Shenzhen Bao'an District Songgang People's Hospital

Can’t Fit Into Pre-Pregnancy Trousers? It May Not Be Weight Gain – Likely False Hip Widening

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Shenzhen Bao'an District Songgang People's Hospital

Anterior pelvic tilt during pregnancy and unrecovered ligaments after childbirth can widen the hip frame, making old trousers unwearable. This condition is known as false hip widening, and most cases can be corrected through rehabilitation training.

Pelvic rotation accompanying this issue may also trigger leg length discrepancy and a limping gait.

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If left unaddressed long-term, it may lead to lumbago, knee osteoarthritis and plantar fasciitis.

01 How to Diagnose False Hip Widening

1. Posture assessment and palpation

Observe leg length difference, walking gait and the type of pelvic malalignment.

2. Imaging examination

X-ray examination to evaluate joint alignment and formulate targeted rehabilitation plans.

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02 Three-Stage Rehabilitation Solutions for False Hip Widening

Stage 1: Acute Phase – Relieve pain and inflammation (0–6 weeks postpartum)

- Medication

Nonsteroidal anti-inflammatory drugs (ibuprofen, celecoxib) can ease pain for a short period. Use strictly per doctor’s advice and avoid long-term reliance.

- Physical therapy

1. Hot compress and electrical stimulation: boost local blood circulation and relieve muscle spasm.

2. Pelvic correction belt: stabilize joints and prevent secondary injury during daily activities.

Stage 2: Recovery Phase – Functional rehabilitation (6 weeks to 6 months postpartum)

- Therapeutic exercise for pelvic stability

1. Glute bridges: strengthen gluteal muscles and core muscles.

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2. Clamshell exercise: improve false hip widening and stabilize hip joints.

3. Pelvic floor activation: Kegel exercises.

- Manual therapy

Professional rehabilitation therapists perform pelvic rotation reduction and myofascial release to correct pelvic displacement.

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Case example: After manual therapy, the hip position of the patient Xiaofang was significantly restored.

Stage 3: Long-term maintenance – Prevent recurrence (6 months after childbirth onwards)

- Lifestyle adjustments

Avoid prolonged sitting or standing; use a baby carrier to reduce lumbar load when holding infants.

- Strength training

Pilates or swimming to build up core and lower limb muscle strength.