SIJ Dysfunction

SI Joint Dysfunction or Sacroiliac joint dysfunction occurs at the joint that connects the sacrum, the bottom part of your spine, to your pelvis. This joint can cause you pain if you have had an impact on this area, an inflammatory process, or if you have either too much or too little movement here. This is a very strong and stable joint in your body that is made to transfer load and weight through your upper and lower body.

If you are having pain in your sacroiliac joint you may feel pain in your low back, hips, groin, or down the back or outside of your leg. Some activities that may cause you pain are single-leg activities such as walking, standing on one leg, or going up/down stairs, and transitional movements such as turning over in bed, moving from lying to sitting, or sitting to standing.

Sacroiliac joint dysfunction is more common in people who relate to the following:

  •     Trauma – ex. Car accident, fall

o   A significant impact to the sacroiliac joint area or to the legs that transfers force to the sacroiliac joint can cause injury to the joint or the muscles and ligaments that support this joint

  •     Pregnancy

o   With pregnancy there is a release of hormones such as relaxin, that increase the pliability of the ligaments to prepare the mother for childbirth. In this process this can cause excess movement at the sacroiliac joint

  •     Ankylosing Spondylitis

o   This is an arthritic condition where there can be inflammation and stiffness in certain joints, more commonly the spine and the sacroiliac joint. It is found more commonly in males in their mid 20s

If you are experiencing pain at this joint a brace may be something that helps relieve your pain, in addition to working on strengthening exercises to keep this joint strong.

A physiotherapist will conduct a thorough examination of the person to ensure a proper diagnosis is obtained. This will include getting a detailed history, examining the area of pain, and performing specific tests to determine the root cause of your pain. Following the examination, an individualized treatment plan will be made to help you achieve your goals and assist you on your road to recovery.

If you think you may have a sacroiliac joint dysfunction, contact us to book an appointment with one of our physiotherapists today!