Does physiotherapy treat sacroiliac joint dysfunction?

The sacroiliac joints connect the base of the spine with the pelvis. Symptoms may be felt near one buttock, the lower back, groin, or upper leg, and can change with walking, stairs, rolling in bed, or standing on one leg. A physiotherapist checks spinal, hip, and pelvic movement, muscle strength, balance, and the way you load each side. Treatment may include carefully selected exercises for the trunk, hips, and pelvic muscles, movement retraining, advice about positions, and a gradual return to activities. Hands-on techniques may be considered when appropriate.

Arrange an assessment if pain keeps returning or limits walking, work, sleep, or exercise. Follow the prescribed exercises at a tolerable level and track which movements increase symptoms. Short, comfortable walks and changing position regularly may be easier than prolonged bed rest. Avoid increasing lifting, running, or twisting suddenly. A clinician can also check whether the pain is coming from the hip, lumbar spine, or another source.

Seek urgent medical attention for new loss of bladder or bowel control, numbness around the genitals or inner thighs, severe or progressive leg weakness, or pain after a serious injury. Prompt assessment is also sensible for fever, unexplained weight loss, a history of cancer, or pain that is severe at night and not eased by changing position.

Could the symptoms be coming from the sacroiliac joint or another area? Which activities should I modify? What signs mean I should stop an exercise? How will we measure improvement in movement and function?