Sacroiliac joint pain
Pain low and to one side of the back, over the joint between the spine and pelvis.
By Andrew Ellis, AHPRA registered physiotherapist · Reviewed July 2026
What it is
The sacroiliac joints connect the base of the spine to the pelvis. They can become painful from strain, pregnancy or altered load, causing pain low and to one side of the back, sometimes spreading into the buttock or groin.
Signs and symptoms
Everyone is different, but these are common with sacroiliac joint pain. You may have some and not others.
How physiotherapy helps
We assess to confirm the joint is involved, then use hands on therapy to settle it and a targeted program to improve control and strength around the pelvis. We give clear advice on the positions and loads that aggravate it so it can calm down.
- Pelvis and back assessment
- Hands on therapy
- Pelvic control and strengthening
- Load and position advice
How we treat it
The right mix depends on your assessment. These are the services we most often draw on for this.
Spinal and joint mobilisation
Gentle, controlled movement to improve a stiff joint and ease the pain that comes with it.
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Exercise and rehabilitation
Tailored programs to rebuild mobility, strength and confidence in the movements that matter to you.
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Soft tissue release
Skilled hands on work through muscles, tendons and ligaments to ease tension and restore flexibility.
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Trigger point dry needling
Fine needles into trigger points to release muscle tension and ease referred pain. A core focus at PACT.
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What you will actually pay
The full fee is $165 for an initial visit and $142 for a follow up, and every appointment is a full, unhurried session with the time to work through complex, persistent problems. Once your cover is applied, here is what you actually pay.
Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.
A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.
The usual out of pocket once you claim on the spot, depending on your level of cover.
Nothing for you to pay at any visit. Accepted workers compensation and CTP motor accident claims are billed straight to your insurer, and we handle the paperwork.
The bars compare what an initial and a follow up visit cost you on each pathway.
See full fees and rebates. Telehealth with PACT Virtual Care is charged at the same rates, Australia wide.
Other problems we help with
Pain rarely sits in one neat box. These are commonly linked, and we treat them all.
Good to know before you book
I am pregnant, can you still help?
How much will it cost?
Do I need a referral?
Can it be managed by telehealth?
Sources and further reading
Written and reviewed by Andrew Ellis, AHPRA registered physiotherapist. Last reviewed July 2026.
This page is general information about sacroiliac joint pain, not a diagnosis or a substitute for an assessment. If you are concerned about your symptoms, book an appointment or see your GP.
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Same day appointments often available at our Miranda clinic, or by telehealth across Australia.