Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction and impairment can contribute to lower back pain and/or pain in the legs. The pain can be particularly difficult, and may feel like sciatica or pain due to a lumbar disc problem. The sacroiliac joint lies next to the base of the spine, below and behind the lumbar spine, and above the coccyx. It connects the sacrum with the ilium (hip bone).

Sacroiliac Joint Dysfunction
Sacroiliac Joint Dysfunction

It is often associated with low back and leg pain. This type of pain is usually experienced at night or during periods of rest. In addition, patients who suffer from sacroiliac joint pain tend to experience other symptoms such as numbness in their legs, tingling sensations, weakness, and swelling.

Symptoms of Sacroiliac Joint Dysfunction

The most common symptoms of patients are lower back pain, and the following sensations in their lower extremities: pain, numbness and tingling, weakness in their legs, pelvic/buttock pain, feeling of leg instability (giving way), disturbed sleep patterns and disturbed sitting patterns (unstable when sitting for long periods, unstable when sitting).

Causes and Risk Factors of Sacroiliac Joint Dysfunction

Sacroiliac pain is often caused by abnormal movement of the sacrum and pelvis. This can occur when there is a problem with the sacroiliac joints themselves or if there is a problem with muscles around the hips and legs. Sacroiliac pain can also take place when there is a problem in the spine or if there is something wrong with the nerves that run through the area.


Hypomobility is a condition where there is not enough movement in the spine. It is often associated with low back pain. It is also called “fixation” because the patient cannot move his/her body. Hypomobility is different from immobility, which means that the patient cannot move his or her limbs.

Diagnosis of Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction is often misdiagnosed because the symptoms mimic other conditions, including other mechanical conditions like facet syndrome and low back pain. Diagnosis is usually made after eliminating other causes. Physical exams and imaging studies may be utilized to confirm the diagnosis. Sacroiliac joint injections are commonly used to treat the condition.

Treatment of Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction treatments are usually conservative (nonsurgical), and they focus on restoring normal motion in the joint. Some common treatment options include the following:

  • Ice, heat, and rest.
  • Acetaminophen, as well anti-inflammatory medications (like ibuprofen or Naproxen) to reduce swelling that is usually contributing pain.
  • Manipulation is an important treatment method for many conditions. Manual manipulation is often done by a chiropractor, an osteopath, or another qualified health practitioner. Manipulation can be performed using various techniques, including side posture manipulation, drop technique, and blocking techniques.
  • Supports or braces for hypermobile joints.
  • Controlled physical therapy may be helpful in strengthening the muscles around the sacrum and increasing range of motion.
  • Gentle, low impact aerobic exercises will also help increase blood flow to the area, stimulating a healing response.
  • Severe pain may require water therapy, as the water provides a buoyant effect for the body and reduces the stress on the painful joint, while also providing a soothing environment.
  • Sacroiliac joint injections.
  • Surgery is an option to treat sacroiliac joint dysfunction when other treatments fail. Sacroiliac joint fusion is a surgical procedure that involves fusing together the two bones of the sacroiliacs. This stops the pain caused by abnormal movement of the sacroiliac joints.

There are several treatment options for sacroiliac joint dysfunction, ranging from conservative treatments to surgical procedures. If you suspect you might have sacroiliac joint problems, there are many ways to treat the condition. Your spine surgeon can walk you through your treatment options to find relief quickly.

Prevention of Sacroiliac Joint Dysfunction

If you have sacroiliac joint dysfunction, you may experience pain or discomfort in the lower back area. This can be caused by many different factors, including poor posture, lack of exercise, stress, and even pregnancy. However, if you are experiencing this type of pain, there are some things you can do to help prevent it.

Here are some tips to keep in mind:

Avoid sitting in one position for long periods of time. When seated, make sure your feet are flat on the floor, and your knees are slightly bent. Avoid slouching, especially when reading or watching television.

Exercise regularly. Exercise helps strengthen the muscles surrounding the sacroiliac joint, reducing the risk of injury. You should perform gentle stretching exercises at least three times per week.

Maintain good posture. Poor posture can lead to muscle strain and tension in the back and neck areas. To maintain proper posture, sit up straight with your shoulders pulled back and down. Keep your head upright and avoid looking forward.

Schedule a Consultation With a Trustworthy Spine Surgeon at Orthopedic & Laser Spine Surgery

If you are suffering from back pain or have been diagnosed with sacroiliac joint dysfunction, schedule a consultation with a trustworthy spine surgeon who can help you get rid of this problem once and for all. A good spine surgeon should be able to diagnose the condition correctly and offer the best treatment options available.

Contact Orthopedic & Laser Spine Surgery to learn more about available treatment options. You can schedule an appointment through our contact form or call our office at (855) 853-6542.