We develop a low-energy effective theory for spin-1/2 frustrated two-l
eg Heisenberg spin ladders. We obtain a new type of interchain couplin
g that breaks parity symmetry. In the presence of an XXZ-type anisotro
py, this interaction gives rise to a novel ground state, characterized
by incommensurate correlations. In the case of a single ladder, this
state corresponds to a spin nematic phase. For a frustrated quasi-one-
dimensional system of infinitely many weakly coupled chains, this stat
e develops true three-dimensional spiral order. We apply our theory to
recent neutron scattering experiments on Cs2CuCl4.