When “Low Back Pain” Isn’t Just Low Back Pain
If your pain sits deep in your hips, tailbone, or low back — and nothing shows up on x-rays or MRIs — your SI joints may be the missing piece. Many people with EDS, HSD, and Hypermobility quietly struggle with SI joint instability without realizing what’s actually happening inside their pelvis. And when the foundation is unstable, everything else feels harder.
Why the SI Joint Is So Vulnerable
The sacroiliac joints connect your spine to your pelvis. They are meant to be strong and steady. In hypermobile bodies, the ligaments that hold these joints together are often too lax to provide stability. This creates a feeling of shifting, pinching, burning, or deep aching that can radiate into the hips, groin, or legs.
Pain here is mechanical. It comes from instability, not inflammation — which is why imaging often looks “normal.”
Why SI Belts Can Be Game-Changers
An SI belt gently compresses and stabilizes the pelvis from the outside. It gives your ligaments the support they cannot provide on their own. For many hypermobile patients, this instantly reduces pain, improves walking tolerance, and increases confidence with movement.
This is especially helpful during longer walks, standing events, travel days, household chores, and workouts. It’s not about wearing it all day forever — it’s about using it strategically when your body needs backup.
Almost every day in my clinic I will see a hypermobile patient who can’t activate their muscles in their hip and pelvis. Then I put an SI belt on them, and bam, instantly they can use their muscles. Unstrap the SI belt and they go right back to being a limp noodle.
Strength Is What Makes the Support Stick
Belts stabilize. Muscles protect.
Long-term relief comes from strengthening the hips, glutes, pelvic stabilizers, and deep core. These muscles act like a natural brace around your SI joints. When they are strong, your body relies less on passive structures like ligaments — and pain becomes easier to control.
Strength training for hypermobility must be slow, controlled, and specific. Done correctly, it can be life-changing.
You’re Not Weak — You’re Unstable
SI pain is not a failure. It’s a mechanical problem with a mechanical solution. With the right support and strengthening plan, many people regain freedom in their movement and confidence in their bodies again.
You deserve stability.
Share Your Story
Have you tried an SI belt or worked on pelvic stability? What helped you the most? Your experience might help someone else finally find relief.
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Warm regards,
The Hypermobile Solutions Team
References
Home. The Ehlers Danlos Society. https://www.ehlers-danlos.com/
What is HSD?. The Ehlers Danlos Society. https://www.ehlers-danlos.com/what-is-hsd/
What is eds?. The Ehlers Danlos Society. https://www.ehlers-danlos.com/what-is-eds/
Jovin, D., Atwal, P., Herman, K., Block, N., Maxwell, A. J., Mitakides, J., Maitland, A. M., Saperstein, D., Hamilton, M., Schofield, J., Koby, M., Klinge, P., McElroy, A., Bluestein, L., Chopra, P., Tishler, J., Pocinki, A. G., Varga, J., Dempsey, T., … Lane, K. (2020). Disjointed: Navigating the diagnosis and management of Hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders. Hidden Stripes Publications, Inc.
Smith, C., & Wicks, D. (2017). Understanding Hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder: (previously known as Ehlers-Danlos Syndrome Hypermobility Type & Joint Hypermobility Syndrome, respectively). Redcliff-House Publications.
Cox, C. (2022). Holding it all together when you’re Hypermobile. Journey2Joy
Afrin, L. B. (2016). Never bet against Occam: Mast cell activation disease and the modern epidemics of chronic illness and medical complexity. Sisters Media, LLC.
Freeman, K., Goldstein, D. S., & Thompson, C. R. (2025). The dysautonomia project: Understanding autonomic nervous system disorders (2nd ed.). Bardolf.
Disclaimer
This blog is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no provider/patient relationship is formed. The use of information on this blog or materials linked from this blog is at the user’s own risk. The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.