Therapy Options for Sacroiliac Joint Dysfunction

Sacroiliac Joint Pain

People who suffer from lower back discomfort complain about how their enhancement of life just isn’t the same anymore. One condition that produces lower back affliction is called Sacroiliac Joint Dysfunction. This is a treatable situation that can get people back to enjoying all the activities they once loved.

What is Sacroiliac Joint Dysfunction (SJD)?

This refers to irritation that correlates with the sacroiliac joint, and it is the portion of the body that attaches the lower spine to the pelvic cavity. This infirmity, also referred to as sacroiliitis, materializes when the joint becomes irritated, and therefore incites people to have misery that resides in the lowest portion of the back.

Because there are double of this category of body parts, paired on opposite sides of the spine, this disorder can disturb one or both chambers. These segments conjoin the bottom compartment of the vertebrae with the topmost sector of the pelvis.

What Causes Sacroiliac Joint Dysfunction?

There are a few notable causes of this malady. Most commonly, this constituent becomes displeased due to too much or insufficient motion. This joint can also become inflamed in conjunction with other ailments, such as ulcerative colitis, Crohn’s Disease, or osteoarthritis.

Moreover, muscle imbalance can be a suspect in this complaint. Pelvic misalignment is another source of this condition.

What are Sacroiliac Joint Dysfunction Symptoms?

The most frequent manifestation is torment that radiates from the lowest part of the back. However, patients have also reported aches in their butt and hip because the partition unites the spine with the hip. Oftentimes, this predicament can shoot distress downward one or both legs.

Other symptoms can include a mild fever and stiffness, especially after sitting for prolonged periods of time or upon waking up in the morning. Thankfully, there are quite a few treatment choices achievable for people suffering from this ailment.

How is Sacroiliac Joint Dysfunction Diagnosed?

It is troublesome to determine whether someone has this condition or another related condition without conducting an MRI or an x-ray. Having a herniated disk and sciatica share the same symptoms as SJD, so it important to obtain a competent diagnosis.

One way physicians determine if a patient has a problem in conjunction with this body part is to implant numbing solution into it. If the pain is relieved, then this joint is targeted as being the problem. Conversely, if the immobilizing cream does nothing to subdue the pain, then doctors explore other regions that could be the culprit. Once patients have a proper diagnosis, then therapy, in one form or another, can get underway.

How to Treat Sacroiliac Joint Dysfunction

There are numerous effective treatment selections feasible to people with this condition. Below is a list of these options:


Patients can attend to it themselves by using over-the-counter NSAIDs, such as ones that contain Ibuprofen. If over-the-counter affliction aids aren’t strong enough, then the doctor can prescribe a stronger medication. If a patient also has muscle spasms, then the doctor can prescribe a muscle relaxant.

Furthermore, if a person’s problem is in conjunction with rheumatoid arthritis, then this predicament is considered ankylosing spondylitis (AS). In this case, a special medication is prescribed that involves TNF inhibitors. This medication relieves pain and swelling of the areas involved.

Physical Therapy

Physical therapy is deemed an extremely effective treatment and is many times utilized in connection with prescription pills. The main goal of this type of treatment is to increase one’s pliability and toughness, which will, in turn, aid your health. Physical therapists clarify with patients exercises that are geared towards increasing one’s spectrum of advance on their back and hips. They also help patients on strength building exercises in order to gain stability in the back, hips, and legs. In addition, to gain flexibility, stretching exercises are employed.

Sometimes the culprit to back pain is applicable to poor posture. So, physical therapists also work with patients on how to have excellent posture, which can alleviate stress on the sacroiliac joint. Patients also learn to proper methods to bend and lift heavy objects, as well as other actions that can disturb the sacroiliac joint.

Manual Therapy

Manual therapy can also advocate what helps the sacroiliac joint pain. This category of therapy refers to utilizing hands-on approaches to subdue pain and increase mobility. Manual therapy includes massage therapy and joint operation.

Electrotherapy is also in the category of choices that help sacroiliac joint agony. With this, therapists use electrical pulses to energize soft tissue in the areas that are undergoing reduced maneuverability.

If you think that you have this affliction, contact a clinic that specializes in this condition, such as New York Dynamic Neuromuscular Rehabilitation and Physical Therapy. You’ll receive an expert diagnosis from top-notch doctors and professionals. From there, you can be on your way to one of many treatment options and a much fuller life.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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