Introduction
A common but sometimes misdiagnosed condition affecting the lower back and buttocks is sacroiliac (SI) joint pain. Our specialty at Elite Physiotherapy and Sports Injury Centre is precise diagnosis and state-of-the-art management of SI joint dysfunction. We guarantee our patients’ functional recovery and long-lasting alleviation by employing cutting-edge modalities and sophisticated physiotherapy procedures.
What Is the SI Joint and Why Does It Matter?
The sacrum, or base of the spine, and the ilium, or pelvic bone, are joined on both sides by the sacroiliac joint. It provides stability and stress absorption and is essential in the transfer of weight between the upper torso and lower limbs. This joint can cause severe pain and limited motion if it becomes irritated, inflamed, or malfunctioning.
Causes of SI Joint Pain
It may arise due to various reasons, including:
- Traumatic injury (fall, sudden impact)
- Repetitive stress from sports or prolonged standing
- Pregnancy-induced ligament laxity
- Inflammatory conditions like ankylosing spondylitis
- Leg length discrepancies
- Postural imbalances or altered biomechanics
Mechanism of Injury
Either hypomobility (limited movement) or hypermobility (excess movement) of the joint are the usual cause of SI joint dysfunction. Both disorders cause inflammation, muscle imbalance, and referred pain by interfering with the body’s natural load distribution.
Signs, Symptoms, and Clinical Features
Patients with SI joint dysfunction often report:
- Dull or sharp pain in the lower back, buttocks, or posterior thigh
- Pain worsens with standing, stair climbing, or prolonged sitting
- Difficulty turning in bed or rising from a seated position
- Tenderness over the PSIS (posterior superior iliac spine)
- Sometimes, leg pain without true nerve involvement
Diagnostic Methods at Elite Physiotherapy
At Elite Physiotherapy and Sports Injury Centre, we rely on detailed clinical assessment, movement analysis, and specialized physical tests to accurately diagnose SI joint dysfunction. Our assessment includes:
Physical and Functional Evaluation
- Postural and pelvic alignment assessment
- Gait and functional movement analysis
- Muscle strength, flexibility, and stability testing
Special Tests for SI Joint Pain
We use a combination of validated orthopedic tests to provoke and isolate SI joint dysfunction:
- Distraction Test
- Compression Test
- Thigh Thrust Test
- Gaenslen’s Test
- Sacral Thrust Test
- FABER (Patrick’s) Test
A positive response in three or more of these tests significantly increases the diagnostic accuracy for SI joint pathology.
Personalized Physiotherapy Treatment at Elite Physiotherapy
Our treatment philosophy at Elite Physiotherapy is personalized, evidence-based, and function-focused. We use an integrated approach that includes:
1. Manual Therapy
- SI joint mobilization or manipulation
- Soft tissue release for gluteal, piriformis, and iliopsoas tightness
- Myofascial release to relieve muscular adhesions
2. Corrective Exercises
Our rehab plans are built to restore stability, mobility, and strength:
- Core stabilization exercises to support pelvic alignment
- Pelvic tilt, bridging, and clamshells for gluteal activation
- Functional movement retraining (lunges, squats) with proper pelvic control
- Proprioceptive and neuromuscular re-education for joint control and balance
We progress exercises based on patient goals, functional limitations, and sport-specific requirements.
3. High-End Modalities at Elite Physiotherapy
We combine clinical expertise with advanced modalities to accelerate healing:
Shockwave Therapy
- Useful in chronic SI joint pain due to ligament or tendon irritation. It promotes tissue repair and pain relief.
CRET Therapy (Capacitive and Resistive Electric Transfer)
- Improves deep tissue healing, reduces inflammation, and enhances blood flow to the sacroiliac region.
Super Inductive System (SIS)
- Used for pain modulation and muscle activation around the pelvis and lumbar spine. It’s non-invasive and safe for SI joint issues.
High-Intensity Class 4 Laser Therapy
- Delivers deep photothermal stimulation to reduce pain, relax muscles, and improve circulation in the affected area.
Cryotherapy
- Effective in managing acute SI joint inflammation by reducing swelling and muscle spasm.
Hydrotherapy (if indicated)
- For patients with high pain levels or poor tolerance to land-based exercises. Water buoyancy reduces joint stress while allowing movement.
Note: We use these modalities based on condition severity, chronicity, and patient-specific responses. Our approach is always customized.
4. Ergonomic and Postural Correction
- We educate patients on proper posture, lifting techniques, and workstation modifications to prevent recurrence. For athletes, we tailor sport-specific biomechanical correction strategies.
5. Taping and Bracing
- We use kinesiology taping or pelvic belts to provide temporary support, especially in hypermobility cases or during pregnancy-related SI joint dysfunction.
Why Choose Elite Physiotherapy for SI Joint Pain?
Elite Physiotherapy and Sports Injury Centre, a reputable name in orthopaedic and sports rehabilitation, is situated in Delhi, NCR. For long-lasting effects, our highly skilled therapists employ a comprehensive, cutting-edge approach.
We stand out because:
- Personalized 1-on-1 treatment sessions
- State-of-the-art modalities and machines
- Functional assessments with sports-specific integration
- Safe and effective pain management without drugs
- Emphasis on long-term recovery and performance
Don’t Ignore Your SI Joint Pain
Chronic pain, postural problems, or compensating injuries in the lower spine or hips can result from untreated SI joint dysfunction. Quality of life can be enhanced and problems can be avoided with early diagnosis and skilled physical treatment.
Book your consultation today at Elite Physiotherapy and Sports Injury Centre. Let us help you move pain-free and perform better with expert hands and advanced physiotherapy care.