Sacroiliac Joint Syndrome

Definition:

- Refers to pain in the sacroiliac joint region that is caused by abnormal motion in the sacroiliac joint

- The dimple joint at the belt line that you can palpate

- Classically found on the right or left side of the spine, at a very local point.

Symptoms:

- Complaints of low back pain that radiates into buttock, less frequently to groin.

- SIJ receives its greatest stresses from sitting

- Extension of the spine, or arching backwards, increases the pain

Causes:

Most Common: Trauma: either Direct or indirect, fall, repeated minor forces on SI joint

- Lower extremity trauma leading to altered gait

- Overuse

- Post injury elsewhere: after hip surgery, knee

Treatment:

- Chiropractic manipulation is usually the most effective treatment.

- Responds well to flexion at waist and knees

- Treatment of soft tissues surrounding the SIJ is also very helpful.

Exercise:

- Switching to non-weight bearing exercise can help heal – swimming or pool running

- Regular chiropractic treatment

- Orthotics

- Foam roll Glut muscles, IT Bands as well as hamstrings and quadriceps muscles

- Stretch the gluteus muscles, piriformis and hamstrings

- Knee to chest exercises

- Kinesiotape/RockTape

- Anti-inflammatory patches ![endif]--