The Sacroiliac Joint (SIJ) is an underappreciated source of lower back and buttock pain. It has been estimated that as much as 20% of lower back pain can actually be attributed to a primary SIJ dysfunction. The diagnosis can be somewhat complicated because SIJ dysfunction is often present with facet joint dysfunction, herniated disc, piriformis sciatica syndrome, and/or hip problems.

A skilled physical therapist can tease out a SIJ dysfunction with a comprehensive physical exam that looks at how the entire body is moving in space and how that motion relates to the pelvis.   While imaging can help the physical therapist determine dysfunction that may be present in the spine and hips, SIJD does not show up on an MRI, x-ray, or CT scan. The gold standard is a diagnostic SIJ block and a good physical exam. Most SIJD can be diagnosed and treated with a physical exam alone. Lumbar or hip problems can influence the treatment plan however in the absence of red flags, imaging is not necessary to begin an effective rehabilitation program.

The training and knowledge of SIJD amongst physical therapists and physicians can vary depending on their background and experience. Often patients can receive significant relief of symptoms within a few visits by a skilled manual physical therapist who is experienced in joint mobilization, muscle energy technique, spinal manipulation, dry needling, and specialized exercise prescription.

Our therapists have over 20 years of experience in the treatment of Sacroiliac Joint dysfunction and have successfully rehabilitated patients from around the world and United States. We offer treatment programs for patients both locally and from afar.

Call 770-225-8860 to schedule your Physical Therapy consultation or submit an appointment request here.

Our physical therapists are leaders in their field for the treatment of sacroiliac joint dysfunction and have co-authored both books and articles on the condition. We regularly teach courses to other physical therapists on our treatment method. We have successfully rehabilitated patients from around the world with SIJD.

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