@joelhoward1092 It's worth a try, right? Fusing the SI joint is a permanent change, and it could put you in more pain afterward. My physical therapist told me about this. I do stretching and some muscle exercises to get my pelvis back in alignment and I use to wear an SI belt for stability. My pelvis tends to go out of shape because I have tight muscles on one side that pulls the illium bone forward. I try to keep my body aligned as best I can with stretching, and if I was really off, I could see my PT for a tuneup. Pelvis floor strength is important because that is holding your body up on a muscular floor within the pelvis. With aging, the pelvic floor can be weaker.