Sacroiliac Joint Dysfunction: Unraveling the Causes, Symptoms, and Effective Management

The Sacroiliac Ligament

The sacroiliac joint, a crucial junction between the sacrum and the ilium bones in the pelvis, plays a pivotal role in supporting the weight of the upper body. Sacroiliac Joint Dysfunction (SIJD) emerges when this joint experiences abnormal movement or stress, leading to discomfort and a range of symptoms. Understanding the intricacies of SIJD is essential for those grappling with lower back pain and seeking effective management strategies.


Anatomy of the Sacroiliac Joint

The sacroiliac joint is a sturdy but flexible connection point, responsible for transferring forces between the upper body and the legs. It is surrounded by a network of ligaments and muscles, ensuring stability while permitting limited movement. The unique structure of this joint makes it susceptible to dysfunction, causing a variety of symptoms.


Causes of Sacroiliac Joint Dysfunction

1. Joint Disruption:

  • Disruption of the normal joint movement can result from trauma, such as a fall or impact, leading to SIJD.

2. Pregnancy:

  • The hormonal changes during pregnancy can contribute to increased joint laxity, potentially causing SIJD.

3. Arthritis:

  • Inflammatory arthritis, such as ankylosing spondylitis, can affect the sacroiliac joint, leading to dysfunction.

4. Leg Length Discrepancy:

  • An inequality in leg length can create imbalances in the pelvis, impacting the sacroiliac joint.

5. Degenerative Changes:

  • Wear and tear over time can result in degenerative changes, contributing to SIJD.

Recognizing the Symptoms

Sacroiliac Joint Dysfunction manifests through a spectrum of symptoms, often localized to the lower back, buttocks, and thighs. Recognizing these signs is crucial for an accurate diagnosis:

1. Lower Back Pain:

  • Dull or sharp pain in the lower back, typically on one side.

2. Hip and Buttock Pain:

  • Discomfort or pain in the hip or buttock region, often radiating down the leg.

3. Pain with Movement:

  • Aggravation of symptoms with activities like standing up, sitting down, or climbing stairs.

4. Altered Gait:

  • Changes in walking pattern due to pain and discomfort.

5. Pain Relief with Rest:

  • Temporary relief from symptoms when resting or lying down.


Diagnosing Sacroiliac Joint Dysfunction

Accurate diagnosis of SIJD involves a combination of clinical evaluation, imaging studies, and sometimes diagnostic injections to confirm the source of pain. Differential diagnosis is essential to rule out other conditions causing similar symptoms.


Effective Management Strategies for Sacroiliac Joint Dysfunction

Sacroiliac Joint Dysfunction (SIJD) requires a comprehensive approach to alleviate symptoms, improve joint function, and enhance overall quality of life. Among the array of treatment options, physiotherapy and osteopathy play pivotal roles in addressing the root causes and providing sustainable relief.

1. Physical Therapy:

  • Targeted Exercises: A physiotherapist will design a customized exercise program focusing on strengthening the muscles surrounding the sacroiliac joint. This includes exercises to improve core stability, pelvic alignment, and flexibility.
  • Manual Therapy: Hands-on techniques, such as joint mobilizations and soft tissue manipulation, can help restore normal joint mechanics and reduce pain.

2. Osteopathic Intervention:

  • Manipulative Techniques: Osteopathic practitioners use gentle manipulative techniques to address imbalances in the musculoskeletal system, including the sacroiliac joint. This may involve stretching, mobilization, or soft tissue manipulation to enhance joint mobility and alleviate tension.
  • Holistic Approach: Osteopathy emphasizes a holistic approach, considering the interconnectedness of the body. Practitioners may address not only the sacroiliac joint but also assess and improve the overall musculoskeletal function, promoting optimal health.

3. Medications:

  • Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants may be prescribed to manage pain and reduce inflammation.

4. Joint Injections:

  • Corticosteroid Injections: In some cases, healthcare providers may recommend corticosteroid injections directly into the sacroiliac joint. These injections can provide targeted relief by reducing inflammation.

5. Bracing:

  • Supportive Braces: Supportive braces, designed to stabilize the sacroiliac joint, can be beneficial in reducing discomfort during daily activities.

6. Education and Lifestyle Modifications:

  • Posture Correction: Physiotherapists and osteopaths guide individuals on maintaining proper posture to prevent exacerbation of SIJD symptoms.
  • Activity Modification: Recommendations on modifying daily activities to reduce stress on the sacroiliac joint may be provided.

7. Hydrotherapy:

  • Aquatic Exercises: Hydrotherapy, involving exercises in a pool, can be beneficial for individuals with SIJD. The buoyancy of water reduces joint impact, making movement more comfortable.

8. Collaborative Care:

  • Multidisciplinary Approach: A collaborative approach involving physiotherapists, osteopaths, and other healthcare professionals ensures a holistic and well-rounded treatment plan. This may include collaboration with pain specialists, orthopedic surgeons, or rheumatologists when necessary.



Sacroiliac Joint Dysfunction presents unique challenges, but with a comprehensive understanding of its causes, symptoms, and effective management strategies, individuals can regain control over their lives. From conservative approaches like physical therapy to more targeted interventions, the journey towards relief involves a tailored combination of treatments. Seeking professional guidance for an accurate diagnosis and personalized treatment plan is paramount in overcoming the hurdles posed by Sacroiliac Joint Dysfunction.