Lower Crossed Syndrome occurs when the abdominal and gluteal muscles become weakened or inhibited causing a forward pelvic tilt or abnormal posture. Prolonged durations of sitting, bad posture, a sedentary lifestyle, and improper weight lifting can all cause Lower Crossed Syndrome. Symptoms include tight hip flexor muscles and hamstrings, weak gluteal and abdominal muscles, increased curvature of lower back, and a forward pelvic tilt. Lower Crossed Syndrome doesn’t require surgery, instead, physical therapy is key. Treating and correcting this syndrome involves stretching and strengthening the affected muscle groups to correct the imbalance. A physical therapist will typically design a program that includes core strengthening, postural training, stretching, and manual therapies.