Do you have a Sacroiliac Joint Problem? Learn about how we test for Sacroiliac joint (SI) problems

Do you have a Sacroiliac Joint Problem? Learn more about this problem and how we screen for it at Apex.

The sacroiliac joint (SIJ) connects the sacrum with the pelvis on each side of the lower spine. The joint is the prime connection between the lower lumbar spine and the legs. The SIJ is relatively stable and has very limited motion.

Patients who present with this problem may have the following symptoms:

Pain reported on one side but can present on both in rare cases

Pain typically reported in the buttock and back of the thigh

More commonly found in young or middle age women.

Treatment can consist of: physical therapy exercises, manipulative or mobilizations to the SIJ, anti inflammatory medications and/or muscle relaxers, injection of the joint using anesthetic or in a small number of cases a SIJ fusion.

One of the key things is to make sure the lower lumbar spine or hip joints aren't the source of the problem. A thorough clinical evaluation should screen for both these areas. Since only %13 of patients with chronic low back pain have Sacroliac joint problems you must be careful to rule out the other possible sources of pain. At my clinic I use the McKenzie method to screen our patients for possible hip and lumbar problems.

After we have screened the lumbar and hip i use a series of 4 sacroiliac joint provocation tests described by the researcher Laslett. If 3 out of 4 of these tests are positive you most likely have a SI joint problem.

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