SACROILIAC JOINT DYSFUNCTION
& FUNCTIONAL STABILITY REHABILITATION

SIJ dysfunction and instability can be life-limiting - affecting walking, standing, turning in bed, stairs, lifting, and pregnancy/postpartum recovery. It is often treated as a local joint problem with generic “core exercises,” yet the SIJ is a load-transfer system influenced by the hips, lumbar spine, gait mechanics, and nervous system strategies.
 

This service exists to restore functional pelvic stability using biomechanics, load-transfer control, and progressive integration into real life.

 

 

Who this service is for:

• Suspected or confirmed SIJ dysfunction/instability

• Hypermobility/EDS-related pelvic instability

• Pregnancy/postpartum pelvic pain and instability

• Persistent buttock/low back/pelvic pain not responding to standard care

• Post-lumbar surgery patients with pelvic load intolerance

 

 

What makes this different:

• Force-closure and load-transfer strategies, not generic core work

• Focus on why the pelvis is failing under load (walking, single-leg tasks, rotation)

• Integration of feet/hips/lumbar spine mechanics

• Progression based on functional tasks, not isolated exercises

• Clear plan to reduce recurrence and build long-term resilience

 

 

What to expect:

• Load-transfer testing (how you handle asymmetrical load)

• Gait and single-leg function assessment

• Hip strength/control assessment (glute function and compensations)

• Lumbo-pelvic coordination analysis

• Staged program: stabilise → load → integrate into life tasks

• Clear activity modification and pacing plan during flare periods

 

 

Functional outcomes:

• Reduced pelvic pain and instability episodes

• Improved walking, standing, stairs, and lifting tolerance

• Increased confidence with movement and daily tasks

• Reduced flare cycles and recurrence risk

• Clear roadmap for pregnancy/postpartum demands where relevant

 

 

How this integrates with specialist care:

• Coordination with GP, women’s health providers, imaging providers when needed

• If symptoms overlap with spinal pathology: alignment with neurosurgeon or specialist opinions

• Integration supports safe decision-making and avoids conflicting guidance

 

 

Who leads your care:

Led by Vincent Fu, with co-management pathways when needed (women’s health, medical specialists, strength integration, psychology for persistent pain patterns).

 

 

Our philosophy:

SIJ problems improve when we restore load transfer, not just “core strength.” The goal is durable pelvic function in the real world - walking, parenting, work, training, and life.

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