Pelvic Stability & Strength: Why Both Matter

When we talk about building a strong lower body, it’s easy to think about the big movements – squats, lunges, deadlifts and step-ups.

And yes, these exercises are incredible useful!

But there’s another piece of the puzzle that often gets less attention: pelvic stability.

Your pelvis sits at the centre of your body, connecting your spine to your hips and legs. It needs to be strong enough to produce force, but also stable and controlled enough to manage movement. 

So, what is pelvic stability? 

Pelvic stability is your ability to control the position and movement of your pelvis while you move. 

This doesn’t mean keeping your pelvis completely still. In fact, your pelvis is designed to move!

Instead, it’s about having enough strength and coordination around your hips and trunk to control that movement when you need to.

Think about standing on one leg. Your pelvis needs to stay relatively level while your hip, knee and ankle work together to keep you balanced. 

This is where the smaller stabilising muscles around your hip can play an important role. 

Strength and stability aren’t the same thing

It’s common to think that if a muscle is strong, stability will automatically take care of itself. But, strength and control are different qualities. 

You might be able to lift a heavy weight with both legs, but controlling your pelvis while standing on one leg requires a different kind of challenge.

This is why exercises to target stability can be useful alongside traditional strength exercises.  

They give your body an opportunity to practice controlling movement, not just producing force.

But don’t forget the big lifts!

Stability exercises aren’t a replacement for strengthening the whole lower body. 

Exercises such as squats, deadlifts and leg press help build the overall strength and capacity your body needs for everyday activities, sport and exercise.

The goal isn’t to choose between strength or stability. It’s about giving your body both. 

Think of it as:

Big movements = build overall strength

Smaller, controlled movements = build control and stability

Both have a place in a well-rounded exercise program!

Why does pelvic stability matter?

Good pelvic control can help you move efficiently and confidently through a range of activities – from walking and running to changing direction, climbing stairs or lifting weights.

It can also be particularly useful when returning to activity after an injury, when your body may need to rebuild both strength and confidence in movement.

The ideal exercises will depend on your goals, current strength, and what your body needs !

Start Simple

Pelvic stability isn’t about choosing the most complicated exercise – it’s about building strength, then learning to control it. 

A good progression might look like:

> Build your strength with controlled double-leg exercises

> Challenge your control with single-leg exercises 

> Progress to split-leg movements as your strength and stability improve

> Keep your movement slow and deliberate

> Focus on controlling your pelvis and trunk throughout 

> Gradually increase the challenge as you get stronger

Sometimes, a small movement done with plenty of control can be just as valuable as a big movement with lots of weight.

The Takeaway

Pelvic strength and stability aren’t about keeping everything perfectly still. 

They’re about having the strength, control and confidence to move well.

So keep your squats and deadlifts, but don’t be afraid to add in those smaller, single-leg movements too. Your body benefits from both. 

If you’re unsure where to start, a physiotherapist can help assess your movement and build an exercise program around your body, your goals and what you want to get back to doing!

AC Joint Injuries: Everything You Need to Know

Fallen directly onto your shoulder? Noticed a bump at the top of your shoulder? Or getting pain when you bench press or reach across your body? 

You might be dealing with an AC joint injury!

AC joint injuries are common in contact sports, cycling, falls and gym-related injuries. The good news? Most don’t require surgery, and even if your shoulder is left with a visible bump, this doesn’t mean it won’t functional well!

What Is The AC Joint? 

The acromioclavicular (AC) joint is the small joint at the top of your shoulder where your acromion (part of your shoulder blade) meets the clavicle (collarbone).

The joint is held together by strong ligaments that provide stability between these two bones. 

When you fall directly onto the outside of your shoulder, these ligaments can be injured. If the injury is more significant, the clavicle can sit higher relative to the acromion, creating a “Step deformity”. 

How do you know if you’ve injured your AC joint? 

AC joint pain is usually very localised to the top of the shoulder, right where the joint sits. 

You may notice:

> Pain when lifting arm 

> Pain reaching across your body

> Pain lying on affected side

> Tenderness directly over the AC joint

> Pain when pushing or pressing movements 

> Swelling or bruising following an injury 

> A visible step deformity at the top of the shoulder in higher grade injuries. 

A classic AC joint injury occurs after a direct fall onto the outside of the shoulder. However, AC joint can also develop gradually from repetitive loading. 

What is the role of Physio for AC joint injuries? 

The first step is working out exactly what you’ve injured and how irritable it is. 

Your physio will assess your shoulder movement, strength, tenderness and stability as well as the AC joint. They’ll also assess the shoulder to make exclude other injuries. 

Following an acute injury, your physio can also determine whether you need imaging or referral for further assessment, particularly to rule out a fracture. 

Once a diagnosis has been reached, a rehab plan will be made, all about progressively building your shoulder’s capacity

AC Joint Rehab 

 

1. Calm the pain down

Initially, the focus is on settling pain and irritation while maintaining comfortable shoulder movement. This may involve modifying aggravating activities and introducing gentle exercises. 

2. Restore pain-free movement

As symptoms, shoulder range of motion is gradually increased and normal use of the arm is restored. 

3. Build strength and stability 

 Strength and stability are progressively developed through the rotator cuff, scapular muscles and surrounding muscles. This increases the amount of load the shoulder can tolerate.

4. Load the AC joint

As capacity improves, exercises that place greater load through the AC joint are progressively reintroduced, such as bench press, push-ups, dips and overhead pressing. Range, resistance and volume can be adjusted to gradually build tolerance.

5. Return to higher-level activity 

For those returning to sport or higher-level activity, the final stage may include heavier loading, faster movements and plyometric exercises to prepare the shoulder for the demands of sport, work or training 

What about the bump? 

A higher-grade AC joint injury can leave a permanent step deformity at the top of the shoulder. While this can look concerning, the appearance of the joint doesn’t necessarily reflect how well the shoulder functions. 

You can have a visible bump and still have a strong, stable and highly functional shoulder!

The Takeaway

An AC joint injury can be painful, and may leave a noticeable step deformity. Good thing is, the appearance of the shoulder, doesn’t determine how well it will function !

Most AC joint injuries can be managed conservatively with the right rehabilitation approach. The focus is on settling pain, restoring movement, rebuilding strength and stability, and progressively exposing the shoulder to greater loads. This includes from everyday activities through to bench press, push-ups and plyometric exercises. 

If you’ve injured your AC joint or are struggling to return to training, a physio assessment can help determine what’s going on and guide your rehabilitation