Ep. 22 Solving SIJ Issues: The Hidden Fix Nobody Talks About

In this episode of The Soft Tissue OT Podcast, we dive deep into one of the most misunderstood sources of low back and pelvic pain — the sacroiliac joint (SIJ).

We start by breaking down the common signs and symptoms of SIJ dysfunction and why it's often misdiagnosed or missed altogether. Then, we reveal what most people — even many clinicians — get wrong about SIJ issues, and why a surface-level approach often leads to poor outcomes.

You’ll also learn about the critical importance of force-coupling — the coordinated activation of specific muscles to stabilize the SIJ — and why simply stretching or strengthening is never enough without proper patterning.

Finally, we guide you through the principles of correct SIJ rehabilitation: what needs to be done, what mistakes to avoid, and how to truly restore stability and function.

Whether you're a clinician, a student, or someone dealing with stubborn low back or pelvic pain, this episode will give you a clear roadmap.

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