Physiotherapy for sacroiliac (SIJ) pain and dysfunction

The sacroiliac joint (SIJ) is located at the base of the spine, where the sacrum meets the iliac bones of the pelvis. SIJ pain or instability can occur due to trauma, overuse, or pregnancy. Physiotherapy can be an effective treatment option for people with SIJ pain or instability, and can help to alleviate pain, restore normal function, and prevent recurrence. Here are some ways in which physiotherapy can help:

  1. Manual therapy: Physiotherapists can use soft tissue techniques, joint mobilization, and manipulation to help relieve muscle tension and restore normal joint range of motion.

  2. Exercise therapy: Physiotherapists can design specific exercises to improve core stability, hip muscle strength, and flexibility. These exercises can help to reduce pain and improve joint stability.

  3. Education: Physiotherapists can provide education on ergonomics, posture, and strategies to avoid aggravating activities that may cause pain or instability.

  4. Modalities: Modalities such as heat or ice therapy, ultrasound therapy, or electrical stimulation can help to reduce pain and inflammation in the affected area.

  5. Taping: The use of kinesiology tape can help to support the affected area and reduce pain.

  6. Bracing: In some cases, a pelvic belt or SIJ belt may be recommended to help support the affected area during activities.

It is important to note that the treatment plan will vary depending on the severity of the SIJ pain or instability. Therefore, it is recommended to consult with a physiotherapist who can conduct a thorough assessment and design an individualized treatment plan to address your specific needs. Additionally, physiotherapy should be part of a comprehensive management approach to SIJ pain or instability that may include medication and rest.