Understanding Sacroiliac (SI) Pain

Man with back pain
Image designed by Freepik

Clear Lake Chiropractor Comments: When most people come in to my office complaining of “hip” pain, they usually point to their sacroiliac (SI) joint. The SI joints are located right below your belt line above your buttocks. The SI joints are designed to help transition the weight from the spine to the pelvis. Additionally, sacroiliac joints are designed to allow a minimal amount of movement, and are reinforced with an interconnected network of strong ligaments and tendons.

Pain in the SI joints comes from either too much motion or not enough motion. There can be too much motion in the joint during pregnancy when the ligaments become relaxed to help with the birth or as a result of an injury. The most common injury that we see is when people are bending and twisting at the same time. This can either sprain the joint or allow the joint become subluxated or out of alignment. There can be not enough motion in the joint when it has become arthritic or has degenerated.

Typically SI joint pain will start in the joint and radiate out into the adjacent muscles. The SI joint can also send out a referred pain. The referred pain will go into the buttocks, around to the groin and possibly down the front of the thigh. It will not cause pain to go past the knee. That is a nerve pain.

The best treatment for SI pain is chiropractic care to make sure that the joint is in the correct alignment and not immobile, physical therapy to help with the pain and relax the muscles, stretches to make sure that the joint and associated muscles are moving correctly and therapeutic exercises to make sure that the joints are properly supported.

Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!