By Healthweb | February 12, 2014
The sacroiliac joint is located in the lower part of the back and joins the tail bone (sacrum) to one of the pelvic bones (ilium). There are two sacroiliac joints – one on either side of the spine. The sacroiliac joints act to transfer weight from the spine to the pelvis and allow a small amount of movement to occur.
Sacroiliac joint dysfunction may occur from excessive forces being applied to the sacroiliac joint. This can be from bending, sitting, lifting, arching or twisting movements of the spine, or, from weight bearing forces associated with running or jumping. Injury to the sacroiliac joint may occur traumatically or due to repetitive or prolonged forces over time.
During pregnancy and the post natal period, sacroiliac pain and joint strain are common presentations in pelvic girdle pain and instability. Pregnant women will experience increased hip or buttock pain with everyday activities involving walking, sitting and standing.
There are two main groups of sacroiliac dysfunction that cause SIJ pain:
- Hypermobility / Instability
- Hypomobility / Stiffness
The transfer of weight bearing forces through the pelvis is compromised when the sacroiliac joint is stiff or unstable.
A thorough subjective and objective examination from a physiotherapist is usually sufficient to diagnose sacroiliac joint dysfunction.
Treatment may comprise of:
- Soft tissue massage
- Electrotherapy (e.g. ultrasound)
- Use of a sacroiliac belt or lumbar brace
- Use of a lumbar roll for sitting
- Correction of any leg length discrepancy
- Dry needling
- Muscle energy techniques
- Activity modification advice
- Biomechanical correction
- Ergonomic advice
- Clinical Pilates
- Exercises to improve flexibility, strength, posture and core stability
- A gradual return to activity program
The recovery time for sacroiliac joint dysfunction may vary from patient to patient depending on compliance with physiotherapy. With ideal treatment, patients may be pain free in as little as several days, although typically this may take 2 – 3 weeks. It is important to note, however, that injured tissue takes approximately six weeks to restore the majority of its strength in ideal healing conditions. Care must therefore be taken when returning to activity during this period.
Stretch of the Month
Begin lying on your front. Slowly move up onto your elbows provided there is no increase in symptoms. Hold this position for 2 seconds and then return to lying flat. Repeat 10 times provided the exercise is pain free.
Tips to cool down this Summer
Use your air conditioner.
No air conditioning then put a bowl of ice in front of your fan. If you’re using a basic fan, this can greatly increase its effectiveness.
Keep a spray bottle of water in the fridge. Spritzing yourself then provides a fast way to cool down.
Keep the curtains drawn. Keeping the sunlight out is more effective than opening the windows, especially on still days.
Take advantage of public air conditioning. You don’t have to stay at home: head to a shopping centre or a public library to take advantage of cooler temperatures.
Drink plenty of cooling liquids. 8 glasses a day of water is essential.