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SI joint Dysfunction

Sacroiliac (SI) Joint Dysfunction is caused by abnormal motion in the SI joint, which causes leg pain and/or low back pain.

Sacroiliac Joint Dysfunction Causes

How does the condition come about? The SI joint connects the spine to the pelvis and has relatively little motion, since it is held together by strong ligaments. These joints are under high amounts of daily stress from supporting the weight of the entire upper body, which in turn can wear down the ligaments and cartilage. A dysfunction of this joint – referred to as Sacroilic (SI) Joint Dysfunction – occurs in two cases:

  • Too much movement (hypermobility) in the joint: in this case, pain is felt in the lower back or hips and radiates into the groin area

  • Too little movement (hypomobility) in the joint: in this case, pain is felt on one side of lower back/buttocks and radiates down the leg (similar to sciatica)

SI Joint DysfunctionIn both instances, the SI joint is aggravated, causing inflammation or sacroilitis. Symptoms of the condition include pain in the lower back and hips and/or stiffness and a burning sensation in the pelvis. Since pain can also occur in the groin and thighs and may travel down the back of the leg, it may be difficult to determine the exact source of the pain.

SI Joint Dysfunction pain typically worsens when standing or walking. People with the condition find relief from lying down or bending forward to open up the SI joints.

Sacroiliac Joint Dysfunction Treatment

Treatments for SI Joint Dysfunction are usually non-surgical and focus on trying to restore normal motion in the joint. These treatments include:

  • The use of ice or cold packs to reduce inflammation in the area, as well as rest to reduce irritation

  • Pain relief and anti-inflammatory medications (i.e. ibuprofen) to reduce swelling that contributes to the pain

  • Chiropractic manipulations may be highly effective when the SI joint is ‘stuck’ or fixated. These methods include (but are not limited to): blocking techniques, side posture manipulations, the drop technique, and instrument-guided methodologies