhow, now I still have a left femur bone that seems to stick out a little more on the outside of my hip than the other. I would like to fix it because my right knee bothers me and have theorized that the issues are related. So the question is, is the femur sticking out part of the same issue, and if so which side should I do the exercises on to fix it?
I should add that the description is making sense, but the picture of the pelvis you hold up seems to be the opposite. Agh so confusing!
How to correct those who have both hips tilted anteriorly ?
Ok. My keftvleg does go down, easy up, my rightgo down not up. But my Ql rightdide is very tight
Hi! So I did your test and I am a Right AIC pattern. My right leg will not drop when lying on my left side but my left leg will drop when lying on my right side. I think I may be the first true person to be so
Most likely your left hip is unstable (which is normal in a left AIC pattern) and it simply appears to adduct. In reality, the leg isn’t staying snug in the hip joint. This is very common and why you need someone to actually test you. I applaud you for actually trying the test, though.
I’m going to believe you. Not sure.
Hi Neal, will the exercise in this link ua-cam.com/video/fv5u6v_s-L4/v-deo.html help with left AIC? Pushing up with the shorter leg whilst pushing down with the longer leg? Or would you always do it on one side of the body if everyone's left AIC?
I'm also gonna try the exercises on your website.
I'm able to adduct and abduct with both legs equally as shown what does it mean? Still got the Left aic symptoms tho..
but my right shoulder is higher.
I have a question, i am not sure about any of this.. how come my left pelvis is oriented to the right, but while on my knees my pelvis al of a sudden is oriented to the left? I mean, while on my knees, my left pelvis goes up and my right pelvis goes down. Is this common?
I'd assume the asymmetrical position of your pelvis puts your femurs in an asymmetrical position as well. Depending on how you position your body, the femurs push into the pelvis and rotate it. There could also be muscles that have tightened that change the position of your pelvis depending on how you position your body.
Neal Hallinan okey, makes sence. Aswell as im rotated to the right i also hiphike and have a higher hip on the left. Can my femur be longer on my left causing this?
Thank you for your reply!
@@henkegaisaren I doubt it's femur length. The pelvis and ribcage run the show.
Neal Hallinan thank you!
But isn't the whole point of good biomechanics to see how we interact in space and gravity, not at rest?