Have you been experiencing lower back pain lately?
Does it feel stiff especially after sitting for long periods?
Or at times do you think it is unstable in the lower back or pelvis?
You may be suffering from a sacroiliac joint dysfunction and here’s everything you need to know.
What is it?
The sacroiliac joint (SIJ) is the connection between your sacrum (the triangle bone that sits towards the end of your spine) and connects bilaterally with the iliac bones (the two large bones that make up the pelvis). An SIJ dysfunction is an abnormality in movement of the joint which can lead to pain and discomfort in the lower back and lower extremities.
Who gets it?
SIJ dysfunctions are commonly seen in patients who are:
- Pregnant
- Involved in a trauma such as a fall or accident to the SIJ
- Athletes that are involved in repetitive or excessive twisting that can strain the SIJ
Signs and symptoms
- Pain located around the: lower back, buttocks and thighs
- Dull or sharp pain
- Stiffness especially after sitting or standing for prolonged periods
- Sensation of instability in the lower back or pelvis
- Numbness or tingling due to nerve compression
How does it occur?
This can occur through various ways however the main causes that contribute to an SIJ dysfunction are:
- Trauma and injury: direct trauma to the SIJ can cause damage to the ligaments and structures surrounding the joint which can alter the alignment of the joint
- Pregnancy: the hormonal changes that occur can loosen ligaments within the body leading to instability and dysfunction. Additionally, the increased weight and structural changes to accommodate for the newborn further stresses the joint.
- Degenerative changes: degenerative changes that occur over time can cause thinning of the cartilage that line the joint and cause pain and dysfunction.
- Repetitive stress: activities or occupations that involve repetitive movement at the joint
- Muscle imbalances: weaknesses or imbalances of the muscles surrounding the joint which can alter the biomechanics of the joint
Treatment and management
Treatment usually involves manual therapy, anti-inflammatories, heat or ice therapy, injection therapy which will help alleviate pain and symptoms. Management and recovery will involve specific exercises targeted at the joint and surrounding musculature to improve stability and reduce pain.
If you think you may have an SIJ dysfunction or something similar, it may be a good idea to come in and see one of the Osteopaths at Canterbury Health Hub. Here we can perform a thorough assessment and provide a tailored treatment and management plan for your condition.