Sacroiliac Joint Pain

March 26, 2020 by spencerjean_do

The sacroiliac joint is the part of your lower back made up of the sacrum (the bony structure above your tailbone and below your lower vertebrae) and the top part of your pelvis. It is the part of the low back just behind your waist.

About 20% of patients with chronic low back pain below L5-S1 are suffering from sacroiliac joint pain. The most likely pathology of the SJP is sprain or rupture of the anterior sacroiliac ligament, and the possible causes for that are classified into four groups (traumatic, mechanical, hormonal, and inflammatory):


  • Activities that involve twisting, bending, or heavy lifting (for example, swinging a golf club or shoveling).
  • A fall or a direct trauma to the area.
  • Falling on the buttocks.
  • Any injuries that causes the pelvis to rotate forward or slip upward.


  • Imbalance of the muscles around the hip or pelvis
  • Poor posture
  • Ligaments in the sacroiliac joint that are too loose
  • Sitting on hard surfaces like a bench or the floor for long period.
  • Leg length discrepancy (one leg being shorter or longer than the other).
  • Over pronation
  • Twisted pelvis.

Hormonal Changes:

  • Menstruation.
  • Pregnancy (common).
  • Lactation (breastfeeding).
  • Rarely among women who go under HRT (Hormone Replacement Therapy).

Inflammatory Changes:

  • AS: Ankylosing Spondylitis (most common)
  • Reiter `s reactive arthritis
  • Psoriatic arthritis
  • Osteoarthritis
  • Other forms of arthritis


  • Pain in the sacroiliac area of the low back.
  • Trouble bending or twisting your low back.
  • Pain after sitting for a long time.
  • Stiffness in the low back, hip, or leg.
  • A feeling of being “out of alignment”.
Pain Distribution Patterns for Sacroiliac Joint Pain


  • Diagnosis is based on history and physical examination of the back, pelvis, hips and legs.
  • X-ray, CT scan, and MRI might be needed to rule out other causes of pain.
  • Some useful tests to examine sacroiliac joint are: a)Patrick's Test (Fabere Sign), b) Gaenslens Test, c) Three – Phase Hyperextension Test


  • Rest from any activities, which cause pain.
  • Warm compress if the surrounding muscles are tight (do not heat if an inflammatory condition is suspected).
  • Stretching and therapeutic exercises
  • Massage to the low back and sacroiliac joint
  • Physical therapy/ Therapeutic Exercises
  • Mobilization of the sacroiliac joint
  • Shoe inserts
  • Electrotherapy
  • Sacroiliac back belt
  • Osteopathy
  • Chiropractic
  • Steroid Injections
  • Surgery


If you’ve been diagnosed or think you’re suffering from sacroiliac joint pain, follow the link below for some exercises that may help. If you are unsure if this is causing your pain, please reach out to us so we may be able to inform you before starting any exercises. If any of the exercises hurt too much, please stop them and let us know.

Other treatment which may work for you is to use heat, TENS, and move as much as you can tolerate. The worst thing that you can do is sit around or be on bed rest.

13:48 28 Feb 22
The guy is a wizard. I’ve been looking for a long time for someone that knows what they’re doing when it comes to backs. I will only see Spencer now going forward. If you decide to see someone else for back pain I’m not sure if you really want to get better. Whole clinic is great.
Mallika SomayajuluMallika Somayajulu
16:26 22 Feb 22
Dr. Spencer is awesome. Because of him, My back pain is gone and I can do the things I like again. His staff are very professional and polite.
mariette renaudmariette renaud
19:56 11 Feb 22
After many years of cervical spine discomfort and osteoarthritis most likely as a result of sitting at a desk for a good number of years, I found myself wanting to find an alternative means towards improving my spine health!My Naturopath Doctor recommended I see an Oesteopath namely Spencer Jean who came highly recommended.Spencer welcomed me into his office and the conversation began as to how to go about the process of correcting my posture! A plan of attack was formulated as to how to begin the process which was amazingly positive based on his confidence in doing so along with my part in wanting to do so!Today my posture has improved tremendously and I cannot thank Spencer enough for getting me to this point! The exercises are not difficult and As I see the progress, I am so much more encouraged in doing so! Thank you so much Spencer and the wonderful welcoming staff at Community Chiropractic Centre! I am truly blessed!
Spencer has been a great benefit to me, as he listens to what is wrong and works to help with that problem; so that I get some relief & can do more of my ADL. Before meeting Spencer & being under his care; I had very limited relief of discomfort. I would recommend anyone with chronic pain & skeletal ailments to give Spencer a try. He maybe just what you need in your life.
Tea MalbasicTea Malbasic
13:23 13 Jul 21
Spencer is great! Very professional and caring. After years of chronic back pain, I can honestly say I feel better after every visit. The office staff is friendly and very easy to deal with!
Nik DobrichNik Dobrich
03:18 17 Jul 20
Dr. Jean has helped me tremendously. Appointments are always on time and very professional. Would highly recommend !
Olivia RivardOlivia Rivard
16:43 21 Oct 19
Spencer is an amazing osteopath. I brought my 3 week old to see him for colic and he has helped her immensely! She is now 3 months and doing so well. Spencer is fantastic with babies. He is so caring and my little just adores him! Highly recommend his service.
Steven GombaiSteven Gombai
18:10 06 Aug 19
I actually love going to see Spencer. He addresses my problems and I'm not sitting around for hours past my appointment time waiting to see him. In and out within 30 minutes. He takes care of my kids as well. I would recommend him to anyone without hesitation.Thanks for keeping us all in one piece and keeping us at our 100% for our tournaments.

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