SI Joint Pain

SI Joint Pain

Located between the base of the spine and the pelvis, the sacroiliac (SI) joint is essential for connecting the two. A large number of people experience SI joint pain due to the tremendous amount of stress the joints undergo from daily movements. Fortunately, there is a large variety of effective treatment options. Having a better understanding of this condition can lead to an improved quality of life.

Causes of SI Joint Pain

The SI joint is responsible for transferring energy between the upper and lower body to enable movement. The two main causes of SI joint pain include natural aging and strenuous activities. High-stress activities put excess strain on the joint causing pain and dysfunction that requires rest to heal. 

The SI joint is also subjected to degradation that affects other joints and soft tissue throughout the body. The amount of water content the body can retain decreases with age, making the connective tissue and protective cartilage brittle and stiff. This causes deterioration and friction between the bones creating inflammation.

Basic SI Pain Relief

The initial approach to treating SI joint pain is to consider conservative options, such as:

  • Rest
  • Over-the-counter medication
  • Alternating hot/cold compression
  • Activity modification such as a change in lifting habits

These are designed to relieve symptoms and improve function as the condition is monitored.


SI joint pain symptoms include:

  • Sharp pain in the pelvis and hips
  • Shooting pains in hips and legs
  • Tingling and numbness
  • Stiffness/popping sensation in lower back and pelvis
  • Backache

A thorough examination is important for any of these symptoms as SI joint pain is often misdiagnosed as a lumbar (lower) spine condition due to the overlapping symptoms. Specialized tests may be needed in order to confirm SI joint pain.

Advanced Conservative Therapy

If your joint pain is more severe and/or persists for more than a few weeks, physical therapy and SI joint injections should be considered. Physical therapy can help strengthen key supporting muscles and increase range of motion while joint injection can decrease inflammation and relieve pain allowing patients to engage in normal activities. A joint injection is often used in conjunction with physical therapy.

Surgical options

Surgery can be considered a viable option if conservative treatment is ineffective. SI joint fusion is an example of surgery that helps stabilize the region and reduce painful/dysfunctional movement. Minimally invasive techniques allow for this surgery to be performed on an outpatient basis.

Get In Touch with The Experts at BEST Health System

If you’re suffering from SI joint pain and are seeking lasting relief, contact the team at BEST Health System today. Our caring team of multidisciplinary experts will work closely with you to create a personalized SI joint pain relief plan that fits your needs and lifestyle. From SI joint injections and physical therapy to outpatient minimally invasive surgery, we want to help you on your journey toward relief.

If you have experienced any of these symptoms or recieved a diagnosis and need treatment, BEST can help. Take the first step towards relief today.

Related Articles

Headshot of An Overview of SI Joint Dysfunction

An Overview of SI Joint Dysfunction

What is SI Joint Dysfunction? SI joint dysfunction describes the chronic symptoms associated with the sacroiliac joints. These joints are located at the connection of […]

Headshot of SI Joint Pain Relief – What Are The Options

SI Joint Pain Relief – What Are The Options

The sacroiliac (SI) joint serves a key function in connecting the base of the spine to the pelvis. Named because it connects the base of […]

Headshot of What Causes SI Joint Dysfunction?

What Causes SI Joint Dysfunction?

Sacroiliac (SI) joint pain can be caused by certain spine conditions, as well as other injuries or abnormalities of the spine. These types of conditions […]

Headshot of A Guide to SI Joint Fusion | BEST

A Guide to SI Joint Fusion | BEST

People who experience chronic pain in the sacroiliac joint (SI joint)  of the spine often have difficulty standing or walking for an extended period of […]

Headshot of The Importance of Proper SI Joint Pain Diagnosis and Treatment

The Importance of Proper SI Joint Pain Diagnosis and Treatment

By joining the base of the spine to the pelvis, the sacroiliac, or SI joint, is critical to connecting the upper body to the lower […]