Sacroiliac Joint Dysfunction: Effective Treatment for Pain Relief and Restored Mobility

The sacroiliac (SI) joint plays a crucial role in stabilizing the pelvis and transferring forces between the upper and lower body. When the SI joint becomes misaligned or dysfunctional, it can lead to debilitating pain and reduced mobility. In this article, we explore the causes, symptoms, and how chiropractic care can effectively treat sacroiliac joint dysfunction (SIJD), based on scientific evidence.


 What is Sacroiliac Joint Dysfunction (SIJD) and How Does It Affect the Body?

Sacroiliac joint dysfunction refers to abnormal movement or misalignment of the sacroiliac joints, which are responsible for absorbing shock and providing stability during everyday activities like walking, standing, and running. When the SI joint is affected by dysfunction, it can cause pain to radiate from the lower back, hips, buttocks, or legs.

SI joint pain is often confused with other types of lower back pain, but it typically presents as localized discomfort, particularly during specific movements such as sitting, standing, or climbing stairs.


Causes of Sacroiliac Joint Dysfunction: Why Your SI Joint May Be Hurting

Understanding the root causes of sacroiliac joint dysfunction is crucial for effective treatment. The following are common causes and risk factors associated with SI joint pain:

Trauma and Injury: How Accidents Lead to SI Joint Dysfunction

Injuries from falls, car accidents, or sudden twisting motions can cause misalignment or inflammation of the SI joint, leading to acute pain and dysfunction. These traumatic events are among the most frequent causes of SI joint issues.

 Pregnancy and Hormonal Changes: Impact on SI Joint Stability

Pregnancy is a common cause of SI joint dysfunction due to hormonal changes that relax the ligaments around the sacroiliac joints. The increased mobility of the joints during pregnancy can lead to instability, which causes pain, particularly as posture and weight distribution shift.

 Repetitive Motion and Overuse: How Strain Leads to SI Joint Dysfunction

Repetitive activities such as running, lifting, or bending can place stress on the SI joints over time, leading to wear and tear. Individuals who engage in physically demanding work or sports are more likely to develop SI joint dysfunction.

 Leg Length Discrepancy: How Uneven Legs Affect the SI Joint

A leg length discrepancy—whether structural or functional—can lead to uneven pressure on the SI joints. This imbalance can result in pain and dysfunction in the affected joint.

 Osteoarthritis and Degenerative Conditions: Aging and SI Joint Dysfunction

Osteoarthritis and other degenerative joint diseases can affect the SI joint, leading to stiffness, pain, and inflammation, particularly in older adults. Degenerative changes in the joint can cause the cartilage to wear away, resulting in pain during movement.

 Inflammatory Conditions: Conditions Like Sacroiliitis and Ankylosing Spondylitis

Inflammatory conditions, such as sacroiliitis or ankylosing spondylitis, can lead to SI joint dysfunction. These conditions cause inflammation in the joints, contributing to pain and limited range of motion.

 Postural Imbalances and Sedentary Lifestyles: How Poor Posture Contributes to SI Joint Pain

Poor posture, a sedentary lifestyle, and an imbalanced gait can all lead to increased stress on the SI joints. These factors may cause misalignments in the pelvis, leading to dysfunction and pain.


 Common Symptoms of Sacroiliac Joint Dysfunction: Identifying SI Joint Pain

The symptoms of sacroiliac joint dysfunction can vary depending on the severity of the condition. Common symptoms include:

 Localized Pain: Where You’ll Feel SI Joint Pain

Pain is often felt deep in the buttocks or lower back, and may radiate to the groin, thighs, or even down to the knee. The pain is usually localized and can be aggravated by specific movements or activities.

 Aggravated by Movement: Understanding the Triggering Activities

SI joint pain is often triggered by certain movements, such as standing on one leg, climbing stairs, running, or lying on the affected side. Prolonged sitting or standing may also exacerbate the pain.

 Stiffness and Limited Range of Motion

Individuals with SI joint dysfunction may experience stiffness in the lower back or pelvis, particularly after periods of inactivity such as sleeping or sitting. This stiffness can restrict movement and affect daily activities.

 Weakness or Numbness in the Legs: When Nerve Involvement Occurs

In severe cases, the SI joint dysfunction may affect the nerves, causing sensations of weakness, numbness, or tingling in the legs. This can lead to difficulty walking or standing for extended periods.


 How Chiropractic Care Can Help Treat Sacroiliac Joint Dysfunction

Chiropractic care offers a holistic, non-invasive approach to treating sacroiliac joint dysfunction. Chiropractors are skilled at evaluating the spine and pelvis for misalignments or dysfunctions, and they use manual techniques to restore proper function and alleviate pain. Here are some ways chiropractic care can help:

 Spinal Adjustments: Realigning the Spine to Relieve SI Joint Pain

Chiropractors use spinal manipulations to realign the spine and pelvis, reducing pressure on the SI joints. This realignment restores proper movement patterns and reduces inflammation in the affected area, alleviating pain and improving mobility.

Pelvic Adjustments: Targeting SI Joint Misalignment

Chiropractors can also make specific adjustments to the pelvis, such as the "iliac lift" or "Pelvic Drop," to correct misalignments or restrictions in the SI joints. These adjustments help stabilize the joint and reduce pain associated with dysfunction.

 Soft Tissue Therapies: Relieving Muscle Tension Around the SI Joint

Soft tissue therapies like myofascial release, massage, and trigger point therapy can help reduce muscle tension around the SI joint. These therapies promote circulation, release tight muscles, and improve flexibility, aiding in the relief of SI joint pain.

 Rehabilitation Exercises: Strengthening the Core and Lower Back

Chiropractors often prescribe exercises to strengthen the muscles surrounding the SI joint. Strengthening the core, hips, and lower back helps improve stability and prevent future episodes of dysfunction.

 Lifestyle Modifications: Preventing Further SI Joint Pain

Chiropractors provide lifestyle recommendations, such as posture correction, ergonomic advice, and activity modifications, to reduce strain on the SI joints. These changes can prevent the recurrence of pain and promote long-term joint health.


 Chiropractic Care for Sacroiliac Joint Dysfunction Relief

Sacroiliac joint dysfunction can be debilitating, but chiropractic care offers a safe and effective solution for managing pain and restoring function. Through spinal and pelvic adjustments, soft tissue therapies, and personalized exercises, chiropractic care addresses the root causes of SI joint dysfunction while providing long-term pain relief.

If you're experiencing symptoms of sacroiliac joint dysfunction, consult with Aligned Spine Clinic today for an individualized treatment plan. Our experienced chiropractors can help you regain mobility, reduce pain, and improve your quality of life.

For more information, you can refer to the following articles available on PubMed.

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Sacroiliitis: A Review on Anatomy, Diagnosis, and Treatment
Published in: Journal of Pain Research, .
Authors: (2023).
Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial
Published in: Spine Journal, .
Authors: (2019).