What are the treatment options for sacroiliac joint dysfunction?

The sacroiliac joints connect the base of the spine with the pelvis and help transfer load between the trunk and legs. Pain can be felt near one side of the low back or buttock and may be affected by walking, stairs, turning in bed or prolonged standing. Similar symptoms can come from the hip or spine, so assessment matters.

Physiotherapy may address pelvic and trunk strength, hip movement, gait and ways to change aggravating tasks. Manual therapy can use hands-on techniques to improve movement or reduce muscle guarding. An injection places medicine into the joint area for selected patients and may also help clarify whether the joint is contributing to pain.

Keep moving within tolerable limits, change position regularly and avoid sudden increases in lifting, running or stair work. A personalised [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) plan can build support from the abdomen, back, hips and legs. [Manual Therapy](/treatments/manual-and-manipulative-therapy/manual-therapy/) may be used alongside active exercise rather than replacing it.

If pain remains limiting after assessment and rehabilitation, ask about [Sacroiliac Joint Injection](/treatments/spine-care/sacroiliac-joint-injection/). Keep a brief record of positions, activities and referred symptoms; this helps distinguish joint pain from hip, nerve or spinal causes.

Arrange a clinical review when pain lasts, recurs, affects sleep or restricts walking and daily activities. Seek urgent care for new bladder or bowel control problems, numbness around the inner thighs, progressive leg weakness, fever with severe back pain, or major pain after trauma.

Ask how the sacroiliac joint was distinguished from the hip or lumbar spine, which activities to change, and what progress should look like during rehabilitation. If an injection is proposed, ask what it is intended to test or relieve and what follow-up will guide the next step.