The Hidden Culprit Behind Persistent Low Back Pain: The Sacroiliac Joi…

The sacrum-ilium joint plays a vital role in how our body moves and supports weight. Located where the sacrum meets the ilium on each side of the lower back, this joint connects the spine to the pelvis. While it exhibits minimal motion during daily activities, it absorbs shock and transfers forces between the upper body and the legs. When this joint becomes irritated or dysfunctional, it can lead to persistent low back pain that often mimics other conditions like herniated discs or sciatica.

Pain from the SI joint typically appears unilaterally in the lower back or gluteal region and may travel toward the groin or knee. It often becomes more severe during weight-bearing activities or posture changes. Some people report unsteadiness or "giving way" around the hips. Because the symptoms overlap with other spinal issues, it is frequently misdiagnosed. A detailed manual evaluation plus imaging or fluoroscopic-guided blocks are needed to distinguish it from other causes.

Several factors can contribute to sacroiliac joint dysfunction. Hormonal changes during gestation are a major contributor due to hormonal changes that loosen ligaments to prepare the pelvis for childbirth. Physical injury from blunt force or impact can also injure the joint. Overuse from repetitive motions, muscle imbalances, or even leg length differences can place chronic uneven pressure on the sacroiliac articulation. In some cases, autoimmune conditions such as psoriatic arthritis or reactive arthritis affects the joint.

Treatment focuses on rebalancing motion and suppressing pathological inflammation. Physical therapy is often the first step, with specific exercises to strengthen the muscles around the pelvis and improve posture. Hands-on interventions including manipulation, thrust or non-thrust techniques may help enhance articulation and decrease pain. heat applications, and sacroiliac belts can provide relief. In more chronic or refractory presentations, injections into the joint or minimally invasive procedures may be considered.

Preventing sacroiliac joint pain involves maintaining good posture, 小倉南区 整体 staying active, and avoiding prolonged sitting or standing in one position. Pelvic floor and gluteal activation routines are especially helpful. If you have recurring low back pain that doesn’t respond to typical treatments, it’s worth considering whether the sacroiliac joint might be involved. A thorough evaluation by a healthcare provider who understands pelvic mechanics can lead to an precise identification and lasting symptom resolution.