The most overlooked diagnosis is uneven hips. This is such an easy diagnosis to make but 99% of the time is not even diagnosed on plain film x-ray. Why is this diagnosis overlooked?

I believe this diagnosis is overlooked because the Doctor reading the x-ray does not know how to treat it, like a mechanic that only know how to change the oil. If the mechanic only knows oil changes, then they won’t know about the alternator.

Doctors are the same, this is why your regular doctor will send you to an orthopedic, and the orthopedic will send you to a neurologist ,and the neurologist sends you for rheumatologist, and around and around you go. Sound familiar?

Plain film x-ray can be the best imaging for your diagnosis.  I often get customers asking me to review their x-rays and the standing low back x-ray can diagnosis the underlying uneven hips problem. If your doctor does not request an x-ray of your low back, find one that will because the x-ray is the center piece of your treatments going forward.

99% of the time the unevenness of hips is overlooked.

Chiropractors’ misdiagnosis it along with physical therapists and medical doctors. Pretty much everyone misdiagnosis uneven hips.

Take my experience and education for example. I went to chiropractic school and do not remember a single day when we discussed uneven hips and what to do about them.

How I came to know about this is the ongoing x-rays I saw in my office of uneven hips and the symptoms that it produced. In school, we did learn about scoliosis, but we did not learn that uneven hips caused scoliosis, maybe I missed that day, but I do not remember having the discussion in class or with colleagues about this. Furthermore, uneven hips and scoliosis are almost always found together.

Chiropractic school to me was a bird’s eye view of what you will see and the treatments that can help, but nothing was exact, and I appreciate that because no two customers are the same. So, the chiropractor needs to use the experience and wisdom of how to fix the customer on a per customer basis.

This is where uneven hips and how to treat it is really broken. If you have x-rays and go to 10 doctors and you know you have uneven hips, the odds of the doctor diagnosing the uneven hips as the problems and having a plan to treat that specific problem is roughly 1 in 10 doctors.

How common is uneven hips? Great question!

In my practice If a customer came in with low back pain, it was a 70% chance that the customer had uneven hips. Yes, it is that common and it is the most widely missed diagnosis when looking at standing low back x-ray.

What is considered uneven hips? There is no guideline to what would be considered uneven hips, but my chiropractic guideline is 5mm. 5mm is about the width of a pencil or pen. Anything less than this I consider normal and typically treatment is straightforward with chiropractic adjustments and spinal decompression.

If you measure more then 5mm, this I considered not normal and needs to be fixed with a heel lift, adjustments, and spinal decompression.

Typically, if your hips are off 5mm or more your spine will have scoliosis. You can pretty much guarantee that your body is trying to compensate for this unevenness and causing your spine to twist and bend to keep you upright.

Why is this diagnosis SO important?

This diagnosis will let you know why you have back pain, but it will also explain why you may be having hip, knee, and ankle pain. Depending on when your first symptoms appeared and when your unevenness was diagnosed can have a significant role in your health from that day forward. Uneven hips effect every joint in your spine and upper and lower extremities. IT IS THAT IMPORTANT

You would be surprised how many knee surgeries are performed each year because the knee has worn out because of this unevenness of the hips. Unevenness of the hips put uneven stress on the knee and hip joint causing them to…. you guessed it, wear the joint out unevenly.

Watch this to learn more about uneven hips.

These joints don’t wear out immediately, it takes many years to wear them out. That is why most people receiving knee and hip replacements are in there 50’s and 60’s. The crazy thing is that the symptoms of uneven hips are there much earlier but go undiagnosed. Thinking that your joints wearing out by the age of 50 or 60 is normal is complete ignorance. Your joints should last your entire life.

The sad thing about having surgery on your knee or hip is that the problem is still there. The unevenness of the hips is still the untreated condition causing all the problems. Talk about chasing you tale………The problem never gets fixed.

Here is a list of what you need to do.

  1. Get Updated X-rays. Should be within 1 year old.
  2. Have the doctor measure your hips.
    1. You are either normal: 5 mm or less difference.
    2. You are abnormal: 6 mm or more.
  3. Listen to what the doctor is recommending (hopefully a good chiropractor you are going to) and compare it to what is recommended in this article.
    • 5 mm or less difference.
      • Get Chiropractic Adjustments
      • Spinal Decompression with Sit and Decompress
      • Massage, Exercises, In Office Modalities
    • 6 mm or more difference.
      • Get a Heel Lift.
      • Get Spinal Decompression with Sit and Decompress
      • Get Chiropractic Adjustments.
      • Massage, Exercises, In Office Modalities
  4. Call my office if you need help. 1 (330) 205-5483 or email

Final Recommendations

In closing, find a good chiropractor that knows about this, take care of the uneven hips, and you MUST DO SPINAL DECOMPRESSION. If you do nothing else that is recommended, do spinal decompression, it will make that big of a difference.

Sit and Decompress is the best and simplest way to do spinal decompression.

To order directly from our site, click here.
To order from Amazon, click here.