My pelvis is visibly tilted both forward and to the side
I have this same deal. In fact, when they first saw it they said "You should have been in pain your whole life"...But I hadn't been. I had only been in pain since I became a good Father and Husband.
My Hips are like 1.25-1.75" misaligned. I even walk Funny and my shoes wear out at different rates/angles. If I was a German Shepherd, they'd put me down.
I was also Uber active when I got pain...I could do all of those things on your list. I could still do most of them except the 10 miles.(out of shape)
That is a peculiar thing. I used to get that too. When I do squats now I only use smaller weights and do more reps...mostly because I am alone and don't have a spotter or a rack. I have had thoughts on that before, and my main one I circle around is this: Weight lifting is the only sport where a BACK Brace is part of normal gym equipment !!!
In Fact, when I bought my last Olympic set, it came with one. Being a Sarno Purist, I tossed it immediately.... just looking at it makes me think about BACK pain and SCIATICA. I wonder if that isn't pounded into our unconscious from hanging around Gyms and sporting facilities? Remember, Sarno said when we're gonna get TMS the body, being a unified entity wiht out brain chooses what we'll believe.. That is a long established folklore in weight lifting.
I Lift really heavy things all day long at work but broke the belief/symptom cycle so it isn't a thing anymore. I did it with regular weightlifting, but Squats and deadlifts are a partner/gym thing and I am usually alone.
Both of my sons are into Heavy weightlifting. I don't wanna Nocebo them, but I thing I'm gonna ask them what their protocols are with that thing. Neither one has Problems, but they both grew up knowing about TMS and I taught them how to beat it. The do some G-narly heavy lifts and I have never heard them complain about anything but being sore. I wish I had their dedication, but when I have time to lift I just want to play guitar.
peace