Treatment of the sacroiliac region is complicated by lack of agreement on whether the sacroiliac joint moves and whether it is a source of pain. Most physical therapists believe that it can move and is a potential source of pain.
Treatment commonly focuses on realigning the sacroiliac joints. When malalignment is the problem, realignment can be the solution. Often times, however, malignment of the sacroiliac joint is not the primary problem but rather the symptom of another problem.

For instance, sacroiliac malalignment may be the result of hip dysfunction or back dysfunction (dysfunction can mean muscle imbalance, joint restriction or excessive joint motion). Correcting muscle imbalances around the lumbar spine, pelvis and hips often corrects sacroiliac malalignment and reduces pain.