Do you suffer from pain in your lower back, hips or legs? Do you find it difficult to walk or stand, or do you have a nagging pain that just won’t go away? All these symptoms may indicate problems with the sacroiliac (SI) joint. This is a cause of pain that is often overlooked. Fortunately, in most cases, a chiropractor can help with SI joint pain.
In this blog, we’ll take a closer look at what the SI joint is, what symptoms it can cause, and how chiropractic care can help restore your body to optimal function. Read on below to find out how our specialist SI joint chiropractor in Den Bosch It can help reduce your pain and restore your mobility!
Source image: Blausen.com staff (2014). "Medical gallery of Blausen Medical 2014“. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436.
What is the sacroiliac joint
Anatomy of the sacroiliac joint
The sacroiliac joint, often abbreviated to the SI joint, is located in the pelvis and connects the sacrum to the ilium, two large bones at the base of the spine. The sacrum is a large, triangular bone situated at the base of the spine. It consists of five fused vertebrae and forms the rear wall of the pelvis. The ilium is one of the three bones that together form the hip bone. It is the largest and uppermost part of the pelvis and articulates with the sacrum on both sides, forming the SI joint. The SI joint is supported by a strong network of ligaments, which provide stability and restrict movement.
This limited range of motion is necessary for stability whilst carrying out all sorts of everyday activities, such as walking and lifting. The small movements that are possible help to absorb shocks and distribute forces between the upper and lower parts of the body. The SI joint is surrounded by a network of nerves and blood vessels. The nerves can transmit pain signals if there are problems with the joint, such as inflammation or dysfunction.
Understanding the anatomy of the SI joint is crucial for identifying the causes of pain and finding effective treatments. Chiropractors specialise in this area, which means they play a valuable role in treating and preventing symptoms caused by the SI joint.
Function of the sacroiliac joint
The SI joint acts as a pivot point between the spine and the pelvis. It supports the weight of the upper body and distributes this weight evenly across the hips and legs. A properly functioning SI joint is essential for balance and stability and provides a firm foundation for movements of the legs and trunk.
During movements such as walking or running, the SI joint absorbs shocks and reduces the impact of the movement on the spine and pelvis. This cushioning protects the bones and joints from excessive wear and tear and injury. The SI joint also protects important nerve pathways that run through the pelvic region. Dysfunction or inflammation of the SI joint can lead to nerve pain, which often radiates to the lower back, hips and legs.
Problems and SI joint pain
An SI joint that is not functioning optimally can cause various problems and pain. Since the SI joint has an important function in all kinds of daily activities (like walking, lifting, jumping etc), a painful SI joint can have a significant impact on your quality of life. Below, we discuss the causes and symptoms of SI joint pain.
Causes of sacroiliac joint pain
There are several causes that can lead to SI joint pain. Below, we have listed some common causes:
Injury or trauma: Direct injuries to the pelvic region, such as a fall or a car accident, can cause damage to the SI joint. These forms of trauma can lead to inflammation, displacement or even fractures in the joint, resulting in pain and movement restrictions.
Overload: prolonged or repetitive movements that put pressure on the SI joint, such as heavy lifting or intense physical activities, can lead to strain and pain. This repeated stress can wear down the cartilage in the joint and overload the surrounding muscles and ligaments.
Osteoarthritis SI joint: Inflammatory diseases such as osteoarthritis, osteoarthritis or rheumatoid arthritis can affect the SI joint. Osteoarthritis causes wear and tear of the joint cartilage, leading to pain, stiffness and reduced mobility. Rheumatoid arthritis is an autoimmune disease that causes inflammation in the joint, which can also cause pain and damage.
Pelvic asymmetry: differences in the length of the legs or misalignments of the pelvis can overload the SI joint and cause pain. Asymmetries can increase pressure on one side of the pelvis, leading to imbalance and overloading of the joint.
Degenerative diseases: conditions such as degenerative disc disease or ankylopoetic spondylitis can affect the SI joint and cause pain. Degenerative disc disease leads to the breakdown of intervertebral discs, which can increase the strain on the sacroiliac joint. Spondylitis ankylopoetica is a chronic inflammatory disease that can stiffen the joints of the spine and pelvis.
Infection: Although a rarer cause, an infection in the SI joint, known as sacroiliitis, can cause severe pain and inflammation. Infection can be caused by bacteria travelling to the joint through the bloodstream or by direct trauma to the area. Sacroiliitis usually requires medical treatment with antibiotics and sometimes drainage of the joint.
