Sacroiliac (SI) Joint Pain Treatment in Mineola, NY

MULLIGAN CONCEPT

Sacroiliac (SI) Joint Pain

SI joint pain is felt low in the back, usually on one side, where the spine meets the pelvis, and can spread into the buttock. At Enhanced Physical Therapy in Mineola, we use Mulligan pelvic and hip mobilization with movement, belt support and strengthening to help you stand, walk and roll over in bed more comfortably.

Certified Mulligan Practitioner Over 10 Years of Experience

Our clinics director is a Certified Mulligan Practitioner (CMP) with over a decade
of experience using this evidence-based approach. Each treatment is customized to
your specific diagnosis and movement limitations to achieve optimal outcomes.

Common signs of sacroiliac (SI) joint pain

Pain on one side of the low back or buttock
Pain standing on one leg, climbing stairs or getting out of a car
Pain rolling over in bed
Pain that may spread into the back of the thigh
Pain after pregnancy or childbirth

What causes it

The SI joints pass load between the spine and the legs. Pregnancy and the months after childbirth, falls, uneven loading and weak hip muscles can all contribute.

How we examine it

Before any hands-on treatment, we ask about your health and screen for anything that needs a doctor first. We use a group of clinical tests to see whether the SI joint is a likely source, and check the low back and hip. We test Mulligan glides during the movements that hurt.

Mulligan techniques we use

SI joint MWM. A gentle glide of the pelvis while you bend forward or back.
Hip rotation MWM. A glide at the hip that can ease SI pain.
Pelvic belt. A belt to support the pelvis during activity and exercise.
Lumbar SNAGs. If the low back is also involved.

What the research says

Small randomized trials have found Mulligan techniques can reduce SI joint pain. A preliminary trial in women more than six months after a caesarean birth found adding SI joint mobilization to stabilization exercise reduced pain more than exercise alone. The research is early, so we combine it with strengthening.

What else is in your treatment plan

Your plan includes manual therapy, belt support where helpful, hip and core strengthening and advice on daily tasks and lifting children.

How long recovery takes

Many people improve over 4 to 8 weeks.

When to see a doctor first

Call your doctor, or get urgent care, if you have any of the following:

Numbness in the saddle area or bladder or bowel changes: go to the emergency room
Fever or unexplained weight loss
Severe pain after a fall
Morning stiffness lasting over an hour with other joints affected
Pelvic pain during pregnancy that is severe or comes with bleeding or contractions: call your doctor

Sacroiliac (SI) joint pain treatment near Mineola

Enhanced Physical Therapy is at 137 Willis Ave, Suite 100, Mineola, NY 11501, a short walk from NYU Langone Hospital-Long Island. We see patients from Mineola, Garden City, Williston Park, New Hyde Park, Carle Place, Westbury, Albertson and Manhasset, and across central Nassau County.

Frequently asked questions

How do I know my pain is from the SI joint?

A set of clinical tests can point to it, along with where you feel the pain.

Can you treat SI pain after having a baby?

Yes. We see many new mothers. Pregnancy itself needs extra care and your doctor's approval.

Do SI belts help?

A pelvic belt can reduce pain during activity for some people.

Is SI joint pain the same as sciatica?

No, though SI pain can spread into the buttock and thigh. Our exam separates them.

Written and clinically reviewed by Jacob Kurian, PT, MSPT, CMP, DPT, Certified Mulligan Practitioner, Enhanced Physical Therapy, Mineola NY. Last updated October 14, 2026.

Move Better, Feel Better

If this is limiting your work, sleep or activity, call Enhanced Physical Therapy at (516) 833-5880 to book an evaluation with Jacob Kurian, Certified Mulligan Practitioner. Mulligan treatment may help reduce pain and improve movement, and we will tell you honestly what to expect.