Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction is a type of low back pain that can be the result of hypomobility (not enough mobility) or hypermobility (too much mobility) in the joints between the sacrum and the ilium in the lower back. Pain can be one sided or bilateral. As pelvic floor physical therapists we have a special ability to help those with chronic sacroiliac joint dysfunctions that continue to recur again and again. Often the dysfunctional pelvic floor muscles are the missing key and orthopedic physical therapists have not been trained in treating these muscles. At ITR Physical Therapy, we will assess and treat any dysfunction associated with the pelvic floor muscles along with performing a comprehensive evaluation, not just of the sacroiliac joints, but looking at the body as a whole. Posture, joint alignment, muscle and fascial tightness and restrictions and muscle imbalance will all be assessed. Each patient will receive the manual therapy needed to realign joints, improve muscle function and coordination as well as release fascial restrictions that could be affecting pain. Patients will receive education on body mechanics and healthy posture, individualized stretches, strengthening and stabilization exercises. The inner core stabilizer muscles are a group of four muscles (respiratory diaphragm, transversus abdominus muscles, the multifidus and the pelvic floor muscles) all need to be working in coordination with each other in order to maintain alignment. As pelvic floor physical therapists we will address each of these muscle groups and work with every patient to tailor their home program for their own body. It is critical that patient and physical therapist work together as partners through this healing process. The more time and effort a patient puts in to their own healing and home program, the better s/he will feel.