Sacroiliac Joint Dysfunction vs Low Back Pain

How do you differentiate between sacroiliac joint dysfunction and low back pain and why is it important to have them assessed correctly.  Pain from your sacroiliac joint that connects the bottom of your spine to your pelvis is called sacroiliac joint dysfunction or sacroiliitis.  SIJ problems can mimic causes of Lumbar spine pain or low back pain.

Symptoms of  SIJ and Lumbar spine damage.

Both can be felt in the low back, in the groin, into the buttock area and even hip.  Both can cause tingling or numbness and weakness in the legs or feet. Both can feel like a sharp or dull achy pain.  Some pain can be stabbing pain into the buttock or thigh and also pain past the knee, so how do you differentiate between sacroiliac joint dysfunction vs low back pain?

You need a correct Diagnosis first!

Having your therapist do a Differentiating Assessment is vital.  If you have been assessed as your problem being more SIJ then how is this treated?  More to the point if  the pain is not from your low lumbar spine but more your SIJ then you do not want to have your low back treated.  Hence the correct diagnosis is important.

Causes and Factors in Sacroiliac Joint Dysfunction:      Short leg –   Pregnancy and childbirth – Tight short Psoas muscles

Activities that can aggravate your SIJ

Contact sports where you are repeatedly rotating the pelvis, regular heavy lifting where your pelvis is rotated during the lift and sitting on the floor as in yoga and not having a good posture.

How is SIJ treated?

There are not a lot of traditional successful treatment options for SIJ and even if they are successful they usually do not last for long – WHY?

The reason is that the SIJ is not the problem – so just treating a joint will not work.

The PSOAS muscle is what needs treating!  WHY – because in my App below you will see an Interactive model of the body and in there you will see the huge PSOAS muscle.

This muscle is very tight on most people and over a long period of time this muscle shortens – The result is because it attaches to the front part of our SIJ , it then starts to tilt.

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