Sacroiliac joint pain is also referred to as sacroiliac joint dysfunction or a sacroiliac joint sprain.
Your sacroiliac joint is the joint between the bottom of your spine (the sacrum) and connects to your left and right ilia (pelvis bone).
What is sacroiliac joint pain?
Sacroiliac joint pain is any painful sensation around the sacroiliac region on the hip, particularly over the bony area on one side of the lower back and the pain can also refer into your buttock, groin or leg.
Sacroiliac joint pain can occur if the sacroiliac joint is not moving as it normally should and this can cause inflammation and irritation around the joint.
What causes sacroiliac joint pain?
There are two main reasons pain is experienced at the sacroiliac joint:
- Reduced mobility/stiffness
Hypermobility problems are more common than reduced mobility and reduced mobility or stiffness is usually linked to another condition that may stiffen your spine such as ankylosing spondylitis.
Your sacroiliac joint normally has a little bit of movement and the surrounding muscles stabilise the joint when it is in a vulnerable or stressful position. Your deep gluteal and deep abdominal muscles are important for stabilising your sacroiliac joint. When the muscle groups are weak, that is when the sacroiliac joint becomes unstable and hypermobile.
What are the symptoms of sacroiliac joint pain?
Some symptoms of sacroiliac joint pain include:
- Hip, lower back, groin, buttock and sciatic pain
- Pain worse when walking and standing up
- Pain easier when lying down- though not always
- Painful to sit with your legs crossed
- Painful when bending, hill or stair climbing or getting up out of a chair
How is sacroiliac joint pain diagnosed?
Sometimes it is difficult to diagnose sacroiliac joint problems because the symptoms are similar to other conditions such as a bulging disc or facet dysfunction.
Your physiotherapist will perform a detailed subjective and objective assessment which can determine what is causing your sacroiliac joint pain or if another structure is causing the problem.
What treatment can Farrell Physiotherapy offer for sacroiliac joint pain?
After you have been assessed, your physiotherapist will give you a treatment plan based on their findings on assessment. There are a wide range of treatment options available however each treatment plan is different and the treatments chosen for you will be based on your symptoms and goals.
Treatment can include:
- Joint mobilisations
- Joint manipulations
- Leg length discrepancy diagnosis and management
- Advice and education
- Ergonomic assessment
- Biomechanical assessment
- Pilates and core stability exercises
- Activity modification advice
- Soft tissue massage
Benefit of physiotherapy for sacroiliac joint pain?
Physiotherapy can be effective at diagnosing and treating your sacroiliac joint pain. There are several benefits of physiotherapy for sacroiliac joint pain. The benefits you feel from physiotherapy will be different depending on what your main problems are.
Benefits of physiotherapy include:
- Reduced pain
- Increased movement/Decreased movement
- Increased stability
- Increased function
- Increased strength