What Is Sacroiliac Joint Dysfunction?
Sacroiliac joint dysfunction refers to pain arising from abnormal movement or inflammation of the sacroiliac joint, which connects the lower spine to the pelvis. This condition may involve either excessive movement (hypermobility) or reduced movement (hypomobility) of the joint.
Unlike disc-related back pain, sacroiliac joint dysfunction originates from the SI joint itself. Sacroiliac joint inflammation can irritate surrounding ligaments and nerves, resulting in localized or radiating SI joint pain.
As the condition progresses, it can interfere with everyday activities such as:
- Pain while standing, walking, or climbing stairs
- Discomfort when sitting for prolonged periods
- Pain during position changes, such as standing up from sitting
- Reduced ability to work, exercise, or sleep comfortably
Without appropriate non-surgical care, SI joint pain may persist or worsen over time.
Understanding the Sacroiliac Joint and Pelvic Stability
The sacroiliac joints are located on either side of the lower spine, connecting the sacrum to the pelvic bones. These joints play a critical role in transferring weight between the upper body and legs while providing stability during movement.
In sacroiliac joint dysfunction, inflammation or altered joint mechanics disrupt normal load transfer. This leads to pelvic instability, abnormal stress on surrounding tissues, and chronic SI joint pain.
Stages of Sacroiliac Joint Dysfunction
Stage 1
Early Joint Irritation
Mild sacroiliac joint inflammation with intermittent pain during activity or prolonged postures.
Stage 2
Progressive Dysfunction
Persistent pain, stiffness, and reduced tolerance for standing or walking.
Stage 3
Chronic SI Joint Dysfunction
Ongoing pain with functional limitation and compensatory movement patterns.
Understanding disease progression helps set realistic recovery expectations and guides SI joint dysfunction treatment planning.
SI Joint Dysfunction Symptoms
Common SI joint dysfunction symptoms include:
- Lower back or buttock pain
- Pain radiating to the hip or upper thigh
- Stiffness after rest
- Pain worsened by standing, walking, or climbing stairs
Symptoms That Need Medical Evaluation
- Pain lasting several weeks
- Increasing discomfort or instability
- Difficulty performing daily activities
- Night pain or sleep disturbance
Causes and Risk Factors
Sacroiliac joint dysfunction develops due to structural or inflammatory changes affecting the SI joint. Contributing factors include:
Ligament laxity:
Leg discrepancy:
Joint degeneration:
Prior injury:
In some patients, SI joint dysfunction develops without a clearly identifiable cause.
Diagnosis and Clinical Assessment
Diagnosis of sacroiliac joint dysfunction involves:
- Detailed clinical evaluation by a pain specialist
- Assessment of posture, gait, and pain patterns
- Review of medical history and daily activity limitations
Imaging studies are used when required to rule out other spinal or hip conditions.
Advanced Non-Surgical Treatments for Sacroiliac Joint Dysfunction
Most cases of sacroiliac joint dysfunction can be managed without surgery. Advanced non-surgical treatments are considered when medications and physiotherapy alone do not adequately control pain or restore function.
The Nivaan Way
At Nivaan, interventional procedures for sacroiliac joint dysfunction are performed under image guidance wherever appropriate. This ensures precise targeting of the SI joint, improves safety, and supports effective non surgical SI joint pain treatment.
Sacroiliac Joint Injections
Nerve Blocks and Radiofrequency Ablation
Regenerative Medicine (PRP-Based Therapies)
Recovery Support: Physiotherapy, Nutrition, and Pain Counselling
Recovery outcomes improve when medical treatment is supported by comprehensive rehabilitation.
Physiotherapy:
Nutrition:
Pain Counselling:
This integrated approach supports a confident return to daily activities.
When to Consult a Pain Specialist
Consult a specialist if you experience:
- Pain persisting for several weeks
- Worsening SI joint pain
- Difficulty standing, walking, or sitting
- Symptoms affecting daily activities or sleep
Early intervention improves outcomes and reduces chronicity.
Our Integrated Non-Surgical Care Pathway
- Comprehensive specialist assessment
- Accurate diagnosis and pain source confirmation
- Personalized non-surgical treatment planning
- Guided physiotherapy and recovery monitoring
Book an Appointment for Sacroiliac Joint Dysfunction Treatment
Early non-surgical management of sacroiliac joint dysfunction can relieve pain, restore pelvic stability, and prevent long-term disability.
Frequently Asked Questions
Yes, most cases respond well to non surgical SI joint pain treatment.
SI joint pain originates from the pelvic joint, not the spinal discs.
Relief duration varies, but many patients experience significant improvement.
Yes, physiotherapy is essential for long-term recovery.
Early care prevents chronic pain and functional decline.