Sacroiliac Joint Dysfunction: Causes, Symptoms, and Effective Treatment Options

The sacroiliac (SI) joint is a small but powerful structure that connects the base of your spine to the pelvis. Despite its size, it plays a significant role in supporting movement, absorbing shock, and maintaining stability whenever you walk, run, or even stand still.

When this joint becomes irritated or starts moving abnormally, it can lead to sacroiliac joint dysfunction, one of the most common yet often overlooked causes of lower back and pelvic pain.

By learning about the symptoms of sacroiliac joint dysfunction and exploring the various treatment options, you can take meaningful steps toward long-term relief and a healthier, more active lifestyle.

What is Sacroiliac Joint Dysfunction?

The SI joint is located where the sacrum (the triangular bone at the bottom of your spine) meets the iliac bones of your pelvis. Typically, this joint allows only a small amount of movement, just enough to contribute to stability and flexibility.

Sacroiliac joint dysfunction occurs when the joint either moves too much (hypermobility) or too little (hypomobility). Both situations can cause inflammation and pain that radiates into surrounding areas.

People most at risk include:

• Athletes who put repeated stress on the pelvis and lower back.

• Pregnant women, due to hormonal changes and increased pelvic strain.

• Individuals with arthritis or other degenerative joint conditions.

Common Causes of Sacroiliac Joint Dysfunction

Several underlying factors can contribute to SI joint issues. These include:

• Injury or trauma from falls, car accidents, or heavy lifting.

• Pregnancy and hormonal changes loosen ligaments around the pelvis.

• Arthritis or degenerative conditions that wear down joint surfaces.

• Muscle imbalances and poor posture place uneven stress on the joint.

• Repetitive stress, such as from certain sports, jobs, or physical activities.

Sacroiliac Joint Dysfunction Symptoms

The symptoms can sometimes be confusing because they overlap with other conditions. Common  symptoms of sacroiliac joint dysfunction include:

• Pain in the lower back, buttocks, or thighs

• Pain that worsens when standing, walking, or climbing stairs

• Stiffness in the hips or pelvis, especially in the morning

• Discomfort when sitting for extended periods

• Pain patterns that may mimic sciatica, making diagnosis more challenging

Diagnosing Sacroiliac Joint Dysfunction

Because SI joint pain can look like other back problems, doctors use a combination of methods to confirm the diagnosis:

• Physical exams and movement tests to check stability and pain response

• Diagnostic injections to pinpoint whether the SI joint is the actual source of pain

• Imaging tests, such as X-rays or MRIs, to rule out other issues like disc problems or hip conditions

What are the Sacroiliac Joint Dysfunction Treatment Options?

Sacroiliac Joint Dysfunction Treatment Options range from simple self-care and exercises to advanced medical procedures, depending on the severity of the pain.

Non-Surgical Treatments

For many people, conservative treatments provide significant relief:

• Medications such as anti-inflammatory drugs can help reduce pain and swelling.

• Physical therapy to strengthen supporting muscles and restore proper movement.

• Heat and cold therapy can provide short-term relief from SI pain.

Exercises for Sacroiliac Joint Dysfunction

Targeted exercises often help stabilize the pelvis and reduce discomfort. These may include:

• Stretching exercises for the lower back, hips, and hamstrings.

• Core strengthening routines to improve stability and prevent future flare-ups.

• Gentle yoga or low-impact activities like swimming or walking for overall joint health.

Advanced Treatments

If pain persists despite basic treatment, doctors may recommend advanced options:

• Corticosteroid injections are used to reduce inflammation directly at the joint.

• Radiofrequency ablation which targets nerve pain for longer-lasting relief.

• Surgical fusion is rare and typically occurs in severe cases where all other treatments have failed.

Lifestyle Tips for Managing SI Joint Pain

Simple daily habits can make a big difference in preventing flare-ups:

• Maintain good posture while sitting, standing, and lifting.

• Wear supportive footwear to reduce strain on your joints.

• Make ergonomic adjustments at your workstation.

• Focus on weight management, since extra weight increases joint stress.

When is the right time to see a Doctor?

It’s important not to ignore ongoing symptoms. Consult a healthcare professional if:

• Pain persists or worsens despite home care.

• Symptoms limit your ability to perform routine daily activities.

• You notice numbness, tingling, or weakness, which may signal nerve involvement.

Lasting Relief with Sacroiliac Joint Dysfunction Treatment at Apex Interventional Pain & Spine

Sacroiliac joint dysfunction is a leading cause of ongoing lower back and pelvic pain, but the good news is that effective treatments are available. By recognizing the early symptoms and exploring both non-surgical and advanced treatment options for Sacroiliac Joint Dysfunction, you can restore mobility and experience lasting relief.

At  Apex Interventional Pain & Spine, our team is dedicated to helping patients find the right path to recovery. If you’ve been struggling with SI joint pain, remember, you don’t have to live with it. Early diagnosis and a personalized treatment plan can make all the difference.

Take the first step today: explore your options for SI pain relief, learn practical exercises for sacroiliac joint dysfunction, and get back to living comfortably. To get started,  contact us today and schedule your consultation with our expert team.