• Lila Abbate, PT, DPT, MS, OCS, WCS

Sacroiliac Pain: Getting to the Root of the Problem

Low-back pain is a globally reaching problem affecting all demographics, excluding only children.4 The back is a complicated region of the body and issues can arise from different structures like the vertebrae and discs that make up the spine itself, but pain can also develop from nerve conditions, tendon irregularities, and joint dysfunctions.4 Frequently, patients feel they have pain in the sacroiliac region, but this can often be referred pain from other parts of the spine.2 Treating complicated orthopedic issues like sacroiliac joint dysfunction (SIJD) keeps our practitioners open to a broad scope of possible causes. During your first visit, we would evaluate your symptoms to trace the pain back to its origin. Being able to pinpoint where pain starts helps us create a treatment plan and home exercise program to heal from the source rather than only alleviate your symptoms.

In one study performed at the Physiotherapy O.P.D., UIHS, CSJM University, Kanpur, one group of candidates with SIJD were treated with joint manipulations in addition to standard physical therapy exercises, while the control group was given only a regimen of physical exercises to perform. The group that received the manual treatment showed better improvement overall with increased joint mobility and decreased pain.4 Our practice is built on hands-on, one-on-one care for exactly this reason; it benefits our patients and expedites results.

Studies show that manual therapy, yields the best results, however, treatment can also include use of special taping techniques and exercises3. These modalities help relieve hurting as well as correct pelvic asymmetry which may be contributing to your joint disfunction and pain.3 Associations have been made between sacroiliac joint pain and pelvic floor dysfunction, something we’re always keeping in mind when treating either primary condition.1 In a case reported by the Journal of Women’s Health, a patient experiencing internal pain during sex and sacroiliac pain, was relieved of both issues through a round of physical therapy focused on her SIJD1. These connections between the pelvic region and low back are common, making it pertinent patients see a therapist well-versed in pelvic issues in addition to standard orthopedic spinal problems. If SIJD or low back pain are causing you to suffer, give us a call at (646) 630-5815. We’ll get in you in for an evaluation and devise a personalized treatment plan. We know pain affects all facets of life and we are determined to treat your condition with the highest quality care, so you can get back to what matters to you most.

  1. Ensor, A. W. (2016). Physical Therapy Management of Sacroiliac Pain and Dyspareunia. Journal of Womenʼs Health Physical Therapy, 40(3), 147–153. doi: 10.1097/jwh.0000000000000063

  2. Dephillipo, N. N., Corenman, D. S., Strauch, E. L., & King, L. A. Z. (2019). Sacroiliac Pain. Clinical Spine Surgery, 32(6). doi: 10.1097/bsd.0000000000000745

  3. Al-Subahi, M., Alayat, M., Alshehri, M. A., Helal, O., Alhasan, H., Alalawi, A., … Alfaqeh, A. (2017). The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. Journal of Physical Therapy Science, 29(9), 1689–1694. doi: 10.1589/jpts.29.1689

  4. Sharma, D., & Goyal, M. (2018). Physiotherapy Treatment In Low Back Pain Patients With Sacroiliac Joint Dysfunction – A Comparative Study Between Joint Manipulation With Exercises And Conventional Physiotherapy Exercises. International Journal of Physiotherapy and Research, 6(6), 2948–2951. doi: 10.16965/ijpr.2018.192

  5. Sokunbi, G., Gujba, F., Bello, B., Abdullahi, M., & Olowe, O. (2018). Effectiveness of acupuncture and manipulation in the management of individuals with sacroiliac joint disorders based on clinical prediction rules. Nigerian Journal of Experimental and Clinical Biosciences, 6(2), 42. doi: 10.4103/njecp.njecp_16_18

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