SI joint pain is a common complaint. Many will point to a specific location on one side or the other. They many describe the pain as sharp, pinching, or even a dull ache. Some can report a specific instance where the pain began while others will not be sure. For some the pain remains local but others will report the pain radiates. These are all possible descriptors of an SI joint issue, but the question is…is it the true source of the pain?

True SI joint pain is much less common than believed. There are specific groups of people and mechanisms of injury that are more likely related to SI pain. While for others the pain in that area is what is termed referred pain…meaning the pain is coming from another location.

So, who is likely to experience true SI joint pain?

Those more likely to have an issue include those who are hypermobile, pregnant or nursing mothers, teen athletes, someone who was involved in a MVA or a fall resulting in landing hard on one foot or on their rump.

Those with true SI issues will tend to report pain with transitional movements such as standing up from sitting. Pain is also likely to be reported with walking. While some may experience radiating pain into their butt or lower leg, that is often not the case.

What is the best treatment for SI pain?

Generally speaking some form of hands-on mobilization or manipulation in addition to specific exercise is likely to help.

Where should one look for treatment?

A physical therapist is the best choice to help people suffering from this ailment. They will determine the best treatment for you and develop a program to not only address the current pain but hopefully prevent further issues.

Not sure where to begin?

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