The sacroiliac joint can be a source of lower back pain

The sacroiliac joint can be the source of lower back pain. The sacroiliac joints are the joints formed between the sacrum and the two pelvic bones. The joints are supported by some of the strongest ligaments in the body, making the joint very stable.

Although there is only a small amount of movement available in the sacroiliac joints, what little there is is important and, if that movement becomes hampered, can lead to dysfunction.

Presented here is a little information about sacroiliac joint derangement.

How to Treat Sacroiliac Joint Pain

Loren Fishman, MD, Medical Director of Manhattan Physical Medicine and Rehabilitation in New York City, and author of “Cure Back Pain with Yoga” describes how he addresses sacroiliac joint pain.

Yesterday, several people called my Columbus Circle office with urgent appointment requests. It turned out three of them had a common, suddenly severely painful condition some doctors don’t believe exists — sacroiliac joint derangement.

Like several other back problems, sacroiliac joint derangement is difficult to diagnose and while injections can be helpful, they aren’t always effective. Here’s help in figuring out whether you have it — and then what to do.


The sacroiliac joints are on each side of your back, a little below the waist and in line with your kidneys. All our upper body weight, all our twisting, lifting and other movements must be supported by them. Because of their structure and placement, these joints need powerful ligaments to hold them in the proper position.

The three-dimensional structure of the SI joint is complex and irregular, and it works like a complicated key in a lock with many notches and tabs that must fit exactly into one another. The normal range of motion of this joint is very small — so small it must be measured in millimeters. But when it is out of alignment, it is extremely painful. Unfortunately, when it is out of alignment it doesn’t easily return to its proper position the way a shoulder that has gone “out” may slide back where it belongs. Instead, the ligaments, whose strength is a powerful ally in strenuous activities when the joint is functioning normally, become formidable adversaries when it isn’t, holding the joint in misalignment.

Symptoms and Self-Diagnosis
The pain of sacroiliac joint derangement, which occurs just below the small of the back, can change from side to side. Often the grinding or gnawing ache worsens with certain movements, such as lifting the feet when getting into or out of a car, reaching up while standing, bending down while knees are locked and getting out of bed in the morning. Twisting to one side hurts more than the other. Shifting your weight can help, but not for long. The pain can get worse all of a sudden, at any time of the day. One leg may feel shorter than the other. You might find it difficult to spread your legs apart. But there is never pain, numbness or unpleasant sensation going down the leg. (Read full article here)

Sacroiliac Joint Video

Here’s a video we put together identifying the sacroiliac joint as a source of lower back pain.

Do you have additional questions about hou to treat sacroiliac joint pain? We have put together a Patient Guide that discusses sacroiliac joint pain in more detail. If you would like access to this informative and easy to understand Patient Guide, just click this link and we’ll make sure you get your copy today. Patients’ Guide To Sacroiliac Joint Pain

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