Sacro-Iliac Joint Pain

The sacroiliac (SI) joint is located in the pelvis where the sacrum bone meets the ilium bones of the hip. Pain in this joint can cause discomfort in the lower back, buttocks, and thighs. SI joint pain is more common in adults and pregnant women, particularly during the third trimester.

The causes of SI joint pain are varied and include trauma, arthritis, inflammation, and hormonal changes. For women, the hormone relaxin is produced during pregnancy to loosen the ligaments in the pelvis to prepare for childbirth, which can cause instability and pain in the SI joint.

If you are experiencing SI joint pain, the first step is to seek advice from a qualified physiotherapist, ideally someone who is specialist in pelvic health. A thorough assessment will be conducted to determine the cause of the pain, which may include an examination of your movement of the hips, spine and kinetic chain, as well as assessing the strength and control of your lumbo-pelvic region. 

Treatment options for SI joint pain may include manual therapy to improve joint mobility, exercise prescription to improve strength and stability of the surrounding muscles, and education on proper body mechanics and posture. Pilates and yoga are also effective in treating SI joint pain as they focus on strengthening the core muscles that support the pelvis and spine.

For pregnant women, physiotherapy can be particularly beneficial in managing SI joint pain during and after pregnancy. Gentle exercises, such as pelvic tilts and cat-cow stretches, can help relieve pain and improve mobility. Strengthening exercises are also beneficial but is better when is tailored to the individual. A physiotherapist can also provide advice on modifications to daily activities to avoid aggravating the pain.

It’s important to note that while SI joint pain can be uncomfortable, it is often a temporary condition that can be managed with the right treatment plan. With the guidance of a qualified physiotherapist, you can reduce pain and improve mobility, allowing you to return to your normal activities without discomfort.

In conclusion, if you are experiencing SI joint pain, seek advice from a qualified physiotherapist. With the right treatment plan, you can manage the pain and improve your quality of life. Remember, a healthy lifestyle that includes regular exercise, good posture, and proper body mechanics can help prevent SI joint pain from occurring in the first place.