Treatment of Sacroiliac Joint dysfunction (SIJ Pain)
By Graceville Physio Molly Cartledge
The sacroiliac joint or SIJ sits between the sacrum at the bottom of the spine, and the pelvis. This joint only allows small amounts of movement but is important for force transmission between the trunk and lower limbs. Issues or dysfunctions with the SIJ can be painful and debilitating. SIJ dysfunctions can usually be categorised as either tight, catching, pinching joints, or loose/unstable joints.
People with SIJs that catch will often present with buttock pain (especially over the PSIS). This pain can be very sharp and can even lock them out of movement. They can also get pain into the hip and groin. Tightness in muscles that overlie the joint can cause compression and catching. These muscles need releasing and there is often underlying weakness and/or poor mechanics that need addressing.
Patients with loose or unstable SIJs can also present with buttock or groin pain and may complain of difficulties weight bearing on the affected side. These are more common in growing teens (especially females) and people with generalised hypermobility. It is important that these people seek treatment as these will continue to cause problems and often worsen over time. Strength work aimed at improving pelvic stability is the focus of treatment. These patients will also present with a lot of tightness. Over loosening this tightness, however, can exacerbate the underlying hypermobility and make them worse. Taping and bracing can provide good support and relief while the patients work to build stability.
With our clinical pilates classes
Wednesdays at 10am & 6pm
Our Clinical Physio led pilates classes are ideal for anyone needing to strengthen their core.
This may be so that you can continue to perform daily tasks well and without causing pain, enhance your performance in the gym or on the field, strengthen your body following spinal or other surgery and for those of you trying to actually avoid surgery.
If you suffer with chronic lower back pain you may benefit from guided pilates used as a part of therapy and rehabilitation. Class size is limited in order for the physio to give you personal one on one direction.
Max 5 participanats per class. Health fund rebatable.
CALL TO BOOK – 3278 1186
Quick Physio tip!
Stability can prevent injury! Can you stand on one leg for 10 seconds without falling? If you are worried about your balance our Physios can help!
5 quick tips to improve your posture
- Tip 1: Always keep your head level and your shoulders relaxed, especially during activities like walking, standing and even sitting. This will improve your posture and reduce the risk of back pain. Standing with your knees slightly bent can also be beneficial.
Tip 2: Try not to sit for long periods at a time. Stand up and stretch or walk around every 30 minutes.
- Tip 3: Lifting heavy objects is one of the most common causes of back pain. Therefore, make sure you always observe correct lifting techniques – hold the load close to your body, feet shoulder-width apart. Bend your knees, not your back, and lift from your legs. Avoid twisting! Use your feet to turn and don’t lift the load higher than waist height.
- Tip 4: The correct type of mattress and pillow will help you get a great, relaxing night’s sleep. Both should be firm enough to support your body weight and shape. Your spine should be straight when lying on your side, and maintain a natural curve when lying on your back.
- Tip 5: Promote good posture when seated, especially during driving by using a rolled up towel positioned for your lower back. This will help to prevent back and neck pain.
Are you worries about your posture?
We are trained to assess posture using our extensive knowledge of anatomy and bio-mechanics. From this postural assessment we are able to determine how posture is likely to worsen if nothing at all is done to improve the situation. Using our knowledge and experience, we can clearly see where you may be having problems.
If you are concerned about your posture book in to see one of our Physiotherapists today.