Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction refers to pain originating from the sacroiliac joint region that is caused by abnormal motion in the sacroiliac joint. Common symptoms include lower back, groin and hip pain.

Diagnosis of sacroiliac joint dysfunction can be done by physical exam or by a diagnostic sacroiliac joint injection.  Physical exam maneuvers include: Gaenslen’s test, iliac compression test, FABER test and thigh thrust.

Treatment is dependent on the duration and severity of the pain and dysfunction. The patient may be prescribed rest, ice/heat, physical therapy and oral anti-inflammatories.  If the pain does not resolve in the first 1–2 weeks, then the patient may benefit from a fluoroscopically guided injection.  And for severe and chronic sacroiliac dysfunction, sacroiliac joint fusion maybe used to pin the SI joint to prevent friction within the joint.

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