Do you experience persistent lower back, buttock, or pelvic pain? Many people assume the spine is the problem, but often the issue lies in the sacroiliac joint (SIJ). When this joint becomes irritated or restricted, it can lead to sacroiliac joint dysfunction (SIJD), causing pain, stiffness, and reduced mobility. Osteopathy can help by restoring joint movement, reducing strain, and supporting long-term recovery.
At MG Osteopathy & Physiotherapy, Sports Injury Clinic in Hackney, we help patients recover from SIJD using safe, evidence-based treatments. In this guide, we explain what SIJD is, its causes, and how osteopathy can help restore movement and reduce pain.
What Is Sacroiliac Joint Dysfunction?
The sacroiliac joint connects the spine to the pelvis. It transfers load while providing stability. SIJD occurs when the joint moves too much or too little. This creates abnormal forces across the pelvis, which leads to pain.
Many people with SIJD are misdiagnosed with sciatica, disc problems, or hip pain. In fact, up to 30% of chronic lower back pain cases involve the SI joint. Therefore, a correct diagnosis is crucial for effective treatment.
Common Causes of Sacroiliac Joint Dysfunction
SIJD can develop for several reasons:
- Pregnancy-related ligament laxity and postural changes
- Sports injuries from running, weightlifting, or impact sports
- Leg length differences or spinal asymmetries
- Falls, car accidents, or trauma
- Prolonged sitting or poor posture
- Inflammatory conditions such as arthritis
For example, athletes or office workers may develop SIJD from repetitive strain or sitting for long hours. Similarly, trauma can disrupt the joint and surrounding muscles, causing pain and dysfunction.
Symptoms of Sacroiliac Joint Dysfunction
Symptoms vary, but common signs include:
- Dull or sharp pain in the lower back, buttock, hip, or groin
- Discomfort when standing, walking, or climbing stairs
- Pain when turning in bed or getting out of a car
- Referred pain down the leg, often mistaken for sciatica
If you notice any of these symptoms, it is important to seek assessment early. Early treatment can prevent chronic pain and improve recovery.
How We Diagnose SIJD
At MG Osteopathy & Physiotherapy, diagnosis includes:
- A detailed case history
- Postural and movement assessment
- Sacroiliac joint testing
- Evaluation of surrounding muscles and biomechanics
By combining these assessments, we can accurately identify the source of pain and plan an effective treatment.
How Osteopathy and Physiotherapy Treat SIJD
- Joint mobilisation and manipulation to improve movement
- Muscle Energy Techniques (METs) to rebalance muscles
- Soft tissue therapy to reduce tension and inflammation
Physiotherapy and Rehabilitation Exercises
- Core and glute strengthening
- Pelvic stability exercises
- Movement retraining and posture correction
Manual therapy often provides relief within 2–6 weeks. Meanwhile, exercises help improve long-term stability and prevent recurrence.
Evidence for Osteopathy and Exercise in SIJD
Research shows that:
- Manual therapy improves pain and mobility
- Exercise therapy improves long-term stability
- Combined osteopathy and physiotherapy is more effective than either alone
This approach aligns with NICE guidelines for managing persistent lower back pain.
What to Expect at Your Appointment
During your visit, you can expect:
- Comprehensive assessment and diagnosis
- Gentle, hands-on osteopathic treatment
- Personalised physiotherapy exercise plan
- Advice on posture, activity, and recovery
We take a whole-person approach, tailoring treatment to your lifestyle, work, and goals.
When Should You Seek Treatment?
Consider booking an assessment if:
- Pain persists beyond 1–2 weeks
- Symptoms worsen with activity
- Pain returns repeatedly
- Daily tasks or exercise are limited
Early intervention can prevent long-term problems and improve quality of life.
Book an Assessment for Sacroiliac Joint Pain in Hackney
If you are struggling with lower back, pelvic, or SI joint pain, early assessment is key. At MG Osteopathy & Physiotherapy, we specialise in treating sacroiliac joint dysfunction using safe, evidence-based osteopathy and physiotherapy.
Book your consultation today and take the first step towards pain-free movement.
