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  • Writer's pictureAdam Whatley

Back Pain and Sacroiliac (SI) Joint Pain

Updated: Mar 27

SIJ Pain

Lower back pain can result from many different things and can be many different causes - from disc damage, to ligament injury to joint pain. Away from the central part of the spine is the sacroiliac joint, which can be a contribution to low back pain. Your sacroiliac Joints (SIJ) are an important link between your lower spine and pelvis.

Your SI joints are strong rigid joints between the pelvic bones, and allow only a few degrees of movement. In some people due to trauma or hyper-mobility, your sacroiliac joints can become stressed, which may result in SIJ pain. 

It is vital that you have both normal SIJ movement and muscle control around this area to avoid SIJ pain and injury. Commonly SI joint pain and dysfunction can cause lower back, hip, buttock and leg pain.

What Causes Sacroiliac Joint Pain?

There are two main types of sacroiliac dysfunction that cause SIJ pain:

1) Instability or Hypermobility

2) Joint Restriction or Hypomobility

During this article we are going to cover musculoskeletal relations to SI joint issues, but another type of SI joint pain is systemic inflammatory conditions like Ankylosing Spondylitis.

Sacroiliac Joint Hypermobility

Your SI joints have a few degrees for normal movement, and like other joints, your surrounding muscles act to stabilise your sacroiliac joints. These stabilising muscles are your deep abdominal core muscles, deep gluteal muscles and lumbar spine muscles.

Symptoms of Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction can cause lower back, hip, groin, buttock and leg pain. Sacroiliac pain is typically worse with standing and walking. It is often painful bending forward, stair climbing, hill climbing, and rising from a seated position can also provoke sacroiliac pain. 

Treatment for Sacroiliac Joint Pain

STAGE 1 - Restoring normal mobility

As your pain and inflammation settles, your osteopath here at Dynamic Osteopaths will work on restoring functional mobility and normal pelvic alignment and sacroiliac joint range of motion,

STAGE 2 - Restoring strength

Here your osteopath will look at promoting muscle strength and endurance along with proprioception, balance and gait.

STAGE 3 - Restoring Functional Strength

Here your osteopath will look at sacroiliac joint dynamic functional control and focus on restoring full functional range of motion and muscle power.

Here at Dynamic Osteopaths will assist you in identifying the best exercises for you to keep you lower back strong and to work preventative. In addition to your muscle control, we’ll asses your SIJ, spine, hip and lower limb biomechanics and correct any Issues that may arise.

At Dynamic Osteopaths in Solihull and Birmingham we regularly provide treatment for sacroiliac joint pain on a daily basis. For more information please contact us.


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