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Sacroiliac Joint Dysfunction Physiotherapy

Sacroiliac joint (SIJ) dysfunction refers to a painful and uncomfortable of a combination of lower back pain and pelvic pain condition that can result from joint stiffness (hypomobility) or slackness (hypermobility) at the sacroiliac joints in the pelvis.

This condition can affect both men and women of all ages, but tends to be more common in females. Symptoms typically are present on 1 side of the back, and affect 10% to 25% of patients with complaints of low back pain.

Our senior physiotherapists will design individualized treatment programs to address SIJ dysfunction based on the specific cause of each person's condition, and treatment goals.

What is Sacroiliac Joint Dysfunction?

The sacroiliac joint is a joint between the sacrum and the ilium, or pelvic bone.

The 2 sides of the sacroiliac joint normally work together but if one side becomes stiff, they will not move together and this causes pain or muscle stiffness in the area. Pain is often made worse with walking and bending activities.

It is also possible that one side may become too loose (lax) as well, resulting in SIJ dysfunction. This may occur during the menstrual cycle or pregnancy due to hormonal changes that cause the ligaments to become more lax.

SIJ dysfunction can occur with injury, such as

  • when a person falls and lands on 1 side of the body and alters the position of the joint
  • or when an athlete overtrains

Muscle imbalances and hip problems, such as hypermobility or dysplasia, may also lead to SIJ dysfunction.

Sacroiliac pain is also related to some types of arthritis, such as ankylosing spondylitis which is an inflammatory process most often affecting the lower back, which may cause the vertebrae to fuse.

How Does Sacroiliac Joint Dysfunction Feel like?

Patients with SIJ dysfunction may experience:

  • Pain that may be sharp, stabbing or dull, localized to 1 side of the pelvis/low back, groin, or tailbone
  • Pain that may radiate down to the knee
  • Pain with movements, such as standing up from a sitting position, turning in bed, or bending/twisting
  • Muscle tightness and tenderness in the hip/buttock region
  • Pain with walking, standing, and prolonged sitting
  • Pain that is worse when standing and walking, and eases when sitting or lying down

How Is It Diagnosed?

When you see our senior physiotherapists, we will ask you questions about your current condition, such as:

  • When did the pain start?
  • What happened to cause the pain to start?
  • Did you experience a fall or injury?
  • Have you experienced similar symptoms in the past?
  • Where is the pain located?
  • What specific movements/activities cause your pain?
  • Are you pregnant, or have you recently given birth?

We will then conduct a physical evaluation.

We may

  • examine the position of your spine, conduct strength tests of the hip, pelvic, and lower extremity muscles
  • and gently perform movement tests to assess your mobility and flexibility

Specialized tests will be performed to rule out any problems that may require other medical intervention. If further medical intervention is required, we may refer you to a orthopedic doctor who specializes in SIJ dysfunction or other conditions that may be causing your symptoms.

Once SIJ dysfunction has been confirmed, we will work with you to determine your personalized treatment program.

how our senior physiotherapists can help you

We will design a targeted treatment program based on your evaluation and your goals for a safe return to sport or daily activities.

Physiotherapy treatments for sacroiliac joint dysfunctions may include:

Manual therapy

Often, manual therapy for SIJ dysfunction includes soft tissue release or deep tissue massage for tight and sore muscle groups. Manual therapy and muscle energy techniques (MET) are used to correct pelvic or SIJ alignment issues.

MET uses your own muscle contractions to realign the position of the pelvis, and can be a source of pain relief. Joint mobilizations/manual therapy uses gentle movements to improve mobility of the

  • hip
  • sacroiliac joint
  • and low back

Flexibility exercises

Stretching exercises may be prescribed to improve the flexibility of tight muscles.

They may also help to improve movement in the spine and lower extremities, and help decrease stress at the sacroiliac joint during daily activities.

Strengthening exercises

Strengthening helps to improve the stability of the sacroiliac and spinal joints, which helps to reduce ligament strain and decrease pain.These exercises are focused on weak muscles, including the lower abdominal, pelvic floor, and buttocks muscles.

Body mechanics

How you move and use your body for daily work and other activities can contribute to your SIJ dysfunction and pain. We will teach you how to improve your movements or body mechanics based on your specific daily activities.

We may also make recommendations to improve activities, such as

  • sitting
  • seated tasks
  • standing
  • standing tasks
  • lifting
  • and carrying objects

Heat therapy and cold therapy treatments are often prescribed to loosen up tight muscles prior to treatment, or to alleviate pain following exercise.

Electrical stimulation uses electricity to target nerve fibers that send pain signals to the brain, and may also be used in conjunction with ice to provide pain relief.

We may also use ultrasound therapy and radio-frequency Indiba physiotherapy to accelerate soft tissue healing of the painful structures in the sacroiliac joints.


We may also recommend wearing a sacroiliac belt, designed to provide support to the sacroiliac joints. It is used to provide stability during daily activities as your strength returns, and flexibility improves. This modality is especially helpful for pregnant women.

All treatments prescribed by our senior physical therapists will be based on your specific case.

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book your physio appointments now

WhatsApp / SMS your name, preferred date, time and enquiries to +658800183

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes


Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

  • accelerate recovery and
  • shorten downtime / recovery period required

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.


All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointments now

WhatsApp / SMS your name, preferred date, time and enquiries to +658800183

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

Clinic Locations: See how to get to us here