Sacroiliac Joint Pain: Causes and Treatments

Sacroiliac Joint Pain PTCOA graphic

Every person has two sacroiliac joints (SI joints) that connect the bones of the pelvis to the lower spine and coccyx. These joints serve an important function: they absorb the impact of movement between the upper body and the hips and legs. If the sacroiliac joints are inflamed or damaged, pain can radiate into the buttocks, lower back and legs, causing limited mobility and lower quality of life. 


SI joint dysfunction is responsible for up to 30% of lower back pain1. However, many people with back pain are misdiagnosed and fail to receive effective treatment. 

Symptom of Sacroiliac Joint Pain

How do you know if your sacroiliac joints are causing your pain? 


Here are the main symptoms to look for: 

  • Pain in the lower back
  • Pain in the buttocks, hips, pelvis, and upper thighs
  • Increased pain when standing up after sitting
  • Radiating pain in the legs
  • Weakness in the legs
  • Burning or stinging in the pelvis
  • Stiffness and limited range of motion in the hips, lower back, and groin


You may also experience pain that is similar to pain caused by sciatica, including burning, stinging and stabbing pain that can radiate through the buttocks and backs of the thighs.

Causes of Sacroiliac Joint Pain

The most common causes of pain in the SI joints is inflammation (caused by degenerative conditions like osteoarthritis and ankylosing spondylitis) and trauma to the joints2. 


SI joint pain can be caused by
prior surgery, injury, pregnancy, childbirth, and having an abnormal gait when walking3. Some people experience pain in the SI joints due to general wear and tear associated with aging. 


People who have uneven leg lengths often have a shuffling or uneven gait that causes strain on the SI joints and connecting ligaments. Over time, this can lead to inflammation, discomfort and radiating pain. If you have one leg that is shorter than the other, it’s important to talk to your doctor about correcting your gait so you can avoid future pain in the SI joints.

Diagnosing Sacroiliac Joint Dysfunction

Pain in the buttocks, hips and lower back can have several causes. If your doctor suspects your pain is being caused by sacroiliac joint dysfunction, he or she will use a variety of information and tests to make a diagnosis. These include: an overview of your symptoms, physical maneuver testing, x-ray imaging and SI joint injections4


X-rays of your pelvis can reveal damage to the sacroiliac joints. An MRI may also be recommended if your doctor is concerned about ankylosing spondylitis. 


Anesthetic SI joint injections are also used to determine the source of hip and pelvic pain. If anesthetic injections into your sacroiliac joint provide relief, your pain is most likely being caused by the sacroiliac joints. 

Pain Management for Sacroiliac Joint Dysfunction

If you suffer from chronic pain caused by the SI joints, you have several options for treatment. 

  • Rest - A rest period of up to 48 hours may be necessary to reduce the strain and inflammation in your sacroiliac joints. 
  • Physical Therapy - Many individuals with sacroiliac joint pain notice improvement in their symptoms with physical therapy. Manual manipulation, ice and heat and certain exercises can help reduce muscle tension and improve range of motion in the SI joint.
  • NSAIDs - Non-steroidal anti-inflammatory drugs are the first-line treatment for sacroiliac joint pain that doesn’t get better with rest. These over-the-counter medications help relieve pain by reducing inflammation in the SI joints.
  • Muscle Relaxants - Muscle relaxant medications can help control muscle spasms associated with acute sacroiliac joint pain. 
  • Sacroiliac Joint Injections - If you’ve found pain relief with a diagnostic SI joint injection, your doctor may recommend an injection for longer lasting pain relief. An SI joint injection is a minimally invasive procedure that can provide pain relief for several weeks or even months. 
  • Sacroiliac Joint Fusion - For SI joint pain that is unresponsive to other treatment methods, surgical treatment is a final option. SI joint fusion places implants in the SI joints in the pelvis to help improve stability and increase weight bearing ability. Complications from SI joint fusion are low, and most patients experience clinically significant improvements in pain and disability following the surgery5.

Treatment for Sacroiliac Joint Pain at PTCOA

Pain Treatment Centers of America diagnoses and treats chronic sacroiliac joint pain. Our team of pain treatment specialists can help you find the right treatment options for your chronic pain, including SI joint injections and SI joint fusion. 


Contact us today to schedule your appointment. 

  1.  "Sacroiliac Joint Dysfunction (SI Joint Pain) - Spine-health." https://www.spine-health.com/conditions/sacroiliac-joint-dysfunction/sacroiliac-joint-dysfunction-si-joint-pain
  2.  "Possible Causes of Sacroiliitis and SI Joint Pain - Arthritis-health." https://www.arthritis-health.com/types/general/possible-causes-sacroiliitis-and-si-joint-pain
  3. "Sacroiliac (SI) Joint Pain - StatPearls - NCBI Bookshelf." 9 Jul. 2020, https://www.ncbi.nlm.nih.gov/books/NBK470299/
  4.  "Sacroiliac Joint Dysfunction in Patients With Low Back Pain." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6707638/.
  5.  "Minimally Invasive Sacroiliac Joint Fusion: The Current ... - NCBI." 10 Feb. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041666/.
By Bob Berendsen February 1, 2026
Chronic or acute pain has the potential to significantly impact your daily life, making even everyday tasks a hassle. Pain Treatment Centers of America believes that knowing your medication options is a crucial step in building an appropriate, personal pain management strategy. While many treatment options are available, pharmacologic therapy has been the peak of comprehensive care. Types of Medications Used in Pain Management Pain medications are not universalized. The selection of the right prescription depends on the pain type, severity, and medical history. Common categories include: 1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) NSAIDs, such as ibuprofen or naproxen, tend to be the first line of defense for low levels of pain. They reduce swelling and provide comfort associated with conditions like arthritis, back pain, or joint injuries. In some patients, however, they can affect the stomach or kidneys. Therefore, careful studying and dosing guidance from a professional is key. 2. Acetaminophen Acetaminophen is mostly for general pain reduction and is sometimes combined with other treatments. Unlike NSAIDs, it doesn’t target swelling. Nonetheless, it can be effective for pain relief and daily improvement. 3. Muscle Relaxants For pain caused by muscle spasms or tension, muscle relaxants can provide relief. These medications work by calming overactive muscles and are usually prescribed for short-term use to prevent dependency or side effects. 4. Antidepressants and Anti-Seizure Medications Certain antidepressants and anti-seizure drugs can treat neuropathic (nerve) pain. They work by altering how the nervous system processes signals of pain throughout your body. Even if you do not experience depression or seizures, these medications assist with pain control. 5. Opioids Opioids are strong pain-relieving medications chosen for more potent pain when other options aren’t doing the trick. At Pain Treatment Centers of America, we practice strict guidelines to minimize risks, evaluate patient progress, and ensure healthy, responsible use. A combination of Opioids can be introduced to other treatments as part of a multimodal pain management plan. Personalized Pain Management The effectiveness of medications is best when combined with other therapies; physical therapy, interventional procedures, and lifestyle changes. We work closely with each patient to structure a plan that focuses on the root cause of pain, not just the signs. Every treatment plan is carefully engineered, giving thought to variables like medical history, existing conditions, and possible side effects. Patients are taught how to use the medication safely, dosing schedules, and expectations of each prescription. Take the Next Step Understanding your medication options enables you to take charge of your pain and improve your life overall. If you’re having issues with chronic or acute pain, our professionals at Pain Treatment Centers of America will gladly help. We mix the most up-to-date pharmacologic therapies with personalized care to provide comfort, improve function, and enhance your total well-being. Schedule a consultation today to learn which pain management medications are a good fit.
By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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