What You Need to Know About Sacroiliac Joint Pain and How to Treat It

Sacroiliac joint pain can be a source of significant discomfort, often affecting the lower back and pelvic area. Understanding the causes and symptoms of this condition is essential for finding effective relief. While sacroiliac joint pain can arise from various factors, recognizing its signs early on can help in managing the condition more effectively. This article will explore what sacroiliac joint pain is, what might trigger it, and the treatment options available to help alleviate discomfort and improve mobility.

What You Need to Know About Sacroiliac Joint Pain and How to Treat It Image by Marta Filipczyk from Unsplash

What is the sacroiliac joint and how does it function?

The sacroiliac (SI) joint connects the sacrum, the triangular bone at the base of the spine, to the ilium of the pelvis. This joint plays a crucial role in transferring weight and forces between the upper body and the legs. It’s designed to provide stability while allowing for minimal movement, typically less than 4 degrees of rotation or 2 millimeters of translation.

How does sacroiliac joint pain affect the body?

Sacroiliac joint pain can have a profound impact on daily activities. When inflamed or damaged, the SI joint can cause discomfort that radiates from the lower back to the buttocks, groin, and even down the legs. This pain can make simple tasks like walking, climbing stairs, or even sitting for extended periods challenging and uncomfortable.

What are the common causes of sacroiliac joint pain?

Several factors can contribute to sacroiliac joint pain:

  1. Osteoarthritis: Wear and tear on the joint over time can lead to pain and inflammation.
  2. Pregnancy: Hormonal changes and increased stress on the joint can cause discomfort.
  3. Trauma: Falls or accidents can damage the SI joint.
  4. Ankylosing spondylitis: This inflammatory arthritis primarily affects the spine and SI joints.
  5. Leg length discrepancy: Uneven leg lengths can put extra stress on one SI joint.
  6. Altered gait: Changes in walking patterns due to other conditions can affect SI joint function.

How can you recognize the symptoms of sacroiliac joint pain?

Identifying sacroiliac joint pain can be challenging, as symptoms often mimic other lower back conditions. Common signs include:

  1. Pain in the lower back, buttocks, or sides of the hips
  2. Discomfort that worsens when standing or walking for long periods
  3. Pain that radiates down the leg, similar to sciatica
  4. Stiffness or a burning sensation in the pelvis
  5. Difficulty climbing stairs or getting up from a seated position
  6. Pain that increases when putting more weight on one leg

If you experience persistent lower back or hip pain, especially if it’s affecting your daily activities, it’s important to seek medical advice for proper diagnosis and treatment.

What are the most effective treatment options for managing sacroiliac joint pain?

Treatment for sacroiliac joint pain typically involves a multifaceted approach:

  1. Physical therapy: Exercises to strengthen core and pelvic muscles can improve stability.
  2. Medications: Over-the-counter pain relievers or prescription anti-inflammatories may help.
  3. Chiropractic care: Adjustments can sometimes alleviate SI joint misalignment.
  4. Sacroiliac joint injections: Corticosteroid injections can reduce inflammation and pain.
  5. Bracing: Specialized SI joint belts can provide support and stability.
  6. Radiofrequency ablation: This procedure uses heat to deaden nerve endings and reduce pain.
  7. Surgery: In severe cases, SI joint fusion may be recommended to stabilize the joint.

How can lifestyle modifications help in managing sacroiliac joint pain?

Incorporating certain lifestyle changes can significantly improve sacroiliac joint pain:

  1. Maintain good posture: Proper alignment reduces stress on the SI joint.
  2. Use ergonomic furniture: Supportive chairs and mattresses can alleviate pressure.
  3. Practice low-impact exercises: Swimming or cycling can help maintain fitness without straining the joint.
  4. Apply heat or cold therapy: Alternating between hot and cold packs can reduce pain and inflammation.
  5. Manage weight: Excess weight puts additional stress on the SI joint.
  6. Avoid prolonged sitting: Take regular breaks to stand and stretch.

What are the costs associated with sacroiliac joint pain treatment?

Treatment costs for sacroiliac joint pain can vary widely depending on the chosen approach and healthcare provider. Here’s a comparison of some common treatment options:


Treatment Option Provider Type Estimated Cost Range
Physical Therapy Licensed PT $75 - $150 per session
Chiropractic Care Chiropractor $65 - $200 per session
SI Joint Injection Pain Specialist $500 - $2,000 per injection
Radiofrequency Ablation Pain Specialist $2,000 - $4,000 per procedure
SI Joint Fusion Surgery Orthopedic Surgeon $30,000 - $70,000

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.


Sacroiliac joint pain can be a complex and challenging condition to manage. However, with proper diagnosis and a tailored treatment plan, many individuals find significant relief. It’s crucial to work closely with healthcare professionals to determine the most effective approach for your specific situation. Remember that early intervention and consistent management can lead to better outcomes and improved quality of life.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.

The shared information of this article is up-to-date as of the publishing date. For more up-to-date information, please conduct your own research.