Sacroiliac Joint Disorder

What is sacroiliac joint disorder?

The sacroiliac (SI) joints are formed by the connection between the iliac bones and the sacrum, linking the spine to the pelvis. These joints are supported by strong ligaments and, due to their weight-bearing function, allow only minimal movement. Sacroiliac joint disorder refers to pain or dysfunction in these joints and can arise from various causes such as injury, pregnancy, inflammation, or altered biomechanics. Physiotherapy is an effective and evidence-based treatment approach for managing sacroiliac joint pain, improving stability, and restoring normal function.

How does sacroiliac joint disorder occur?

Anything that places additional strain on the sacroiliac joints can contribute to sacroiliac joint disorder. Possible causes may include:

  • Prolonged sitting or standing
  • Uneven leg length or abnormal gait mechanics
  • Pregnancy and childbirth, due to hormonal changes and pelvic stress
  • Trauma or injury, such as falls or motor vehicle accidents
  • Repetitive stress or heavy lifting
  • Arthritis, including ankylosing spondylitis or osteoarthritis
  • Postural imbalances or muscle weakness
  • Previous spinal or pelvic surgery

What are the symptoms of sacroiliac joint disorder?

The main symptom of sacroiliac joint disorder is pain in the affected area. You may also experience discomfort in the lower back and hip regions. If the cause is inflammatory, additional symptoms such as stiffness and swelling may occur. Changes in your walking pattern are also common and can be addressed with physiotherapy. Further symptoms may include:

  • Pain radiating to the buttocks, thighs, or groin
  • Increased pain when standing from a seated position
  • Pain during transitional movements, such as climbing stairs or getting in and out of a car
  • Muscle tightness or spasms in the lower back or pelvis
  • Tenderness when pressing on the sacroiliac area
  • Feeling of instability or weakness in the pelvis

What should I do if I have sacroiliac joint disorder?

It is important to obtain a professional diagnosis of sacroiliac joint disorder before beginning treatment. Your healthcare provider may recommend diagnostic tests such as X-rays, CT scans, or MRI imaging to assess the joints and rule out involvement of other structures. Once a diagnosis is confirmed, you can begin a personalised physiotherapy programme designed to reduce pain, restore joint function, and help you return to your normal daily activities safely and confidently.

Physiotherapy treatment for sacroiliac joint disorder.

Your physiotherapy programme will be tailored to your individual needs and goals. Potential treatment options include strengthening and stretching exercises, gait re-education, and postural education to help you regain your activity levels. Other physiotherapy options include:

  • Manual therapy to improve joint mobility and reduce discomfort
  • Core stability training to support the pelvis and spine
  • Soft tissue mobilisation to relieve muscle tension around the sacroiliac joint
  • Electrotherapy or ultrasound to reduce inflammation and promote healing
  • Activity modification advice to avoid aggravating movements or habits
  • Education on body mechanics for safer movement during daily activities

What shouldn’t I do if I have sacroiliac joint disorder?

It is important not to resume your normal daily activities until you have been assessed by a physiotherapist. They will provide expert guidance on which movements and activities are safe to perform and which should be avoided to prevent further strain or injury.

Could there be any long-term effects from sacroiliac joint disorder?

If your sacroiliac joint disorder is caused by a degenerative condition such as osteoarthritis, it is important to understand that while there is no cure, physiotherapy can play a key role in managing symptoms. Staying active with a guided physiotherapy programme can help slow the progression of the condition, reduce pain, and support you in maintaining an active and independent lifestyle.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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