Effective Relief for SI Joint Pain

Don't let sacroiliac joint pain control your life. Our expert physiotherapists in Ancaster & Hamilton identify the root cause to provide lasting relief.

Book My Assessment
5.0 on Google
No Referral Needed
Direct Billing Available
Registered Physiotherapist

Do You Have SI Joint Dysfunction?

This condition is a common cause of low back pain, but is frequently misdiagnosed. See if these symptoms sound familiar.

Pain localized to the low back, buttock, or groin
Pain that is typically one-sided
Discomfort that worsens with prolonged sitting or standing
Pain triggered by transitional movements (e.g., sit-to-stand)
Increased pain when standing on one leg
A feeling of pelvic instability or giving way
Pain that can refer down the back of the thigh
Stiffness in the lower back and pelvis, especially in the morning

Evidence-Based Treatment That Works

SI joint pain accounts for 15-30% of all chronic low back pain, yet it's often missed. We use a proven diagnostic process to confirm the source of your pain, ensuring your treatment is effective from day one.

Our approach combines hands-on manual therapy to restore joint mobility with a targeted exercise program to build the stability needed for long-term relief. We don't just chase symptoms; we fix the underlying problem.

Book My Assessment
Clean and modern physiotherapy treatment room at Interlink Physiotherapy

What Our Patients Say

"After months of frustrating lower back and hip pain, Dhiman identified it was my SI joint. The targeted exercises and hands-on work made a world of difference. I can finally sit and stand without that sharp pain!"

JM

Jessica M.

Hamilton

"I thought I'd have to give up running. The team at Interlink not only got me out of pain but also built up my core and hip strength to prevent it from coming back. So grateful for their expertise."

MT

Mark T.

Ancaster

"The post-partum pain in my pelvis was debilitating. The physiotherapy I received was gentle, effective, and so reassuring. I felt supported and understood throughout my recovery."

SL

Sarah L.

Hamilton

Dhiman, lead physiotherapist at Interlink Physiotherapy

A 3-Step Plan for Lasting Pelvic Stability

1

Accurate Diagnosis

We use a cluster of validated clinical tests (Laslett, 2005) to accurately diagnose SI joint dysfunction, distinguishing it from lumbar spine or hip issues to ensure your treatment is correctly targeted.

2

Hands-On Manual Therapy

Targeted manual therapy techniques are used to restore normal joint mechanics, release tight surrounding muscles (like the glutes and piriformis), and reduce pain and inflammation.

3

Targeted Stabilization Exercises

We prescribe specific exercises to strengthen the deep core and pelvic stabilizing muscles (like the transversus abdominis) that provide crucial support to the SI joint, preventing recurrence (Richardson, 2002).

Your Path to Recovery

We follow a clear, structured process to get you from pain to performance.

1

Initial Assessment

A deep dive into your symptoms, history, and movement patterns to pinpoint the exact cause of your SI joint pain.

2

Targeted Treatment

A combination of hands-on therapy to restore joint function and specific exercises to build stability and control.

3

Long-Term Prevention

We empower you with the knowledge and tools to manage your condition independently and prevent future flare-ups.

How Physiotherapy Compares

Making an informed choice is key to your recovery. Here’s how physiotherapy stacks up against other common approaches for SI joint pain.

Physiotherapy

Pros: Addresses the root cause of instability/dysfunction, provides long-term relief, and reduces recurrence risk.

Cons: Requires active patient participation and consistency with exercises.

Cortisone Injections

Pros: Can provide powerful short-term pain and inflammation relief.

Cons: Does not fix the underlying mechanical issue; pain often returns. Not a long-term solution.

Rest & Avoidance

Pros: May temporarily reduce acute pain.

Cons: Leads to deconditioning, muscle weakness, and increased joint instability, often worsening the problem over time.

Frequently Asked Questions

Clinical differentiation requires a thorough assessment. SI joint pain is typically more lateral and buttock-dominant, worsens with single-leg loading, and is reproduced by specific provocation tests. Lumbar pain is often more central and related to spinal movements. A physiotherapist can accurately diagnose the source.

Ready to Address Your SI Joint Pain?

A targeted physiotherapy plan can resolve SI joint pain for good. Book your initial assessment today and take the first step towards a pain-free life.

Expert care for your injury · No referral needed · Direct billing available

Not sure yet? Take our free 2-min quiz — a physio will review your answers and reach out.

Related Pelvic & Hip Conditions

Pain in the pelvic region is complex. Your SI joint issue might be related to or confused with these other conditions.

References

  1. Sembrano JN, Polly DW Jr. How often is low back pain not coming from the back?. Spine (Phila Pa 1976). 2009;34(1):E27-E32.
  2. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207-218.
  3. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794-819.
  4. Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976). 2002;27(4):399-405.