192- Have Low Back or Pelvic Pain? // All About SIJ Dysfunction (And What to Do About It)
Author: Dr. Desiree Cassell | Pelvic Floor Physical Therapist, Women’s Health Specialist, Strong and Fit Momma
May 20, 2026
Duration: 32:20
Pain on one side of your low back? Sharp discomfort when rolling in bed, climbing stairs, getting out of the car, or carrying your baby?
It might not be “just back pain.”
In this episode, Dr. Des breaks down sacroiliac (SI) joint pain — a common but often misunderstood source of low back, buttock, hip, and pelvic pain, especially during pregnancy and postpartum.
You’ll learn what the SI joint does, why women are particularly prone to SI joint dysfunction, how the pelvic floor and core play a crucial role in stability, and what strategies can help you feel stronger and move with less pain.
If you’ve ever been told your pelvis is “out of alignment” or you’ve been stretching endlessly without lasting relief, this episode will help you understand what may really be going on.
In This Episode, We Explore:
What the sacroiliac (SI) joint is and why it matters
Common symptoms of SI joint pain
Why pregnancy and postpartum increase the risk of pelvic instability
How the pelvic floor, core, and glutes support the SI joint
The myth of being “out of alignment”
Why stability often matters more than stretching
Practical strategies to reduce SI joint pain and improve function
When to seek pelvic floor physical therapy
Common Symptoms of SI Joint Pain
One-sided low back pain
Pain near the dimples of the lower back
Buttock or hip pain
Groin pain
Pain rolling in bed
Pain with stairs or single-leg activities
Pain when carrying your baby
Discomfort during pregnancy or postpartum
Why This Matters
The SI joint serves as a key connection point between your spine and legs. When your core, pelvic floor, and hips are not coordinating well, this area can become irritated and painful.
The good news? Most SI joint pain responds very well to the right combination of:
✨ Breathwork ✨ Mobility and release work ✨ Glute and core strengthening ✨ Pressure management ✨ Functional movement strategies
This is exactly the whole-body approach we use inside the Pelvic Floor, Core & More App and RESTORE.
Ready to Feel Stronger and Move with Less Pain?
Inside the app, you’ll find guided workouts, symptom-specific masterclasses, and step-by-step programs designed to help you reduce pain, rebuild strength, and reconnect with your body.
✨ Learn more here: https://balancedmomtality.com/the-app
Want a Guided Healing and Rehab Program to Help You Reconnect and RESTORE?
If you’re ready to rebuild your core and pelvic floor with a structured, step-by-step plan, check out RESTORE, my 12-week pelvic floor and core rehabilitation program inside the Pelvic Floor, Core & More App.
Inside RESTORE you’ll learn how to:
✔ release tension and improve mobility ✔ reconnect breath and pelvic floor coordination ✔ strengthen your core safely ✔ progress back to lifting, running, and higher-impact activities
All with guided lessons, workouts, and support from a pelvic floor physical therapist.
Inside RESTORE you’ll get: ✔️ 12 weeks of progressive breathwork, mobility & strength ✔️ 5- and 20-minute workouts to fit your life ✔️ Deep pelvic floor education (with zero fluff) ✔️ Real-life tools to reduce pain, improve leaks, and feel like YOU again ✔️ Access to our private community and support
Inside RESTORE, we cover:
Breathwork + pelvic floor connection
Mobility + posture
Nervous system regulation
Core control + strength building
Real-life application to everyday movement
And how to stop leaking, rushing to the bathroom, or feeling disconnected from your core
You’ll walk away from RESTORE with clarity, confidence, and a body you trust again.
JOIN RESTORE NOW FOR INSTANT ACCESS TO LESSONS AND EXERCISES!! JOIN NOW AND SAVE %50!!
https://pelvic-floor-core-more.passion.io/checkout/86181d29-9811-4a33-80df-a82de21fa8fe
Or
💎 Learn More About RESTORE below, my 12-week program that walks you step by step through pelvic floor and core healing — so you can stop leaking, reduce prolapse symptoms, and feel strong again.
https://balanced