Back pain represents the third most common reason people seek medical treatment, with one-half of working Americans developing this problem in any given year. An estimated 15 to 30 percent of lower back pain cases stem from a musculoskeletal problem known as SI (sacroiliac) joint dysfunction.
Because so many people struggle with SI joint dysfunction, you may benefit from understanding why this condition occurs, what it feels like, and what you can do to ease your symptoms. Check out the answers to these frequently asked questions about SI joint dysfunction and its treatment.
What Does the SI Joint Do?
Your spinal column terminates in two bones: the sacroiliac bone and the tailbone. The sacroiliac bone connects to the surrounding pelvic bones via the SI joint. This joint doesn't normally move more than a couple of millimeters, but this small degree of motion absorbs countless bumps and shocks between the upper and lower body.
Why Does SI Joint Dysfunction Develop?
Any physical change that affects the SI joint's range of motion can produce SI joint dysfunction, including infections or fractures in the joint. These changes may rob the joint of its already-limited motion (a problem called hypomobility), or it may make the joint too loose to provide stable support (hypermobility).
An acute sports, work, or auto accident injury can shift the SI joint out of position or otherwise damage it. Degenerative conditions such as arthritis can restrict SI joint motion. Two types of arthritis commonly involved in chronic SI joint dysfunction include ankylosing spondylitis and osteoarthritis.
Pregnant women often develop too much range of motion in the SI joint. This change occurs when hormonal and postural changes lend the pelvis extra flexibility in preparation for childbirth. The resulting instability in the joint can cause premature degeneration, leading to chronic dysfunction.
What Symptoms Can SI Joint Dysfunction Cause?
Like sciatica, SI joint dysfunction and irritation (sometimes referred to as sacroiliitis) causes sharp pain in the lower back, buttocks, groin, legs, and even the feet. Bending, sitting, shifting your weight to one foot, and standing for extended periods can trigger this pain.
SI joint dysfunction symptoms may grow noticeably worse whenever you perform other everyday actions such as climbing stairs, walking, or running. You may find that you can no longer perform essential job tasks, play your chosen sport, or manage household chores without nagging discomfort.
How Does Treatment Relieve SI Joint Symptoms?
While some especially severe cases of SI joint dysfunction may require fusion surgery, you can most likely get the relief you need through more conservative treatment options. These options may include chiropractic adjustment, spinal decompression therapy, and physical therapy exercises.
The first step in treating suspected SI joint dysfunction involves undergoing a thorough diagnostic exam. X-rays and other imaging technologies can reveal any bone overgrowth, deterioration, or joint displacement responsible for your symptoms. (This can also reveal whether you actually suffer from another disorder instead.)
Chiropractors use manual spinal adjustment techniques to restore normal SI joint position and alignment. These adjustments can help to ease your pain, permit more normal joint motion, and limit further joint damage. This can also help to reduce muscle tension and spasms that may have added to your pain and stiffness.
Spinal decompression therapy differs from spinal decompression surgery. In this healing technique, a specialized treatment table gently stretches and adjusts the space between the SI joint and the pelvic bone, easing stress and pressure in the affected area. Exercises, bracing, and corticosteroid injections may also help.
How Can You Prevent or Reduce Future SI Joint Issues?
Corner Chiropractic Center can diagnose a case of SI joint dysfunction and prescribe non-surgical treatments to help you get this debilitating issue under control. Contact our office to learn more.