Sacroiliac (SI) joint dysfunction is a common source of low-back and pelvic pain, yet it often goes undiagnosed. The SI joints - located where the spine meets the pelvis - play a crucial role in load transfer, stability, and efficient movement. When these joints become irritated, stiff, or overly mobile, they can cause pain that affects everything from walking to lifting to simply getting out of a chair.
Understanding SI joint dysfunction and how physical therapy helps restore stability is key to finding long-term relief.
What Is the Sacroiliac Joint?
The sacroiliac joint connects the sacrum (the triangular bone at the base of the spine) to the iliac bones of the pelvis. These joints are supported by strong ligaments and surrounded by muscles that help transfer forces between the upper and lower body.
While the SI joint has limited movement, even small disruptions in alignment, mobility, or stability can create significant pain.
What Causes Sacroiliac Joint Dysfunction?
SI joint dysfunction can occur when the joint becomes either too mobile (hypermobility) or too stiff (hypomobility). Common causes include:
1. Pregnancy and Postpartum Changes
Relaxed ligaments and pelvic shifts during pregnancy can create instability in the SI joint.
2. Repetitive Stress
Running, stair climbing, heavy lifting, or uneven movement patterns can overload the joint.
3. Trauma or Falls
A fall onto the buttocks, car accidents, or sudden impact can disrupt joint mechanics.
4. Weakness in Core or Hip Muscles
When surrounding stabilizers underperform, the SI joint absorbs excess load.
5. Leg-Length Differences
Even subtle asymmetries can increase stress on one SI joint.
6. Degenerative Changes
Arthritis or age-related changes can reduce joint mobility and lead to pain.
Symptoms of SI Joint Dysfunction
SI joint pain can be difficult to pinpoint because it often mimics other conditions like lumbar disc issues or hip problems. Common signs include:
- Pain on one side of the low back or buttock
- Discomfort that radiates into the groin or down the thigh
- Pain when standing up from sitting
- Increased pain with prolonged standing or walking
- Difficulty with stairs or uneven surfaces
- A feeling of instability in the pelvis or hips
If your pain is aggravated by transitional movements - especially going from sitting to standing - the SI joint may be involved.
How SI Joint Dysfunction Is Diagnosed
A physical therapist performs a detailed evaluation to identify whether the SI joint is the source of pain. Assessment includes:
- Palpation of the SI joint and surrounding musculature
- Postural and gait analysis
- Mobility and stability testing
- Special tests that stress the SI joint
- Evaluation of hip, lumbar spine, and pelvic mechanics
Because SI joint pain often overlaps with other diagnoses, professional assessment is essential for accurate treatment.
How Physical Therapy Restores SI Joint Stability
Physical therapy is one of the most effective non-surgical treatments for SI joint dysfunction. At Core Performance Physical Therapy, our approach focuses on restoring balance, improving mechanics, and strengthening the structures that support the SI joint.
1. Manual Therapy to Improve Alignment and Mobility
Joint mobilizations, soft-tissue work, and myofascial release help reduce muscle guarding, restore movement, and improve pelvic alignment.
2. Core Stabilization Training
Strengthening deep stabilizers like the transverse abdominis and multifidus helps protect the SI joint from excess motion and load.
3. Hip and Glute Strengthening
Weak gluteus medius and maximus muscles are major contributors to SI joint instability. Targeted strengthening reduces asymmetry and improves pelvic control.
4. Pelvic and Lumbar Mobility Exercises
Improving flexibility in the hips, thoracic spine, and lumbar region prevents compensations that aggravate the SI joint.
5. Neuromuscular Re-Education
This retrains proper movement patterns during walking, lifting, squatting, and daily tasks to ensure long-term stability.
6. Posture and Activity Modification
PTs provide guidance on safe movement strategies, ergonomic adjustments, and exercises to avoid during flare-ups.
