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Most people who suffer from this problem can reduce the pain and manage the problem with simple methods. At the lower end of the spine, just below the. Lower trunk rotation 3 x 30 seconds, bilaterally, 2 to 3 times a day at home · supine piriformis. To understand the pain, you need to understand the joint itself. The si joint has a large number of free nerve endings (known as a synovial. Exercise, specifically stretching, can be used to manipulate this area and reduce pain and the underlying causes. Resting the joint and. Physical therapy can help provide strengthening and pelvic stabilization exercises to reduce the movement in the si joint. Si belt wraps around the hips to. Lying on the ground with knees bent and feet flat on the floor, slowly clench your muscles to raise your pelvis off the floor. Try low-impact movements – you can strengthen your si joint and increase its range of motion with low impact movements, such as aerobic exercises and hip or. 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