SI Joint Strain and its Management

SI Joint Strain and its Management

What is SI Joint Strain?

Low back pain is very common. The sacroiliac (SI) joint is a major source of low back pain. Pain originating from the SI joint caused due to SI joint strain is usually unappreciated, underdiagnosed, misunderstood, and usually attributed to other sources such as the hip and spine.

A patient experiencing low back pain due to SI joint strain can spend months or even years in treatment without the correct diagnosis.

Hip, spine, and SI joint pain can all overlap and be related. A patient can experience injuries related to the spine and SI joint or the hip and SI joint. If the patient has a back strain and it doesn’t improve for several months it is vital to look at the SI joint.

Weight is supported by the SI joints. Through the hip joints, SI joint transfer the weight from the spine to the lower extremities.

Symptoms of SI joint strain include:

  • Lower back pain.
  • Gluteal, back of the thigh, and knee pain.
  • Occasional groin pain.
  • Difficult and discomfort while sitting.
  • Also, The patient frequently changes position to become comfortable.

Causes can be:

  • Leg length discrepancy.
  • Also, Mechanical dysfunction.


  • Anti-inflammatory medication can be taken for the prescribed period of time, continued use can have adverse effects on the kidneys and stomach.
  • The best treatment for SI joint strain is Physiotherapy.


Initial treatments included in physiotherapy are- Cryotherapy, compression bandaging, Kinesio taping, and electrotherapy.

Muscle energy technique- It is a special technique used by our physiotherapists to relieve pain, increase your mobility, and get everything back into place.

Shotgun technique- For this, you need a strap or mulligan belt put that belt on the thigh just above your knee > get into a lye-down position with flexed knee > and now push out into the belt with your legs.

For the second part of the Shotgun technique, you need a football/basketball/volleyball or pillow > lying supine with flexed knee keep the ball in between your knees > now pushing into the ball.

Stretching of hip flexors, hamstring- our well-known physiotherapist has lots of stretching techniques.

Hip hike exercise- stand on the edge of the step and hang your one leg out of the step now trying to hike your hanged hip.

Deep squatting.


Soft tissue Massage or Myofascial release technique.

Also, Yoga.

Exercise therapy.

In addition, Dry needling acupuncture- our experienced and certified physiotherapist practicing safe and hygienic dry needling procedures for years. Dry needling will help you to reduce spasms and eventually a reduction in pain.

At Elite Physiotherapy & Sports Injury Centre, Along with our experienced physiotherapist, we also have world-class high-end modalities to relieve you from pain as soon as possible.

Our physiotherapy clinic has the following high-tech machines for cost-effective treatment-

  • Extracorporeal Shockwave Therapy (ECSWT)
  • Super Inductive System (SIS).
  • US + Tense Combo therapy unit.
  • Also, High-intensity Class 4 laser.

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