Sacroiliac Joint Dysfunction (SI Joint Dysfunction) is a common condition that affects millions of people worldwide. It is estimated that up to 25% of people with low back pain have SIJD, with women being more at risk. It occurs when the normal functioning of the sacroiliac joint, which connects the sacrum (the triangular bone at the bottom of the spine) to the ilium, is disrupted (the pelvic bone). This disruption can cause pain and discomfort in the lower back, hips, groin, and legs. 

Symptoms of SI Joint Dysfunction can vary from person to person, but may include: 

• Lower back pain that radiates to the hips, groin, or legs 
• Pain or tenderness in the buttocks 
• Stiffness in the lower back 
• Pain that worsens with prolonged sitting, standing, or walking
• Difficulty sleeping due to pain 

The exact causes of SI Joint Dysfunction are not fully understood, but it is believed to be caused by a combination of factors, including: 

• Trauma: A fall, car accident, or other trauma can cause damage to the sacroiliac joint and lead to dysfunction. 
• Repetitive stress: Activities that involve repetitive bending or twisting of the lower back can lead to inflammation and dysfunction of the sacroiliac joint. 
• Pregnancy and hormonal changes: Women who are pregnant or have recently given birth may be at increased risk of developing SI Joint Dysfunction due to the hormonal changes that occur during pregnancy. 

There are several ways to manage the symptoms of SI Joint Dysfunction which can reduce the symptoms and improve quality of life, including: 

• Rest and ice: Resting the affected area and applying ice to the area can help reduce inflammation and pain. 
• Manual therapy and range-of-motion exercises: Mobilization of the joint, alongside stretching and range-of-motion exercises, can help maintain mobility in the sacroiliac joint. 
• Use proper ergonomics: Using proper ergonomics and techniques when performing activities that involve bending or twisting of the lower back can help reduce stress on the sacroiliac joint and prevent future episodes of dysfunction. 
• Seek medical advice: If you’re experiencing pain or discomfort in your lower back, hips, groin, or legs, it’s important to seek medical advice. A physiotherapist can help develop a tailored exercise program to improve your symptoms and overall quality of life. 

We offer the Resilient programme at R3 Physiotherapy in Wanstead and Ilford, which incorporates cutting-edge technology such as a Functional Scanner to accurately identify any postural maladaptation’s. We’ll then work with you to increase your flexibility and correct any imbalances with hands-on techniques like manipulation, mobilisation, and deep tissue massage. The journey continues with weekly personal training sessions, where you’ll work with a highly experienced trainer to develop strength, balance, and control through a personalised regimen designed specifically for you. 

In conclusion, SI Joint Dysfunction is a common condition that can have a significant impact on quality of life. You can manage your symptoms and improve your overall health and well-being if you understand the causes, symptoms, and potential treatments for SI Joint Dysfunction. Remember that prevention is always preferable to treatment, so use proper ergonomics and engage in regular exercise to help lower your risk of developing SI Joint Dysfunction. 

References

Newman, D.P. and Soto, A.T. (2022). Sacroiliac Joint Dysfunction: Diagnosis and Treatment. American Family Physician, 105(3), 239-245. PMID: 35521045

Cohen, S. P., Chen, Y., & Neufeld, N. J. (2013). Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Review of Neurotherapeutics, 13(1), 99-116. PMID: 23253394 DOI: 10.1586/ern.12.148.