SI Joint Dysfunction, often referred to as sacroiliitis, is the cause of pain for roughly 25% of patients reporting to the PT clinic with low back pain. There are a variety of different dysfunctions that can be present and may affect either one or both sides of the sacrum. These issues are often referred to as sciatica, however sciatica presents with pain down the leg following the sciatic nerve distribution, and this may or may not be present with an SIJ dysfunction. SIJ pain is often described as “debilitating” and it can cause severe limitations with function. I have become passionate about treating the SI joint with the goal of helping my patients return to their full activity level without pain. I utilize a variety of treatment strategies including manual techniques, core stabilization training, and neuromuscular re-education to restore mobility and promote long-term recovery from pain. I have seen particular success early-on with the use of Muscle Energy Techniques (MET) to promote muscle inhibition and allow for correction of dysfunctions in the pelvis and/or SIJ. After the surrounding musculature has started to relax it is important to maintain a consistent stretching regimen, as well as core stability exercises to correct movement patterns and reduce risk for recurrence of sx. If you think you might be suffering from SIJ Dysfunction, then PT can be a great place to seek assistance. Through screening, patient education, and skilled interventions we can determine the best course of action to get you back to full function and achieve your health goals.
Look out for these common signs and symptoms associated with SIJ Dysfunction:
· Pain localized over the buttocks (described as sharp, stabbing, or radiating in the posterior thigh)
· Pain that worsens with prolonged sitting, stairs, forward bending, and laying on the affected side
· Pain improves with movement and/or walking
· Tenderness over bony structures at the top of the sacrum