SI joint pregnant
During pregnancy, a woman's body undergoes many changes that can affect the sacroiliac joint (SI joint). During pregnancy, the body produces the hormone relaxin, which helps to soften ligaments and make pelvic joints more flexible in preparation for childbirth. While this is a natural process essential for childbirth, it can also lead to instability in the SI joint, which can cause pain and discomfort.
The extra weight gain during pregnancy puts more pressure on the SI joint, which can lead to pain and tension. This increased strain can be especially noticeable in the later stages of pregnancy. Also, the growing belly can change a woman's posture and centre of gravity, which can place additional stress on the SI joint. These postural changes can contribute to pain and discomfort in the lower back and pelvic area.
Want to know more about chiropractic care during pregnancy? Read here than more!
SI joint complaints & SI joint pain symptoms
SI joint pain can manifest in various ways, depending on the severity and cause of the condition. Recognising the symptoms of SI joint problems is the first step towards effective treatment. If you suspect there is something wrong with your SI joint, it is important to consult a chiropractor for a thorough assessment and an appropriate treatment plan. This can help to reduce pain, improve mobility and enhance your overall quality of life. SI joint symptoms can vary greatly in intensity and in the location where they manifest, but below we have compiled an overview of the most common symptoms of SI joint pain.
Most common SI Joint pain symptoms
Lower back pain
One of the most common SI joint complaints is lower back pain. This pain can range from mild to severe and is often concentrated on one side of the back, although it can also affect both sides. The pain is often described as a dull, nagging ache that can worsen with certain activities or postures.
Hip pain
Pain in the hip area, again often on one side, is another characteristic symptom. This pain may radiate to the gluteal muscles and the upper thighs, making it difficult to walk or stand for long periods.
Pain radiating to the rest of the body
SI joint pain can radiate to other parts of the body, such as the groin and legs. This can be very similar to sciatica, where the pain radiates along the hip and leg. It is important to recognise the difference, as SI joint pain is often more concentrated in the pelvic area.
Pain when moving
People with SI joint pain often experience an increase in pain during certain movements. These may include standing up from a seated position, walking or climbing stairs, and bending or twisting the torso. Certain postures can exacerbate the pain, particularly if weight is unevenly distributed across the pelvis.
Stiffness
Stiffness in the lower back and hips is a common symptom, particularly after sitting or lying down for long periods. This stiffness can lead to a reduction in range of motion and a feeling of restricted flexibility in the pelvic area.
A clicking or snapping sound
Some people experience a clicking or snapping sensation in the pelvic area, particularly during movements such as twisting or bending. This sound may be accompanied by a sudden, sharp pain and may be a sign of instability in the SI joint.
Reduced mobility
Limited range of motion in the lower back and hips may be a sign of SI joint pain. This can make it difficult to carry out everyday activities and may lead to a reduced quality of life. People may find it difficult to perform simple tasks such as bending over, lifting or standing for long periods.
Swelling and inflammation of the sacroiliac joint
Although less common, some people with SI joint pain may experience visible swelling and inflammation around the joint. This inflammation can contribute to the pain and stiffness and may sometimes be accompanied by warmth and redness in the affected area.
Difficulty with balance and stability
SI joint pain can also affect balance and stability. People may struggle to maintain stable posture, especially when performing activities that require balance, such as standing on one leg or climbing stairs.
Fatigue
Chronic pain can lead to fatigue and a general feeling of malaise. The constant pain and the effort required to manage it can be exhausting, leading to reduced energy levels and motivation.
How can an SI joint chiropractor help?
Chiropractors are specialist healthcare practitioners who focus on the treatment and prevention of musculoskeletal disorders, including problems with the sacroiliac joint. A chiropractor begins with a comprehensive assessment of your medical history and a physical examination. They will look at your symptoms, the location of the pain, and the factors that aggravate or alleviate the pain. Chiropractors often carry out specific tests to identify the cause of the pain. These tests can help to distinguish SI joint pain from other causes of back and hip pain, such as sciatica
Chiropractors apply specific manipulations, known as the ‘chiropractic adjustments’, to the SI joint to correct alignment, improve mobility and reduce pain. These chiropractic adjustments are carried out with care to apply the correct pressure and movement to the affected area. The SI joint is moved in a gentle and controlled manner to reduce stiffness and increase flexibility. Chiropractors may also use various soft-tissue techniques to reduce tension and spasms in the surrounding muscles. If desired, a chiropractor may also recommend specific exercises and stretches aimed at strengthening the muscles around the SI joint, improving stability in the hips and promoting flexibility. These exercises can be carried out at home to support and speed up the treatment. Finally, chiropractors provide advice on your posture and the correct ergonomic positioning during daily activities, in order to reduce pressure on the SI joint. This allows you to make adjustments to your workplace, sleeping position or lifting technique.
