The sacroiliac joints are located in the buttock region where the pelvic bones connect to each side of the sacrum (tailbone). These joints are two of the main weight bearing joints of the body and help support us when we are standing and walking. They are also involved in many of the bending and twisting motions of the spine and pelvis. Sacroiliitis is inflammation inside one or both joints that can be caused by trauma, wear and tear of the cartilage on the surface of the bones, repetitive motion, restricted mobility due to tight muscles, and excess body weight.  It can also occur during pregnancy due to loosening of the surrounding ligaments as the body prepares for childbirth.


  • Pain on one or both sides of the sacrum
  • Pain may travel down one or both legs
  • Pain may radiate into the groin
  • Increased pain with prolonged sitting or standing
  • Increased pain with climbing stairs
  • Increased pain with change in position such as getting out of a car or moving from sitting to
  • standing


  • Avoid painful positions or activities
  • Ice
  • Stretching
  • Physical therapy
  • Osteopathic manipulation
  • Anti-inflammatory medications
  • Steroid injections into the affected joint
  • Rhizotomy Laser therapy
  • Acupuncture

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