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Writer's pictureAdam Whatley

How can I treat sacroiliac (SI) joint pain?

Here at Dynamic Osteopaths with are commonly faced with Sacroiliac joint pain on a daily basis. Here we would like to provide some of the understanding behind SI joint pai

Sacroiliac (SI) joint pain is a very common cause of low back pain and often misdiagnosed by Doctors in general practice. Furthermore, SI joint pain can be very difficult to treat.

The SI joint is the joint between the spine and the pelvis. The sacroiliac joint is designed for stability and typically has little motion. Small movements at the joint help with shock absorption between and spine and the pelvis. The SI joint is reinforced by strong ligaments surrounding it, some of which extend across the joint in the back of the pelvis. This network of dense ligamentous tissue provides support, limits movement at the joint, and assists with absorbing pressure. the surrounding muscles support sacroiliac joint function include the gluteals.

Common causes of Sacroiliac Joint Pain SI Joint instability

Instability in the sacroiliac joint can cause the pelvis to feel weak and unstable and lead to pain. Pain from SI joint instability is typically felt in the lower back and/or hip, and may radiate into the groin area or down the side of the leg.

SI joint restriction

Restriction of the SI joint can cause increased spinal compensation and muscle pain, which can ultimately inhibit mobility.  

SI joint Inflammation 

An inflammed SI joint (sacroiliitis) can also produce pelvic pain and low back stiffness. Sacroiliac joint dysfunction or restriction may cause inflammation. On a systemic side - inflammation may occur with normal function of the joint from an infection, rheumatoid condition, or other causes like pericarditis, psoriasis... Sacroiliac joint dysfunction is more common in young and middle-aged women. Women who are pregnant or have recently given birth may be more susceptible to sacroiliac joint pain due to increased ligamentous laxity.  

SI joint ligament injuries or inflammation can occur in any of the above.

Get in touch to find out more on SI joint pain and how this can be treated.



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