
S.I. Joint Dysfunction: The where, what, why, who and when of treatment
SI joint pain explained: where the joint is, what goes wrong, who gets it, and treatments from self-management and PT to injections and surgery.
Back, hip or pelvic pain? One-on-one orthopedic PT that gets you out of pain and back to the stuff you love: the game, the garden, the gym, whatever that is for you.
Getting you out of pain is the start. Getting you back to your life is the point.

We treat a wide range of orthopedic problems. These are the ones we're especially good at.
Sore after lifting, gardening or a long car ride
On the stairs, getting out of the car, or after a couple of games
That deep ache near the dimples of your low back, or at the front of your pelvis
Your back one week, your hip the next
You did the PT, it got better, and then it came back
You've been told everything looks normal, but it doesn't feel normal
During pregnancy, after, or years later
They often go together, so we treat both
Been told it's just your age and to take it easy? Common doesn't mean normal, and “take it easy” isn't a plan.
Rest, a heating pad and a sheet of stretches can calm pain down for a while. If it keeps coming back, something underneath hasn't changed.
Your pelvic floor and deep core are what hold you steady when you lift, swing, carry or climb stairs. When they're too weak, too tight or out of sync, your back and hips pick up the slack. And they complain about it.
That's why some people “do all the right exercises” and still don't get better. Every one of our PTs is trained in both orthopedics and pelvic health, so we check the piece that often gets skipped.

I came to Peak RX with a pronounced limp and considerable pain from a fall that I took a few years ago. I was told by an orthopedic doctor that I could try physical therapy but would probably need to have a hip replacement when the pain got too intense to bare. He said arthritis had set up in my hip. I went to another physical therapy practice and didn’t get relief. A friend of mine recommended that I see Brook at Peak RX and I decided to give it a try. In a single evaluation, she told me that arthritis was not my problem and explained what was going on. She had me start working with Kathleen and within a matter of a few months, I was walking without a limp and mostly pain free! What a blessing! I have referred many people to Peak RX without hesitation and will continue to do so.
Jennifer T.
Jul 2025 · Google review
I've been lifting weights for 30 years and my right shoulder started acting up - painful enough to avoided any pushing movements. So I went to PeakRx. I'm a coach and I've sent my clients there in the past, so I already knew they are great. In 4 sessions of working with Michael and applying the exercises on my own as well, my shoulder is practically pain-free. I know in just a couple more weeks it will be back at 100%. The best news is that I can still do all the lifting, and I have new, improved movements patterns and warm-ups to prevent future problems.
Debra H.
Nov 2023 · Google review
I have been trying other PT clinics referred by my ortho and had not had the results desired. Still had pain and inflammation. It took no more than 2 sessions to change my exercise routine and being able to fully bend my knee without any pain. They took the time to assess my needs and tailored workouts for my injury and after a couple of weeks the results are amazing. I continue to see them for strengthening, and my pain is totally resolved. Best PT in town!!
Karina O.
May 2026 · Google review

What hurts, when it started, what you've tried, and what you want to get back to.
How you walk, bend, lift and breathe, and how your hips, back, core and pelvic floor work together. Bring the move that hurts and we'll check your form. Internal exam only if it's relevant, and only with your OK.
You'll leave knowing what's going on and what to do about it. The goal isn't just less pain. It's getting you further than you thought you could go.
Pickleball a few mornings a week. Lifting for your bones. Chasing grandkids around the backyard. If your back or hips have started making those calls for you, let's fix that.
Started lifting for bone density and not sure your back agrees? Bring your workout. We'll check your form, fix what's off, and build you a plan.
Pregnancy, birth and other big life changes can change how your body handles load, pressure and movement for good. Even years later, that can show up as:
Back pain
Hip pain
Feeling unstable or weak
Trouble getting back to exercise
Pregnant or recently had a baby? BirthRx preps your core and pelvic floor for birth, keeps you training through pregnancy, and gets you back to moving and lifting afterward.
Learn More About BirthRx
Straightforward, with no surprises.
Every visit is a full hour with a Doctor of Physical Therapy. You won't be handed off to a tech or aide.
Book directly. In Texas you can be evaluated and start treatment without a doctor's referral.
We're out-of-network, so you pay at or before each visit. No hidden costs and no surprise bills after.
We give you a superbill to submit to your insurance for reimbursement, and you can use HSA or FSA funds.
It works the same whether you're five minutes away or driving in. Patients come to us from all over North Texas, from Flower Mound and Argyle to Frisco and McKinney.
Ready when you are
Tell us what hurts and what you want to get back to. You don't need the right words. That's our job.