SI Joint & Orthopedic Concerns
Sometimes stubborn back, hip, or pelvic pain requires looking at more than the area that hurts. At Pathway, we provide SI joint physical therapy in Boca Raton with an individualized approach that considers how the pelvis, spine, hips, deep core, and pelvic floor may be working together.
If you have already tried physical therapy for recurring low back, hip, buttock, or SI joint pain but your symptoms continue to return, an evaluation that also considers the pelvis and pelvic floor may uncover another piece of the puzzle.
Sacroiliac Joint Concerns
The sacroiliac, or SI, joints are located where the sacrum meets the pelvis, with one joint on each side. Symptoms involving this region are commonly felt in the low back, buttock, or posterior pelvis and may sometimes extend into the hip, thigh, or leg.
Because symptoms in this area can overlap with other musculoskeletal and nerve-related conditions, determining what is actually contributing to your pain requires looking beyond location alone.
Where Pelvic Health PT Fits In
Pelvic health physical therapists have additional training to assess how the pelvic floor, deep core, hips, spine, breathing mechanics, and pressure-management system work together.
The pelvic floor does not function in isolation. It coordinates with the abdominal wall, diaphragm, spinal muscles, and hip musculature during everyday activities such as walking, lifting, exercising, coughing, and changing positions.
When one part of this system is overworking, under-recruiting, poorly coordinated, or compensating for another area, it may contribute to persistent symptoms. This does not mean every case of back or hip pain comes from the pelvic floor — but when symptoms have been stubborn or recurrent, it may be an important area to assess.
How Physical Therapy Can Help With SI Joint Pain
Your evaluation looks at how the joints, muscles, nerves, connective tissues, breathing patterns, and movement strategies relate to one another and to your symptoms. We may assess the lumbar spine, SI joints, hips, abdominal wall, deep core, and pelvic floor when appropriate.
Treatment is based on what we find rather than simply where you hurt. Depending on your individual needs, care may include hands-on treatment, mobility work, strengthening, coordination training, breathing and pressure-management strategies, and progressive exercise designed to help you move with greater comfort, stability, and confidence.