SI Joint Dysfunction

What is SI Joint Dysfunction?

SI Joint Dysfunction occurs when the sacroiliac joints—located where the spine connects to the pelvis—become inflamed or move abnormally. These joints play a critical role in transferring weight and force between the upper body and lower extremities. Dysfunction of the SI joint can cause lower back and pelvic pain that is often mistaken for other spinal conditions.

What Are the Symptoms?

Symptoms of SI joint dysfunction may vary in intensity and can include:

  • Lower back pain, typically on one side
  • Pain in the buttocks, hips, or groin
  • Pain that worsens with standing, walking, or climbing stairs
  • Stiffness or reduced mobility in the lower back or hips
  • Pain when sitting for prolonged periods
  • Referred pain into the thigh or leg

What Causes SI Joint Dysfunction?

SI joint dysfunction can result from several contributing factors, including:

  • Degenerative changes of the joint
  • Pregnancy or childbirth-related pelvic changes
  • Trauma, such as falls or motor vehicle accidents
  • Leg length discrepancies or gait abnormalities
  • Prior spinal surgery altering biomechanics
  • Inflammatory joint conditions

What Are the Treatment Options?

Treatment focuses on relieving pain, stabilizing the joint, and improving function through conservative measures such as physical therapy, medications, and injections. When symptoms persist despite non -surgical care and significantly affect quality of life, surgical intervention may be necessary—consult Premier NeuroSpine for the condition and surgical planning.