Sacroiliac Joint Dysfunction

The sacroiliac joint joins the tail bone (sacrum) to one of the pelvic bones (Ilium) within the lower back region. There are two sacroiliac joints, one on either side of the spine. These joints transfer weight from the spine to the pelvis, they also allow a small amount of movement to occur. When excessive forces are placed on the sacroiliac joints, such as those from bending, lifting, arching or twisting of the spine region, or during pregnancy, then injury to the sacroiliac joint may occur.


What are the symptoms of Sacroiliac joint dysfunction?

One sided low back pain is common, generally felt around the top of the buttock region. Symptoms are typically exacerbated with lower back or hip movements. For example, pain rolling over in bed, putting on or taking off your shoes, walking up or down stairs, running etc. Sacroiliac joint dysfunction may also be associated with pelvis asymmetry potentially due to muscle tightness, joint stiffness, or joint laxity as what occurs during pregnancy. 


How can physiotherapy help? 

With effective treatment, patients potentially could be pain free several days to a couple of weeks later. Treatment from a physiotherapist may involve soft tissue massage, mobilisation, lumbar rolling, bracing, taping, biomechanical correction, ergonomic advice and exercises prescribed for flexibility, strength and posture.