Sacroiliac Pain/ Pelvic Girdle Pain

Hip and Sacroiliac Pain

Hip and sacroiliac (SI) joint pain can arise from sporting activity, prolonged sitting, lifting or Sacroiliac joint (SIJ) pain can develop from strain through the lower back and pelvis, sporting activity, lifting or prolonged sitting. Many people experience pain around the buttock, lower back or pelvic region, along with stiffness through the pelvis or discomfort that may travel into the groin or upper thigh.

At Flinders Health and Wellness Clinic, our team assess how your pelvis, sacroiliac joints, lower back and surrounding muscles are functioning to help work with you on identifying possible contributing factors to your symptoms. In some situations pelvic or reproductive health factors may also influence pain in this region.

Treatment focuses on improving pelvic movement, reducing muscular tension and helping you return to comfortable daily activities. Where pelvic floor involvement or further internal assessment may be helpful, we may recommend working alongside pelvic health physiotherapists such as Flow Pelvic Floor Physio (https://flowpelvicphysio.com.au) or Mornington Peninsula Family Physiotherapy (https://www.mpfp.net.au) to support a more comprehensive approach to care.

Why People Seek Treatment:

Pain around the sacroiliac joint or buttock region Pelvic or lower back pain with walking, sitting or standing Pain turning in bed or getting out of a car Stiffness through the pelvis or discomfort with bending or lifting Pain travelling into the groin, hip or upper thigh If your symptoms include painful intercourse, urinary leakage, bowel continence concerns or other pelvic floor symptoms, assessment with a pelvic health physiotherapist is recommended, as these concerns are best managed by clinicians trained in pelvic floor assessment and treatment.

How We Manage:

Treatment is tailored to your sensitivity and the underlying drivers of sacroiliac joint pain. This may include techniques aimed at improving movement through the pelvis and lower back while reducing tension in surrounding muscles and supporting pelvic stability.

Care may include dry needling, gentle mobilisation, soft tissue release and practical strategies to help you manage symptoms. We focus on improving pelvic movement, core stability and supporting long-term recovery through education and active management.

While we assess the interaction between the pelvis, surrounding muscles and pelvic floor function, osteopathic treatment does not involve internal pelvic floor assessment. Where more detailed pelvic floor evaluation or internal assessment may be beneficial, this is best performed by a pelvic health physiotherapist to support a comprehensive and collaborative approach to care.

Goals for Treatment:

Reducing sacroiliac joint pain, buttock discomfort or pelvic stiffness
Offers non-medication-based pain management
Improving pelvic movement and mobility through the sacroiliac joints
Identifying posture, lifting or activity factors which may influence your symptoms
Supporting pelvic stability and surrounding muscle function
Building a consistent routine for self-management and rehabilitation

Treatment may include: dry needling, joint mobilisation, joint manipulation, muscle energy techniques, soft tissue massage, stretching and movement-based rehabilitation.