Sacroiliac Joint Pain

Sacroiliac joint pain occurs in the “SI” joints where the hips meet the spine. These joints are responsible for absorbing impact when walking or lifting. When the cartilage in these joints wear down, the bones can rub together and cause pain. This pain is usually felt in the lower back and buttocks and is similar to other conditions, such as a herniated disc.

Causes

Sacroiliac joint pain happens when ligaments in the joint become too tight. This is usually the result of a traumatic injury, fall, or pregnancy. It can also occur when joints are affected by arthritis, which causes joints to break down over time.

Symptoms

Symptoms of sacroiliac joint pain usually start in the lower back and buttocks and can radiate to other locations, such as the lower hip and groin. The leg may feel weak, numb, or tingly. Pain will occur when walking, standing up, sitting, or lying down, and is usually felt only on one side of the body.

Diagnosis

Physicians will evaluate symptoms and medical history before diagnosing sacroiliac joint pain. You may be asked to stand, sit, and walk. Imaging tests such as x-rays are often used to help diagnose the condition and any other related hip injuries.

Treatment

Treatment options for sacroiliac joint pain include physical therapy and chiropractic treatments. Anti-inflammatory medications, topical treatments, and joint injections are also effective. A procedure called radiofrequency ablation, which uses electricity to destroy painful nerve endings, may be beneficial. Surgery is sometimes required to stabilize the joint in severe cases.