How to Identify Sacroiliac Joint Pain and Take the Right Steps for Treatment

Sacroiliac joint pain can be a hidden cause of lower back discomfort that disrupts mobility, affects posture, and reduces the quality of life. Many individuals struggle with persistent pain without realizing that the sacroiliac (SI) joint might be the underlying issue.

Identifying sacroiliac joint dysfunction early is crucial for receiving the right treatment and avoiding chronic pain. With the proper approach, you can regain comfort, restore function, and confidently return to your daily activities.

Let’s explore sacroiliac joint pain, how to recognize it, and the best treatment and long-term relief steps.

What is Sacroiliac Joint Pain?

The sacroiliac joint, located on each side of the lower back, is where the spine connects to the pelvis. These joints play a vital role in transferring weight between the upper body and the legs and help support the body during walking, standing, and lifting.

When one or both of these joints become inflamed, restricted, or misaligned,  sacroiliac joint pain can result. This pain can radiate from the lower back into the hips, buttocks, and even down the legs, often mimicking other conditions like sciatica or herniated discs.

How to Identify Sacroiliac Joint Pain: Key Signs

Recognizing sacroiliac joint pain symptoms can be tricky because they are often mistaken for other back or hip pain types. However, there are a few distinct signs to watch for:

• Pain on one or both sides of the lower back
• Discomfort while sitting or standing for long periods
• Pain that increases when climbing stairs, bending, or twisting
• Pain that radiates into the hips, buttocks, or thighs
• Difficulty with movements like standing from a seated position or turning in bed

A precise diagnosis is essential since SI joint dysfunction can resemble other spinal conditions.

Diagnostic Methods for Sacroiliac Joint Pain

Healthcare providers use a combination of approaches to diagnose sacroiliac joint dysfunction accurately. These include:

• Physical examinations to check pain location, mobility, and joint function
• Imaging tests such as X-rays or MRI to rule out other spinal issues
• Diagnostic SI injections where a numbing agent is injected into the joint. If pain relief follows, it confirms that the SI joint is the source of pain.

A pain management specialist often plays a key role in evaluating symptoms and recommending the most appropriate treatment options.

Treatment Options for Sacroiliac Joint Pain

Treatment option for Sacroiliac Joint Pain depends on the severity and cause of your pain. The main goals are to reduce inflammation, restore movement, and prevent future flare-ups. Standard treatment options include:

• Physical therapy to improve posture, flexibility, and joint stability
• Medications for pain relief, such as anti-inflammatories or muscle relaxants
• SI joint injections to provide targeted, longer-lasting relief from inflammation
• Surgical options, such as joint fusion, in severe or unresponsive cases

Early intervention is key to avoiding chronic discomfort and the need for invasive procedures.

Sacroiliac Joint Pain Relief: Non-Invasive Options

Many people experience significant improvement with non-invasive treatments. These options are especially effective in the early or moderate stages of sacroiliac joint pain:

• Targeted physical therapy and exercises that focus on stabilizing the pelvis and strengthening the core
• Hot and cold therapy to reduce swelling and ease stiffness
• Lifestyle adjustments like avoiding movements that aggravate pain, improving posture, and using ergonomic seating

These strategies support long-term pain relief and improve daily function.

When to Consider SI Injections or Surgery?

If conservative treatments are not providing enough relief, your healthcare provider may recommend SI injections. These involve injecting corticosteroids or anesthetics into the joint for fast, targeted relief.

SI joint injections can help reduce inflammation and confirm the source of pain. If pain persists despite repeated injections and physical therapy, surgical intervention may be considered. Surgical options typically involve fusing the joint to stabilize and prevent movement that causes pain.

Exercises for Sacroiliac Joint Pain: Strengthening and Stretching

Exercises for sacroiliac joint pain are an essential part of both treatment and prevention. These exercises help stabilize the joint and reduce pressure on surrounding tissues. Common exercises include:

• The pelvic tilts to gently mobilize the joint.
• Glute bridges to strengthen the hips and lower back.
• Knee-to-chest stretches for releasing lower back tension
• Core strengthening routines to support proper alignment

Always consult a physical therapist or healthcare provider before starting any new exercise program.

Find Lasting Relief from Sacroiliac Joint Pain with Expert Care at Apex Interventional Pain & Spine

Recognizing sacroiliac joint pain symptoms early is key to effective treatment and long-term relief. Understanding how the SI joint functions, identifying early warning signs, and taking timely action can prevent chronic discomfort and protect your mobility.

With the right combination of targeted therapy, guided movement, and medical support, many individuals experience significant improvement and return to an active lifestyle.

At  Apex Interventional Pain & Spine, our team is committed to providing personalized, evidence-based care to help you manage pain and restore function. If you are dealing with lower back, hip, or leg pain and suspect the sacroiliac joint may be involved, do not wait.  Contact us today to schedule a consultation and take the first step toward a healthier, pain-free future.