Low back pain that just won’t go away.
Pain on one side of the pelvis.
Discomfort when rolling in bed, standing from a chair, or getting out of the car.
If this sounds familiar, your sacroiliac (SI) joint may be the true source of your pain.
SI joint dysfunction is one of the most commonly overlooked — and frequently misdiagnosed — causes of low back and pelvic pain. Many patients are told they have “disc problems” or “general back pain” when the real issue is mechanical dysfunction at the SI joint.
The key to recovery isn’t guessing.
It’s precision.
At Ace Physical Therapy and Wellness, SI joint evaluation and treatment is a specialty — led by one of the few true experts in the United States.
What Is the Sacroiliac (SI) Joint?
The SI joints connect your sacrum (base of the spine) to your pelvis.
They play a critical role in:
• Transferring force between your upper body and legs
• Providing stability while walking and lifting
• Supporting athletic performance
• Stabilizing the spine
When these joints become irritated, unstable, or mechanically restricted, pain can develop quickly.
Common Signs of SI Joint Dysfunction
I joint pain often presents as:
🔹 Pain on one side of the low back
🔹 Pain into the buttock
🔹 Discomfort when rolling in bed
🔹 Pain with prolonged standing
🔹 Pain getting in or out of a car
🔹 Pain with stair climbing
🔹 A feeling of pelvic instability
🔹 Pain during pregnancy or postpartum
Because SI pain can mimic disc or hip problems, accurate diagnosis is critical.
Why SI Joint Diagnosis Is So Challenging
The SI joint is complex.
It moves very little — but when it’s dysfunctional, it can create significant pain.
Unfortunately:
• Imaging often doesn’t clearly show SI dysfunction
• Many providers lack advanced training in SI biomechanics
• Standard low back protocols often miss the root cause
That’s where specialized expertise matters.
National-Level Expertise in SI Dysfunction
At Ace Physical Therapy and Wellness, SI joint evaluation and treatment is not just another service — it’s a true area of mastery.
Dr. Stephen Fort teaches one of the most in-depth post-doctoral level SI joint courses in the world and is one of only a few recognized experts in the United States.
This level of expertise reflects:
• Advanced biomechanical understanding
• Extensive post-doctoral education
• Fellowship-level manual therapy training
• Deep clinical experience with complex cases
When you’re dealing with persistent pelvic or low back pain, you want someone who understands the subtle mechanics that others may miss.
Our Approach: Precise, Individualized, Evidence-Based
At Ace Physical Therapy and Wellness, you receive:
• A thorough, detailed evaluation
• One-on-one treatment
• A custom plan tailored to your specific dysfunction
• Consistent expert care
We do not rely on generic back pain programs.
Your treatment may include:
🔹 Advanced Manual Therapy
Restoring proper SI joint mechanics with precision techniques.
🔹 Targeted Stabilization Training
Strengthening deep stabilizers of the pelvis and core.
🔹 Movement Retraining
Correcting faulty loading patterns that stress the SI joint.
🔹 Dry Needling
Reducing muscular compensation and guarding around the pelvis.
🔹 Sport- or Lifestyle-Specific Progression
Ensuring long-term durability.
Every intervention is carefully selected based on your specific presentation.
SI Joint Pain in Athletes
SI dysfunction is common in:
• Runners
• Golfers
• Tennis players
• CrossFit athletes
• Postpartum athletes
• Individuals returning from injury
Because the SI joint plays a key role in force transfer, untreated dysfunction can limit performance and increase injury risk elsewhere.
Our goal is not just pain relief — it’s restoring efficient movement and performance.
SI Pain During Pregnancy & Postpartum
Hormonal changes and pelvic stress during pregnancy can make the SI joint more vulnerable.
Many women experience:
• Sharp pelvic pain
• Pain when walking or turning
• Asymmetrical discomfort
With proper stabilization and precise manual treatment, symptoms often improve significantly.
Fast Relief Is Good. Long-Term Stability Is Better.
At Ace Physical Therapy and Wellness, our strengths include:
• Fellowship-level manual therapy
• Advanced SI joint expertise
• Individualized one-on-one care
• Evidence-based rehabilitation
• Expertly tailored strengthening plans
We focus on:
• Identifying the true source of pain
• Reducing irritation efficiently
• Building long-term pelvic stability
• Preventing recurrence
Quick improvement is important.
Lasting mechanical correction is essential.
If You’ve Tried Everything — But Still Hurt
Many patients with SI dysfunction have:
• Tried chiropractic adjustments
• Completed general PT
• Had injections
• Been told it’s “just back pain”
If your symptoms keep returning, it may be time for a more specialized evaluation.
When it comes to SI joint dysfunction, precision matters.
At Ace Physical Therapy and Wellness, you’re treated by one of the few recognized SI experts in the country — with the training and experience to identify what others often miss.
If your pain feels stubborn, asymmetric, or unresolved, there is a path forward.
And it starts with getting the diagnosis right.