Sacroiliac Joint Dysfunction

Sacroiliac Joint Dysfunction

What are symptoms of sacroiliac joint dysfunction?

Sacroiliac joint dysfunction (SIJD) may cause low back and/or buttock pain.

What is the cause of SIJD?

The sacroiliac joints connect the sacrum and the pelvis. SIJD may result from hypermobility (too much movement) at the joint or hypomobility (too little movement) at the joint. Hypo/hypermobility may cause malalignment of the joint; as a result, produce irritation/inflammation at the sacroiliac joint. Sacroiliac joint dysfunction may develop with the stresses of pregnancy and delivery, arthritis in hip/knee joint and/or differences in leg length.

How is SIJD diagnosed?

SIJD is commonly misdiagnosed as it mimics other common conditions such as low back + posterior leg pain caused by a lumbar disc herniation. Sacroiliac joint injections to the SI joint may be used by your physician to diagnose and treat SIJD. Sacroiliac joint injections typically include an anti-inflammatory medication to help decrease inflammation/irritation at the joint and enable improved tolerance for activities. Your physician may refer you to physical therapy. SIJD can be ruled in/out by a cluster of tests assessed by your physical therapist.

How do you treat SIJD?

Physical therapists at Two Trees Physical Therapy can help treat sacroiliac joint dysfunction symptoms by targeting the source of the dysfunction and provide appropriate strengthening and stretching exercises to help you return to your routine activities of daily life and/or sport. Your physical therapist may also utilize muscle energy techniques that employ the activation of your muscles to restore sacroiliac alignment.  Initial treatment may also include ice or heat at the site of pain.


Cyndy Rivera PT, DPT

Doctor of Physical Therapy

I graduated from California State University, Sacramento in 2015 with a doctorate in physical therapy. I obtained my Bachelor and Master degrees in Kinesiology from California State University, Northridge in 2008 and 2012, respectively. I joined the Two Trees team in 2015. I enjoy running, yoga and spending time with my family. Sacroiliac joint dysfunction is one of my favorite orthopedic conditions to treat. I enjoy helping individuals decrease pain to enable return to their normal routine including return to exercise and sport activities.