Sacroiliac (SI) Joint Pain

What Is Sacroiliac (SI) Joint Pain?

The sacroiliac joints transfer load between the spine and legs. They can become painful after falls, pregnancy, running or lifting, or when the hips and core are not sharing load evenly.

Common Symptoms

• Pain on one side of the low back or buttock
• Pain getting out of a car or rolling in bed
• Pain with stairs or standing on one leg
• Pain that can refer into the groin or thigh

Common Contributing Factors

• Pregnancy and postpartum changes
• Falls onto the buttock
• Uneven hip strength or leg length
• Running and single-leg sports
• Weak core and pelvic floor

How We Approach Sacroiliac (SI) Joint Pain

We listen to how and when the pain shows up, then test the pelvis, hips and spine together. Care restores motion where it is stiff, builds stability where it is excessive and retrains single-leg movements like stairs and walking.

• Restoring the movements you use every day. We retrain climbing stairs, getting in and out of the car, walking and standing on one leg, so progress shows up in your real life, not just on the treatment table.
• Constant core activation. Integrating deep core, glute and pelvic floor activation to stabilize the pelvis.
• Proper functional movement patterns. We coach how you hinge, squat, push, pull, carry, step and rotate, so load is shared across the whole body instead of piling up in one area.
• Proper respiratory mechanics. Coordinating breathing with pelvic floor and core function.
• Looking past the symptoms. Especially with severe or long-standing problems, we take the time to consider every potential cause, including hip mobility, gait, pregnancy history, footwear and sport demands.
• A plan built for you. Nobody is built the same or has been through the same things, so no two treatment plans are alike. Your plan is shaped around your history, your goals and how you respond.

How Our Services Help

Chiropractic Care

Adjustments and mobilization of the pelvis and low back restore balanced motion.

Physical Therapy

Physical therapy strengthens the glutes, core and pelvic floor and retrains single-leg control; dry needling can relieve guarded hip muscles.

Massage Therapy

Massage reduces tension in the glutes, hip flexors and low back.

Acupuncture

Acupuncture may ease pain and muscle guarding.

Most plans combine two or more of these services, chosen together with you, and your providers share one plan so every visit builds on the last.

Frequently Asked Questions

Is SI joint pain common after pregnancy?

Yes. Hormonal and postural changes can affect the pelvis. We tailor care to the postpartum body.

Should I wear an SI belt?

A belt can help short-term for some people. Our goal is to build the strength that makes it unnecessary.

How is SI pain different from sciatica?

SI pain is usually felt around the joint and buttock; sciatica follows the nerve down the leg. Your exam helps us tell them apart.

Do I need a referral, and do you take insurance?

No referral is needed. We accept health insurance as an out-of-network provider, as well as auto insurance claims and workers’ compensation claims, and every service can also be paid directly or through a monthly membership. Call (303) 465-6332 or request a free consultation to get started.