7. Supportive Tools (Clinic-Specific)
Depending on the severity, treatment may include:
- SI belts to provide temporary external stability
- LightForce laser therapy for inflammation
- VALD ForceDecks assessments to identify asymmetries
- Corrective strategies to optimize load distribution
When to See a Physical Therapist
You should consider PT if you experience:
- Persistent low-back, pelvic, or buttock pain
- Pain that worsens with standing, walking, or transitional movements
- Symptoms that return after rest or stretching
- A sensation of pelvic instability or “shifting”
- Pain during pregnancy or postpartum
Early intervention helps prevent chronic instability and reduces stress on the lumbar spine and hips.
Regain Pelvic Stability at Core Performance Physical Therapy
Sacroiliac joint dysfunction can affect daily life, movement confidence, and athletic performance - but it is highly treatable. With targeted strengthening, hands-on care, and personalized movement strategies, physical therapy restores stability and helps you return to pain-free activity.
If you’re experiencing SI joint pain, our team at Core Performance Physical Therapy is here to guide your recovery.
Schedule an evaluation today and start moving with confidence again.

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I thought I was never going to get cured from Herpes because I was told that there is no cure for the virus but Just last month I saw on the internet how some people talks about being cured from the same virus after they finish drinking a herbal medicine! I was so interested that I contacted the herbal man on his website and request for the herbal meds as well, he responded and answered my questions with prove, then he went ahead and send me the medication through DHL which I drink for almost two weeks as he prescribe and now I just test negative to the virus and all the sores were gone immediately I started drinking the herbal meds. Contact this herbal man on his website/WhatsApp and get cured from that parasite called herpes. +1 509 883 9893 https://excelherbalcure.com
By rachel
Do you know that Herpes (HSV) has a cure? My name is Dr. Tunde Francis, I’m a traditional Herbal Medicine Doctor. I specialize in treating all kinds of diseases and infections using Herbs and Roots. My Major areas of concentration are Shexually Transmitted Diseases (STD). I have the Herbal Cure for Herpes (HSV). I have treated more than 165 patients that have Herpes (HSV 2) and all of them were cured. My herbal medicine is 100% safe, there are no side effects and You will start seeing clear results as early as 7 days. You can reach me on Phone [ +2348029666702 ]. I also treat other infections, like Human papillomavirus (HPV), Hepatitis B, HIV/AIDS, Syphilis, Gonorrhea, Diabetes, Leukemia, Breast Cancer, Lung Cancer, Autism, insomnia (Herbal Medicines to stop insomnia & give you good night sleep), Fibroids, Infertility, Overweight (Obesity) and Alzheimer and other deadly infections. My herbal Cure for Obesity is very effective, you can lose as much as 10KG in 21 days with my herbs. If you have been taking conventional medicines for that Herpes infection and you are still having those re-occuring outbreaks, why don't you try Herbal Medicines and see it get cured in weeks. For more information, send me an E-mail [ dr.tundeherbalmedicines@gmail.com ] Visit my website: https://www.tundeherbalmedicine.com
By drtunde7700
FAST EFFECTIVE WAY TO GET CURED FROM HERPES VIRUS Hello, I’m very excited to share what worked for me to everyone. I’m completely cured from my HSV1&2 with the use of natural medicine. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir and some other products/supplements and it hasn’t helped ever since I was diagnosed. I got outbreaks frequently and was completely devastated and I went online for a possible cure and how to get rid of Herpes. On a fateful day after taking my bath, I took my phone and was going through some research, I bumped into a testimonial of a Herbs doctor { Dr Awase } who cures diverse diseases/viruses with Herbal medication. I was hopeful but also doubted the claim. But after a while I thought “what do I have to lose?” so I decided to reach out. He prepared a cure using roots and herbs which I steadily took for 14days as prescribed by him. I am quite glad I decided to reach out because I am totally cured from Herpes after a medical checkup was done by my Dr. So I’ve decided to make a quick testimony for anyone out there who is probably suffering from an illness they can’t handle to reach out to Dr Awase. He specializes in curing lots of illnesses such as HIV, ENDOMETRIOSIS, PCOS, OVARIAN CYST, INFERTILITY, HEPATITIS A,B,C and lots more. I’m here to let you all know that you can also be cured just like me and you don’t have to live with any sort of illness for the rest of your life. To reach out, Contact him via WhatsApp below or Email WhatsApp +2349074997110 Email:- dr.awaseherbalhome@gmail.com
By Bella James