The SI Joint: Hidden Culprit Behind Your Back Pain | Ep 90

EPISODE · Jul 30, 2025 · 22 MIN

The SI Joint: Hidden Culprit Behind Your Back Pain | Ep 90

from The Driven Athlete · host Dr. Kyle Volstad, PT, DPT, OCS, FAAOMPT, CSCS

Persistent back pain doesn't just appear out of nowhere. For active individuals, the sacroiliac (SI) joint often lurks as the hidden culprit behind nagging discomfort that's mistakenly attributed to hamstring strains, general back problems, or even hip issues.The sacroiliac joint—where your sacrum (tailbone) meets your ilium (pelvis)—plays a crucial role in transferring forces between your upper body and lower extremities. Despite only moving millimeters, its proper function is vital for pain-free movement in running, lunging, and virtually all athletic activities. When muscle imbalances create asymmetrical forces across the pelvis, the SI joint can be gradually pulled into dysfunction, creating abnormal stresses and subsequent pain.This podcast delves into the biomechanics of SI joint dysfunction, exploring how large muscle groups like the psoas, quadratus lumborum, erector spinae, and gluteal muscles influence pelvic positioning. Youth athletes with developing coordination and postpartum women affected by hormonal changes are particularly susceptible to these issues. The episode highlights a revealing case study of a 17-year-old football player whose persistent "hamstring pain" completely resolved with SI joint treatment—without ever touching the hamstring itself.Most importantly, you'll discover why the missing link in treating SI joint dysfunction is proper manual therapy combined with targeted soft tissue work and specific corrective exercises. Many athletes suffer needlessly, missing valuable playing time while pursuing ineffective treatments that focus on symptoms rather than addressing the root biomechanical cause.Whether you're an active individual battling persistent pain or a healthcare provider looking to better serve your athletic patients, this episode provides crucial insights that could transform your approach to back pain. Reach out to us if you're struggling with stubborn pain that conventional treatments haven't resolved—because there's no reason why healthy individuals should be sidelined by pain that has a clear biomechanical solution.

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The SI Joint: Hidden Culprit Behind Your Back Pain | Ep 90

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