Pelvic imbalance may arise from a multitude of causes including lifestyle and occupational habits. Interestingly the shape of your feet and your leg length can put uneven strain on your pelvis. A recurrent pelvic imbalance (“upslip”, “inflare” etc.) may be due to an old ankle injury, leg length difference or possibly excessive pronation on one or both of your feet. A full biomechanical assessment is required to differentiate these causes. Manual therapy, exercise programs and orthotics treatment are required to resolve this issue.