The Optimal Body

432 | SI Joint Clicking, Popping or Causing Pain? Especially in Pregnancy & Postpartum?


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In this episode of the Optimal Body Podcast, Dr. Jen and Dr. Dom, both Doctors of Physical Therapy, discuss the sacroiliac joint (SI Joint), addressing common concerns about clicking, popping, and pain—especially during pregnancy and postpartum. They explain the anatomy, debunk myths about SI joint displacement, and share practical strategies for managing discomfort, including breathwork, progressive exercise, and mobility. The hosts emphasize early intervention, movement over inactivity, and the importance of building stability through tailored exercises to help manage SI joint pain and other discomforts that can arise during pregnancy.

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What You'll Learn:

02:47 Jen shares her postpartum SI joint clunking experience and addresses a listener’s question about ongoing symptoms.

04:54 Discussion on whether clinicians can actually feel SI joint movement and the limitations of manual assessment.

06:44 Explains causes of SI joint noises, including hormonal changes, connective tissue laxity, and hypermobility.

10:12 Jen describes her postpartum experience with SI joint noises and how she managed them mentally and physically.

12:55 Addresses common fears about movement with SI joint pain and emphasizes the need for progressive loading.

14:50 Importance of early exercise intervention during pregnancy for SI joint pain management.

16:53 Hands-on treatments provide short-term relief, but long-term improvement requires exercise and progressive overload.

18:53 Instructions on using breathwork and ribcage expansion to improve core and pelvic floor coordination.

20:18 Phase 1: Recommendation to start with slow, focused breathing to build pelvic and core stability.

21:42 Phase 2...

For full show notes and resources visit https://jen.health/podcast/432


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The Optimal BodyBy Dr Jen Fraboni & Dr Dom Fraboni

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