Benefits of an SI joint chiropractor
Chiropractic treatments are effective in relieving pain and improving the functionality of the SI joint. By correcting alignment and reducing tension, patients can experience a significant reduction in their pain. By improving SI joint mobility, chiropractic treatments can help restore range of motion and increase overall flexibility. Chiropractic care offers a non-invasive approach to treating SI joint pain without the use of medication or surgery. This makes it an attractive option for people seeking natural pain relief, and wanting to avoid surgery or medication. Because chiropractors do not just focus on suppressing the (pain) symptoms, but instead really look for the cause of the problem, they can offer a future-proof solution to the problem. Chiropractic treatments can help patients relieve their pain, improve their mobility and increase their overall quality of life. Therefore, if you suffer from SI joint pain, a visit to a qualified SI joint chiropractor can be an exceptionally valuable step towards recovery.
How to find a good SI joint chiropractor?
Finding a qualified chiropractor to treat SI joint pain is an important step towards recovery. Check that the chiropractor has undergone recognised training and is a member of a professional association. At The Family Chiropractor to Den Bosch All our chiropractors are registered with the DCF and SNRC, which also makes you eligible for reimbursement by health insurance. Look for a chiropractor experienced in treating SI joint pain. Chiropractors who regularly work with this condition have more knowledge and skills in dealing with such complaints. Read online reviews and patient testimonials. This can give you insight into the experiences of others and the quality of care provided by the chiropractor. Also, some practices offer the opportunity to have a scheduling an introductory appointment, in which you can schedule a short consultation with the chiropractor without any obligation. This gives you the chance to ask questions about their experience, treatment methods and what to expect from the treatment.
Pay attention to how the chiropractor communicates and whether you feel comfortable. A good chiropractor listens attentively, answers your questions and explains the treatment plan clearly. And finally, trust your gut. If you feel comfortable and trust the chiropractor, you are more likely to have a positive experience.
SIJ exercises
In addition to visiting an SI joint chiropractor, there are also a number of things you can do yourself to speed up the recovery process. Below, we have described some effective SI joint exercises that can help relieve pain and improve the stability and mobility of the SI joint
1. Little bridge
Lie on your back with your knees bent and your feet flat on the floor. Slowly lift your hips up, tightening your glutes, until your body forms a straight line from your shoulders to your knees. Hold this position for a few seconds and then slowly return to the starting position. Repeat 10-15 times.
2. Cat-Cow Stretch
Get down on your hands and knees, with your hands straight under your shoulders and your knees straight under your hips. Inhale as you hollow your back and raise your head (cow position). Then exhale as you arch your back, bring your chin to your chest and point your tailbone down (cat position). Repeat this movement slowly and smoothly 10-15 times.
3. Side Leg Lifts
Lie on your side with your legs extended. Slowly lift your top leg up, while keeping your hips stacked and your body straight. Hold your leg in the air for a moment and then slowly lower it. Repeat 10-15 times on each side.
4. Piriformis Stretch
Lie on your back and cross your ankle from one leg over the other, just above the knee. Grab behind the uncrossed leg and slowly pull your knee towards your chest until you feel a stretch in your buttock and SI joint. Hold this position and gently breathe in and out. Then switch sides and repeat.
5. Pelvic tilts
Lie on your back with your knees bent and your feet flat on the floor. Tilt your pelvis forward by pushing your lower back into the ground and lifting your buttocks slightly. Hold this position for a few seconds and then return to neutral. Next, tilt your pelvis backwards by lifting your lower back off the ground. Repeat this movement slowly and in a controlled manner 10-15 times.
6. Leg Rotations
Lie on your back with your legs extended. Bend your knees and bring your feet flat on the ground. Slowly drop your knees to one side, hold for a few seconds and then bring them back to the middle. Repeat on the other side. This helps stretch and mobilise the muscles around the SI joint.
Performing these SI joint exercises regularly can help improve mobility, stability and strength around the SI joint, which can reduce pain and discomfort. Remember to perform these SI joint exercises slowly and in a controlled manner and stop if you experience pain. Consult your chiropractor if you have any specific questions,
Frequently asked questions
How do I know if I have a problem with my SI joint?
How to loosen SI joint in SI joint pain?
How to crack SI joint?
