Sacroiliac Joint Pain – It's a Pain in the Butt!

Aug 8, 2019


Welcome to Muir Diablo Occupational Medicine, where we provide comprehensive information, diagnosis, and treatment options for various health conditions. In this article, we will be discussing Sacroiliac Joint Pain, a common condition that affects many individuals. Read on to understand the causes, symptoms, and available treatment options for this debilitating condition.

Understanding Sacroiliac Joint Pain

Sacroiliac Joint Pain, often referred to as SI joint pain, is a condition that affects the sacroiliac joints, which are situated at the base of the spine. These joints connect the sacrum (the triangular bone at the base of the spine) to the ilium (the pelvic bone). The sacroiliac joints are responsible for providing stability and transferring the weight of the upper body to the lower body.

Causes of Sacroiliac Joint Pain

There are several factors that can contribute to sacroiliac joint pain, including:

  • 1. Injury or trauma to the joint
  • 2. Pregnancy and childbirth
  • 3. Arthritis or inflammation of the joint
  • 4. Ankylosing spondylitis
  • 5. Infection of the joint
  • 6. Sacroiliac joint dysfunction

Symptoms of Sacroiliac Joint Pain

The symptoms of sacroiliac joint pain can vary from mild to severe. Common symptoms include:

  • 1. Pain or discomfort in the lower back, buttocks, or hips
  • 2. Pain that worsens with prolonged sitting or standing
  • 3. Pain that radiates down the leg (resembling sciatica)
  • 4. Stiffness or limited range of motion in the lower back
  • 5. Difficulty walking or performing daily activities

Diagnosis and Treatment Options

Proper diagnosis of sacroiliac joint pain is crucial for effective treatment. At Muir Diablo Occupational Medicine, we employ a comprehensive approach to diagnose and manage this condition. Our experienced healthcare professionals may recommend the following diagnostic tests:

1. Physical Examination

A thorough physical examination allows our specialists to assess your range of motion and identify any signs of sacroiliac joint dysfunction. They may also perform various movement tests to evaluate pain levels and pinpoint the exact source of discomfort.

2. Imaging Studies

In some cases, imaging studies such as X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans may be ordered to visualize the sacroiliac joints and rule out any other underlying conditions that may be causing your pain.

3. Diagnostic Injections

Diagnostic injections involve the injection of local anesthetics or numbing medications directly into the sacroiliac joints. If the pain is significantly reduced after the injection, it confirms that the sacroiliac joint is the source of your discomfort.

4. Treatment Options

Based on the diagnosis, our healthcare professionals will develop a personalized treatment plan to address your sacroiliac joint pain. Treatment options may include:

  • 1. Physical therapy exercises to improve joint stability and strengthen supporting muscles
  • 2. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
  • 3. Intra-articular injections of corticosteroids to provide temporary relief
  • 4. Minimally invasive surgical interventions in severe cases
  • 5. Alternative therapies like chiropractic adjustments, acupuncture, or massage therapy

Prevention and Self-Care

While sacroiliac joint pain may not always be preventable, there are certain measures you can take to reduce your risk or manage the condition:

  • Avoid activities that aggravate your symptoms, such as heavy lifting or repetitive bending
  • Practice good posture and maintain a healthy weight
  • Engage in regular exercise to strengthen the core and supporting muscles
  • Use proper body mechanics when lifting or performing physical tasks
  • Consider using orthopedic supports or braces for added stability


Sacroiliac Joint Pain can significantly impact your quality of life, but with early detection and proper care, it is possible to effectively manage the condition. At Muir Diablo Occupational Medicine, our team of experts is dedicated to providing you with the best care and treatment options available. Contact us today to schedule an appointment and take the first step towards a pain-free life!

First Marblehead Corporation
Ouch, the pain's real! 😣😩
Oct 18, 2023