The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Sacroiliac Joint Dysfunction

Hypomobility, hypermobility or inflammatory disorder of the sacroiliac joint.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Sacroiliac Joint Dysfunction?

Sacroiliac joint dysfunction is a syndrome arising from hypomobility, hypermobility or inflammatory disorders of the joint between the sacrum and the iliac bone. It is responsible for 15-30% of chronic mechanical low back pain.

Pain is typically localised to the buttock and the posterior superior iliac spine; it may radiate to the upper posterior thigh, but rarely extends below the knee. Onset is more common after pregnancy, trauma or spinal fusion.

On clinical examination FABER, distraction, compression and thigh-thrust tests are used; positivity of three or more provocative tests supports the diagnosis. Diagnostic injection guided by fluoroscopy is the gold standard.

Symptoms

Buttock and posterior superior iliac spine pain
Increased pain on prolonged sitting, standing or stair climbing
Pain referring to the upper posterior thigh
Difficulty rolling over in bed
Pain in transitional movements
Local tenderness on palpation
Limp in walking

Risk Factors

Pregnancy and recent delivery
Trauma (fall, motor vehicle accident)
Lumbar spinal fusion (especially long segment)
Leg length discrepancy
Chronic stress and biomechanical imbalance
Inflammatory rheumatic diseases (axial spondyloarthritis)
Older age and degeneration

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent buttock pain not responsive to treatment
  • Severe pain on rolling over and transitional movements
  • Pain not improving with conservative therapy
  • Limitation of daily activities

Treatment Methods

01
Patient education and avoidance of provocative postures
02
Physical therapy and core stabilisation exercises
03
Pelvic belt and orthotic devices
04
NSAIDs and adjuvant analgesics
05
Sacroiliac joint injection (corticosteroid and local anaesthetic)
06
Radiofrequency lateral branch denervation
07
Sacroiliac joint fusion (selected cases)

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Physical Therapy for Low Back Pain

Fizik Tedavi ve Rehabilitasyon

Physical therapy for low back pain reduces pain and supports long-term recovery using a comprehensive approach that combines electrotherapy, manual therapy, therapeutic exercise and patient education.

Rehabilitation for Neck Pain

Fizik Tedavi ve Rehabilitasyon

Rehabilitation for neck pain is a multidimensional program including cervical mobilization, strengthening exercises and posture education that reduces pain and prevents recurrence.

Knee Rehabilitation

Fizik Tedavi ve Rehabilitasyon

Knee rehabilitation is a structured exercise and physiotherapy programme used after arthroscopy, replacement or ligament surgery, or in conservative management, to restore full knee function.

Shoulder Rehabilitation

Fizik Tedavi ve Rehabilitasyon

Shoulder rehabilitation is the staged exercise and manual-therapy programme that restores motion and strength after rotator cuff repair, frozen shoulder, shoulder arthroplasty or subacromial impingement.

Post-Stroke Rehabilitation

Fizik Tedavi ve Rehabilitasyon

Post-stroke rehabilitation is a multidisciplinary process aimed at regaining motor function, speech, swallowing and daily living activities to the highest possible level in patients who have had a stroke.

Spinal Cord Injury Rehabilitation

Fizik Tedavi ve Rehabilitasyon

Spinal cord injury rehabilitation is a long-term process targeting the highest possible functional level for patients with paralysis, sensory loss, and autonomic dysfunction caused by spinal cord damage.

Fibromyalgia

Fizik Tedavi ve Rehabilitasyon

Fibromyalgia is a central sensitization syndrome characterized by widespread musculoskeletal pain, fatigue, sleep disturbance, and cognitive dysfunction. Multimodal management with aerobic exercise, cognitive-behavioral therapy, and targeted pharmacotherapy improves function and quality of life.

Myofascial Pain Syndrome

Fizik Tedavi ve Rehabilitasyon

Myofascial pain syndrome is a common regional pain disorder characterized by hyperirritable spots in taut skeletal muscle bands (trigger points) producing referred pain patterns. Treatment targets trigger point inactivation and restoration of normal muscle length and function.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.