The SIJ’s are located on either side of the spine and join the pelvis to your tail bone. The joints themselves are typically very stable as they have significant ligament support as well as being surrounded by some of the strongest muscles in the body.
It's important to see a physio and get the proper diagnosis so that the correct treatment can be commenced straight away. The correct treatment will help to reduce the pain and symptoms so that you can get moving towards your regular lifestyle.
A physiotherapist will conduct a comprehensive physical examination to evaluate the contribution of the SIJ and surrounding structures. This includes a biomechanical assessment to identify key contributing factors and to rule out other structures like the back and hip.
Once a solid diagnosis has been formed, treatment will initially consist of symptomatic management. This could involve managing inflammation, joint mobilisation, strapping or wearing a special belt to get symptoms under control. From there strength and stability will be the primary goal for rehabilitation of the SIJ disfunction.
It is pretty clear that SIJ disfunction needs a completely different treatment strategy compared to low back pain, this is why it is important to get the correct diagnosis so your pain can get the treatment tailored to it.
- Seidenberg, F., Bowen, F., & King, D. (2017). The Hip and Pelvis in Sports Medicine and Primary Care. Cham: Springer International Publishing.