
16 Sep Understanding SIJ Dysfunction
Is your lower back aching? While you might think the pain originates from your lumbar spine, the real culprit could be your sacroiliac joint. Discomfort in the lower back, hips, or buttocks may signal Sacroiliac Joint (SIJ) dysfunction. Fortunately, physiotherapy offers effective, non-invasive treatments to alleviate your symptoms and restore your well-being. Call us today on (02) 9438 1782 to schedule an appointment. Meanwhile, let’s delve deeper into SIJ dysfunction and what it entails – Let’s get you hip to the deets!

What is SIJ Dysfunction?
The sacroiliac joint connects the sacrum—a wedge-shaped bone at the base of your spine—to the ilium, a crucial part of the pelvis. This joint plays a significant role in transferring weight from the upper body to the lower limbs. When the SIJ becomes irritated or inflamed, it can lead to pain in the lower back, buttocks, and sometimes the legs. The pain can mimic other conditions such as sciatica, making accurate diagnosis difficult, but targeted treatment essential.
Causes of SIJ Dysfunction
- Trauma: Injuries from falls, car accidents, or high-impact sports can disrupt the normal function of the SIJ, leading to pain and inflammation.
- Pregnancy: Hormonal changes and the added weight of pregnancy can put excessive stress on the SIJ, causing it to become unstable and painful. This is often compounded by the increased laxity of ligaments during pregnancy.
- Arthritis: Conditions like osteoarthritis can affect the SIJ, leading to degeneration and discomfort. The cartilage in the joint wears down over time, causing pain and reduced mobility.
- Repetitive Stress: Engaging in activities that involve frequent lifting, bending, or twisting can overload the SIJ, resulting in strain and potential dysfunction. These repetitive movements can disrupt the joint’s alignment and cause inflammation.
Symptoms of SIJ
- Persistent lower back pain that can radiate to the buttocks and thighs
- Pain that intensifies with prolonged sitting or standing
- Difficulty finding a comfortable sleeping position due to discomfort
- Stiffness and reduced range of motion in the lower back
- Pain when climbing stairs or transitioning from sitting to standing
If you’re experiencing these symptoms, it’s time to book an appointment with one of our physiotherapists for a comprehensive evaluation and tailored treatment plan.
How physiotherapy can help
The process begins with a detailed assessment, including physical examinations and potentially imaging studies like x-rays, ultrasounds, or CT scans. Treatment often includes manual therapy techniques such as joint mobilisations and manipulations to restore optimal movement and alignment—think of it as giving your joints a gentle nudge in the right direction. We’ll also likely prescribe exercises targeting muscles like the gluteus maximus, gluteus medius, and core stabilisers. These exercises might involve strength training, stretching, and stabilisation routines, all designed to make your pelvis a powerhouse. When the muscles surrounding the joint are strong, they’re better able to support it. Additionally, we might use modalities like ultrasound or electrical stimulation to reduce inflammation and pain—consider it a high-tech assist in your recovery. Finally, our physiotherapists will provide education on proper posture and body mechanics, helping you prevent future issues. So, while we get technical with your treatment, we also make sure you’re well-equipped to hip-check SIJ dysfunction out of your life!
Conclusion
SIJ dysfunction can significantly impact your quality of life, but with the right treatment, you can overcome it. Physiotherapy provides a comprehensive approach to managing SIJ dysfunction, from manual therapy and exercise to pain relief techniques and education. Don’t wait any longer—call us today on (02) 9438 1782 to schedule your appointment at St Leonards Physiotherapy and start your journey to a healthier, pain-free life. And remember to follow us on social media for ongoing support and information. We’re on Facebook and Instagram. We regularly share helpful hints, fascinating facts and excellent exercises to keep you motivated and informed.
Reference
Physiopedia [ND]. Biomechanical Fundamentals of Sacroiliac Joint Pain. [Online] Available at https://www.physio-pedia.com/Biomechanical_Fundamentals_of_Sacroiliac_Joint_Pain?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal. Accessed on 23/07/2024.
Information provided here (including text, graphics, images, outbound links, and other material) is for informational purposes only. It is general in nature and is not to be used or considered as a substitute for personalised professional medical advice, diagnosis, or treatment. Always seek the advice of your qualified allied health provider regarding any symptoms, medical conditions, or treatments and before undertaking any new health care regimen.