Sacroiliac Joint Dysfunction (SIJD)

SIJD is one of the types of lower back pain. Diagnosing and treating SIJD lies in its inconsistent presentation. However pain usually will trigger on lower back (center of sacrum area), buttock, leg, groin and hip. It works through multiple mechanisms and muscle function. The muscles surrounding the SIJ serve to provide muscular forces, guide movement and enhance stability to the pelvic bone.
 

Muscles that reinforce and stabilize SIJ:

1. Erector Spinae 
2. Multifidus
3. Abdominal Muscles
4. Hamstring

 

Sign and symptoms:

1. Unspecific sustained positions
2. Stiff in bending
3. Weak when climbing and rising
4. Frequently urinate
5. Numbness and tingling on buttock
6. Uncomfortable during intercourse
7. Tightness pain on the hamstring, quadriceps and hip flexor

 

Physical Assessment:

Faber Test – Hip Flexion, Abduction and External Rotation to identify presence of hip, lumbar spine and sacroiliac pathology to reproduce pain in this region.

Hip Thrust Test – Knee and hip flex 90°, hold and pull the affected side of pelvic anteriorly; stabilize the non-affected side of pelvic, pain produces positive finding.

Overhead Squat, to assess knee genu valgus or varus, anterior pelvic tilt, excessive lumbar flexion and asymmetrical weight shift.[1]
 

 

Treatment

1. Manual therapy - Myofascial Release and trigger point on the imbalance muscle that changes the position of SIJ or compensation movement of other conditions that make the SIJ asymmetry and protrusion.

 

2. Stretching 

Lengthening the hip flexor and external rotator muscles which in shortening condition due to dynamic muscle, reducing hyperactivity of gluteus muscles and latissimus dorsi.

3. Strengthening – Activation of gluteal muscle weakness, reducing of shearing forces across the SIJ
    

 

4. Stabilizing pelvic floor muscles – engagement of pelvic floor muscles during do an activity
5. Correcting posture & gait abnormalities
6. Modalities - To enhance the recovery process on the affected part

 

Benphysio does provide this service in all our outlets in Oval Damansara, Bangsar, Puchong, KL Ampang, Cheras, Sunway Giza Kota Damansara dan Puncak Alam. We specialized in hands-on physiotherapy to treat the problems.

 

We understand how back pain, neck pain, shoulder pain, knee pain, arthritis, or sports injuries like tennis elbow, golfer's elbow, and hamstring strains can take a toll on your life. These pains can make even the simplest daily activities feel like a struggle and rob you of the joy in your favorite hobbies. At Benphysio, we’re dedicated to changing that.

Imagine living without constant pain. Imagine getting back to the things you love without hesitation. Our expert physiotherapists at Benphysio combine manual therapy, exercise, and education to address the root causes of your pain and prevent it from coming back.

Don’t let the pain control your life. At Benphysio, we’re here to help you overcome pain and reclaim your health, so you can live life to the fullest.

Again, we at Benphysio do provide this service in all our outlets in Oval Damansara, Bangsar, Puchong, KL Ampang, Cheras and Giza KD. We specialized in hands-on physiotherapy to treat the problem. Feel free to call us to make an appointment to get your problem diagnosed by our physiotherapists and fixed via hands on physiotherapy. We are available at Oval Damansara, Bangsar, Puchong, KL Ampang, Cheras and Giza KD.

 

Created by Wada Shahrin (KL)

 

References

1. Clayton, P. (2016) Sacroiliac Joint Dysfunction and Piriformis Syndrome The Complete Guide for Physical Therapists, Lotus Publishing, Chichester England.
2. Falowski, S., Sayed, D., Pope, J., Patterson, D., Fishman, M., Gupta, M., & Mehta, P. (2020). A Review and Algorithm in the Diagnosis and Treatment of Sacroiliac Joint Pain. Journal of Pain Research, Volume 13(13), 3337–3348. https://doi.org/10.2147/jpr.s279390

 

3. Hamidi-Ravari, Behdad, et al. “Diagnosis and Current Treatments for Sacroiliac Joint Dysfunction: A Review.” Current Physical Medicine and Rehabilitation Reports, vol. 2, no. 1, 11 Jan. 2014, pp. 48–54, link.springer.com/article/10.1007/s40141-013-0037-7, https://doi.org/10.1007/s40141-013-0037-7.

Make appt now at https://www.sweetpew.com/en/my/search?s=benphysio to get problem fixed.

Location:
*Benphysio @Oval Damansara*  
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