Hip & Back Pain Treatment
When Hip & Back Pain Won't Go Away
The missing link in chronic hip and back pain is often the pelvic floor. Get treatment that addresses the root cause—not just the symptoms.
The Pelvic Floor Connection
Why Your Back or Hip Pain Isn't Getting Better
You've tried everything for your back or hip pain—chiropractors, massage, stretching, regular physical therapy. Maybe it helps for a few days, but the pain always comes back.
There's a reason: the root cause hasn't been addressed.
Your pelvic floor muscles are the foundation of your core. They work with your deep abdominal muscles, diaphragm, and spine to stabilize your pelvis and support your entire trunk. When these muscles are weak, tight, or poorly coordinated—which is extremely common after pregnancy, surgery, or prolonged sitting—your back and hips compensate. That compensation creates pain.
Dr. Danaya evaluates the whole system—pelvic floor, core, hips, and spine together—to find what's actually driving your pain. For many women, addressing the pelvic floor component is the missing piece that finally provides lasting relief.
Conditions We Treat
Types of Hip & Back Pain We See
Chronic Low Back Pain
Persistent back pain that hasn't responded to traditional treatment. Often caused by deep core and pelvic floor weakness that leaves the spine unsupported—especially common postpartum.
SI Joint Pain & Instability
Pain at the sacroiliac joint (where your spine meets your pelvis). Feels like deep aching in one side of your low back or buttock. Very common during and after pregnancy due to ligament laxity.
Learn more about SI joint pain →Hip Pain That Won't Resolve
Persistent hip pain—front, side, or deep in the joint—that doesn't improve with stretching or traditional PT. Often connected to pelvic floor tension or core instability.
Sciatica & Nerve Pain
Shooting, burning, or tingling pain down the leg. While often attributed to disc issues, pelvic floor tightness and piriformis tension can compress or irritate the sciatic nerve.
Learn about pelvic floor muscle spasm →Tailbone Pain (Coccydynia)
Pain in or around the tailbone, especially with sitting, transitioning from sitting to standing, or during bowel movements. Often caused by pelvic floor muscle tension or birth-related trauma.
Learn more about tailbone pain treatment →Pubic Symphysis Pain
Pain at the front of the pelvis where the pubic bones meet. Common during pregnancy and postpartum. Can make walking, rolling in bed, or standing on one leg painful.
Learn more about pelvic girdle pain →Piriformis Syndrome
Deep buttock pain caused by tightness in the piriformis muscle, which sits close to the pelvic floor. Can mimic sciatica and often co-exists with pelvic floor dysfunction.
Postpartum Back Pain
Back pain that started during pregnancy and never fully resolved after delivery. Often a combination of diastasis recti, pelvic floor weakness, and alignment changes that need targeted rehabilitation.
Learn about diastasis recti →How PT Helps
A Whole-Body Approach to Lasting Relief
Unlike traditional physical therapy that focuses only on the spine or hip, pelvic floor PT addresses the entire system that supports your pelvis and trunk. This whole-body approach is why it often succeeds where other treatments have failed.
Treatment Includes:
- Pelvic Floor Assessment: Evaluating whether your pelvic floor muscles are contributing to your pain through weakness, tightness, or poor coordination
- Deep Core Rehabilitation: Rebuilding the connection between your pelvic floor, deep abdominals, and diaphragm for true stability
- Manual Therapy: Hands-on treatment of tight muscles, trigger points, and restricted joints in the pelvis, hips, and spine
- Alignment Correction: Addressing postural habits and movement patterns that contribute to pain
- Breathing Strategies: Using your diaphragm properly to support the core and reduce strain on the back
- Strength & Stability Training: Progressive exercises to build lasting support for your pelvis and spine
- Dry Needling: Thin needles target trigger points and tight muscle bands to release deep tension and reduce pain
- Activity Modification: Learning how to lift, carry, and move without aggravating your pain
Who This Helps
- Postpartum moms whose back or hip pain never resolved after pregnancy
- Women with desk jobs dealing with chronic sitting-related pain
- Athletes with hip or back pain that limits their training
- Anyone whose chronic pain hasn't improved with other treatments
Patient Stories
What Patients Say
“I have struggled with mid and lower back pain for nearly a decade. My wife came in for treatment with Dr. Danaya and recommended that I come in. She was very knowledgeable and thoughtful in helping me. I feel like I have seen substantial improvement and have the tools now to continue strengthening and healing.”
— Joseph Prince — Chronic Back Pain
*Reviews reflect Dr. Danaya’s work at her previous Utah Valley practice
Common Questions
What You Need to Know
Can pelvic floor PT really help my back pain?
Yes! Many cases of chronic low back pain have a pelvic floor component that gets missed. When pelvic floor muscles are weak or dysfunctional, your back compensates. Addressing both together often resolves pain that other treatments haven't.
I've had hip pain for years and nothing has helped. Is this different?
Pelvic floor PT looks at the whole system—hips, pelvis, core, and pelvic floor together. Many hip pain cases are driven by pelvic floor dysfunction, SI joint instability, or core weakness that traditional PT doesn't address.
Is my back pain related to having babies?
Very possibly. Pregnancy changes your alignment, loosens ligaments, and weakens your deep core and pelvic floor. Many women develop chronic back or hip pain postpartum that doesn't resolve without targeted pelvic floor rehabilitation.
How is this different from regular physical therapy?
Regular PT focuses on the spine and surrounding muscles. Pelvic floor PT addresses the deep core system—including pelvic floor muscles, diaphragm, and transverse abdominis—that are often the missing piece in chronic back and hip pain.
How long will treatment take?
Most patients notice improvement within 4-6 sessions. Significant relief typically comes around 8-12 sessions. Chronic, long-standing pain may take longer, but consistency with treatment and home exercises accelerates progress.
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Ready to Find the Root Cause?
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Let's figure out why your hip or back pain hasn't resolved and create a plan that addresses the real cause—including your pelvic floor.
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