Search Courses

Date From:
Date To:

Combined Approach to the Sacroiliac Joint

Cost: £250.00 (inc vat)
Course Flyer (pdf): Download PDF


Howard Turner BSc BAppSc (PHTY) Chartered Physiotherapist

Course author and tutor Howard Turner is an Australian-trained Chartered Physiotherapist and a part-time teaching fellow at Bath University and specialist external lecturer at Birmingham University, Queen Mary University of London, Kings College London and Keele University, lecturing on the pelvis, the hip and groin, clinical reasoning and the lumbar spine. He works in private practice and has Consulted for British Cycling, UK Athletics, the English Institute of Sport, British Olympics and Paralympics, British Swimming and various other professional clubs and sporting bodies.

Why the SIJ

It would appear obvious from the anatomy of the region that the sacroiliac joints are of crucial structural importance. The sacrum has been called the keystone of the pelvis and the foundation of the spine. In saying that “…the pelvic girdle is the crossroads of the body, its architectural centre (and) the meeting place of the locomotor apparatus…” Fred Mitchell, the creator of Muscle Energy Technique, expressed the importance of their function in interposing the forces ascending through the lower limbs and descending through the trunk. Despite these structural relationships, treatment of the pelvis is missing from most undergraduate physiotherapy courses and is considered by some to be unnecessary. This contrasts with many ‘alternative’approaches that consider pelvic treatment to be of fundamental importance. Research has clarified the situation. It is increasingly evident that the shock absorbing torsional control provided by the sacroiliac joints is vital to the health of the spine and vital to the performance of the stabilising musculature in the surrounding area. The degree of motion may be small, but a disruption of control of that movement can have far-reaching consequences. As well as specific SIJ pain, disorders of the pelvis are clinically related to lumbar mediated pain, to disorders of lower limb rotational control such as patellofemoral pain, ITB and hip problems, tibial and foot pain, and disorders further up the kinetic chain such as shoulder and neck pain. It may be going to far to insist, as one prominent alternative therapist does, that “…9 out of every 10 cases of back pain are due, without exception, to pelvic misalignment…” but nevertheless it is a fascinating area to understand and a rewarding one to treat. Learning to effectively manage disorders of the pelvis will be a valuable addition to the arsenal of any manual therapist.


Course Description

Low back and pelvic pain, hip, groin and lower limb symptoms are amongst the most common symptoms seen in the sporting and general patient population alike, and are often chronic and recurrent. The manual therapist faces the challenge of identifying and attempting to correct the myriad predisposing causes of these presentations.


Interposing the forces affecting the trunk and the lower limb is the pelvis, and research is gradually clarifying its role in attenuating the load transfer through this area. The sacroiliac joints and pubis are well-established sources of pain in their own right but in addition, alteration of the normal functional dynamics of the pelvis has been shown to be associated with increased hamstring activity, inhibition of the glutei, alterations in coordination of the vastii at the knee, and changes to coordination and control around the trunk, so can be involved in a wide variety of trunk and lower limb pathologies.


Treatment to the pelvis is clinically effective in improving movement and control and a precise assessment of the pelvis can reveal valuable information about the nature of neuromuscular deficit that requires specific rehabilitation.


This intensively practical and clinically orientated course will guide participants through the assessment treatment and management of pelvic movement and control dysfunction

Course Objectives

·         To enhance the delegate’s knowledge of sacroiliac biomechanics and pathomechanics in view of current management strategies and recent research findings

·         To enhance delegate’s manual skills in the effective management of sacroiliac dysfunction


Upon completion of the course, delegates should be able to perform the following:

·         Assess and interpret pelvic motion patterns

·         Effectively utilise muscle energy techniques, mobilisation and manipulation to optimise pelvic symmetry and motion

·         Effectively manage sacroiliac instability with manual treatment and exercise programmes

·         Integrate management of sacroiliac motion dysfunction with management of adjacent dysfunction

·         Recognise the contribution of SIJ dysfunction to lower limb and other disorders




This course is suitable for all manual therapists with a basic knowlege of anatomy & biomechanics