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Sacroiliac Joint Pain

What is Sacroiliac Joint (SIJ) Pain?

The Sacroiliac Joint is the joint where the sacrum (area below the lumbar spine) meets the pelvis. We each have a left and a right Sacroiliac Joint and these joints help to support the weight of the upper body, transferring forces through to the lower limbs. They are strong weight bearing joints with irregular edges that help lock the joints together like a wedge, preventing much movement within the joint.

Sacroiliac Joint Pain is often caused by the compression or repetitive loading of the strong ligaments that help hold the joints together. Pain can be caused by inflammation or bruising of the ligaments or joint capsule, interference to the nerves around the joint or muscle dysfunction.

Sacroiliac Joint Pain can occur acutely due to a fall, lifting and twisting the wrong way, or from increased repetitive load through the joints. Your Physiotherapist at The Sports Injury Clinic can help assess your posture, muscle function and spine and perform specialized tests to assess the type of Sacroiliac joint pain you are experiencing. It is important to be assessed correctly as Sacroiliac joint pain is often misdiagnosed and thus incorrectly treated.

How long will it last?

With early intervention from the practitioners at The Sports Injury Clinic and a specific treatment plan, most cases of Sacroiliac Joint Pain will resolve within six weeks.


The symptoms of Sacroiliac Joint Pain include:

  • Pain can be very intense directing over the joint line and is often sharp and burning, however can also present as a dull ache.
  • The Sacroiliac Joint itself is usually very tender to touch.
  • Pain is usually worse when standing on the leg of the painful side, walking up and down stairs, when rolling over in bed and getting into and out of a car.
  • Sacroiliac Joint Pain can refer into the buttock region, across the lower back and sometimes into the hip and groin.

Suggestions for managing Sacroiliac Joint Pain

  • Staying active as advised by your Physiotherapist. Evidence suggested that staying active with even acute pain gives you better long term results. Your will not be harming yourself further if you stick with the recommendations. Click here for programs for Sacroiliac Joint Pain.
  • Rest from, and avoidance of, aggravating activities (avoiding stairs, knowing how to get into and out of bed and the car).
  • Taping by your Physiotherapist to compress or distract the Sacroiliac Joints as determined from a proper assessment can help to relieve/reduce your pain.
  • Using a lumbar support or placing a lumbar roll behind your back while sitting to help offload the pelvis and lower back.
  • Gentle exercises to strengthen the gluteal and other surrounding muscles which will help offload the Sacroiliac Joints. Your treating practitioner may refer you to one of our pilates specialists to take you through exercise progressions to help reduce pain and prevent reoccurrence of the symptoms.
  • If you have been injured at workor in sport, our practitioners have approved conditioning programs that will get you back on track sooner with your tailored exercise plan. Your Physiotherapist may also recommend Massage Therapy to assist in the management of your Sacroiliac Joint Pain.
  • Your practitioner may refer you to a Sports Physician for further investigations if your Sacroiliac Joint Pain does not respond in our suggested time frames.

Professional treatment options

Contact us now for immediate advice regarding Sacroiliac Joint Pain.