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Abstract This study was conducted to investigate the effect of therapeutic ultrasound augmented by sacro-iliac belt and core strengthening exercises on sacro-iliac joint pain after delivery. Thirty multiparous women suffering from sacro-iliac joint pain for at least 3 months after delivery were participated in this study. They were selected randomly from the physical therapy department in police authority hospital in Al Agouza.Their ages were ranged from 25-35 years old, their body mass index (BMI) was not exceed 30 kg/m2 and their number of parity was ranged from 2-4 children. The type of delivery was normal and caesarean section. They were divided randomly into two groups equal in number. Study group (group A): It was consisted of 15 multiparous women. Each woman in this group received continuous ultrasound on two SIJs for ten minutes (5 minutes for each SIJ), 3 times /week for 4 weeks. Additionally to this, she was asked to perform core strengthening exercises for (abdominal, back, pelvic floor muscles and diaphragm), and strengthening exercises for hip flexors, extensors, abductors and externally rotator muscles. Also, she was asked to perform posterior pelvic tilting and posture correction exercises for 60 minutes, three times per week for 4 weeks. On the other hand, each woman in this group was advised to wear a sacro-iliac belt all the day and take it off only during sleep and taking a shower throughout the treatment course (4 weeks). Control group (group B): It was consisted of 15multiparous women. Each woman in this group was asked to perform core strengthening exercises for (abdominal, back, pelvic floor muscles and diaphragm), and strengthening exercises for hip flexors, extensors, abductors and externally rotator muscles |