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Sacroiliac Joint Pain
(Joint Pain, Sacroiliac)
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- Twisting, bending, or moving in a way that triggers sacroiliac joint pain
- Infection of the joint
- Osteoarthritis of the joint, which is more common in older adults
- Trauma, such as an auto accident
- Stress fractures, which is common in athletes
- Inflammation of the joint, which can occur with ankylosing spondylitis
- Weak muscles
- Bending or twisting the back
- Improper lifting
- Inflammatory conditions, such as ankylosing spondylitis or psoriatic arthritis
- Falling or taking awkward steps off a curb or step
- Mild-to-severe low back pain
- Pain in the buttocks
- Pain that seems deep in the pelvis
- Pain in the hip or groin or back of the thigh
- Pain that radiates down the leg on the affected side
- Stiffness of the lower spine
- Certain activities may increase the pain, such as walking, twisting, or bending
- Over-the-counter pain relievers, such as acetaminophen or other nonsteroidal anti-inflammatory drugs (NSAIDs)
- Prescription pain relievers
- Muscle relaxants
- Steroid injections into the sacroiliac joint
- Exercises to stretch the muscles of the lower back
- Exercises to strengthen the muscles which support the area
- Exercises to affect the motion of the sacroiliac joint
- Applying ice to the painful area
- Applying deep heat to the sore area
- Exercise regularly to keep muscles strong
- Maintain good posture
- Use proper techniques for bending, lifting, or playing sports
Arthritis Foundation http://www.arthritis.org
OrthoInfo.org - American Academy of Orthopaedic Surgeons http://www.orthoinfo.org
Arthritis Society http://www.arthritis.ca
Canadian Orthopaedic Association http://www.coa-aco.org
Chronic low back pain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 17, 2014. Accessed May 13, 2014.
Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005 Nov;101(5):1440-1453.
d'Hemecourt PA, Gerbino PG II, et al. Pediatric and adolescent sports injuries: back injuries in the young athlete. Clinics In Sports Medicine. 2000 Oct;19(4):663-679.
Dreyfuss P, Dreyer S, et al. Positive sacroiliac screening tests in asymptomatic adults. Spine. 1994;19(10):1138-1143.
Inflammatory arthritis of the hip. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00396. Updated August 2007. Accessed May 13, 2014.
Sacroiliac joint dysfunction. Orthogate website. Available at: http://www.orthogate.org/patient-education/lumbar-spine/sacroiliac-joint-dysfunction.html. Updated July 27, 2006. Accessed May 13, 2014.
Scopp JM, Moorman CT III. The assessment of athletic hip injury. Clinics In Sports Medicine. 2001 Oct;20(4):647-659.
Siatica. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 22, 2013. Accessed May 13, 2014.
Speldewinde GC. Outcomes of percutaneous zygapophysial and sacroiliac joint neurotomy in a community setting. Pain Med. 2011;12(2):209-218.
Spinal injections. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00560. Updated December 2013. Accessed May 13, 2014.
- Reviewer: Teresa Briedwell, DPT, OCS
- Review Date: 05/2014
- Update Date: 00/51/2014