Sacro-iliac (SI) Syndrome

Dull, aching, one sided pain, in the lower back which may refer to the groin, anterior thigh, buttock or posterior leg, linked to abnormal movement of the sacro-iliac joint. The pain may be associated with a fall, twist or pregnancy. It is often aggravated by sitting, rising from a chair or standing on the affected leg and twisting.

Diagnosis

There is often pain and tenderness or abnormal movement on palpation or compression of the sacro-iliac joint. There is an absence of neurological signs and “red flags” (health history that may suggest a more serious medical problem).

Evidence based summary for manual therapy [53]

Randomised controlled research trials (RCT) and reviews (the highest current standards of scientific evidence) suggests that there is high quality evidence (on a scale of inconclusive, moderate and high) that spinal manipulation/mobilization is an effective treatment option for subacute and chronic LBP in adults [63,64,65]. There is moderate quality evidence that spinal manipulation/mobilization is an effective treatment option for subacute and chronic LBP in older adults [69]. There is also moderate quality evidence that spinal manipulation/mobilization is an effective treatment option for acute LBP in adults [63,67]. It has been found that for massage there is moderate quality evidence that it is an effective treatment for subacute and chronic LBP in adults [66,68].

Other effective non-invasive physical treatments or patient education [53]

Advice to stay active, interdisciplinary rehabilitation, exercise therapy [70,71], acupuncture, yoga, cognitive-behavioral therapy, or progressive relaxation for chronic LBP and superficial heat for acute LBP [63,66].

Back-in-Action clinical comment

Chiropractic assessment and treatment of sacro-iliac syndrome is aimed at finding and reducing tension and the causes of tension in the joints and muscles. We find much of the discomfort associated with sacro-iliac syndrome arises from joint dysfunction (tension) or injury through too much movement (sprain). The joints most often involved are in the lumbar spine or the sacroiliac joints. Chiropractors usually like to address why there is an increase in stress in this area.

In our experience treating the symptoms and underlying causes of simple low back pain benefits from a combination of treatment techniques to increase the probability of a good result. Our approach often incorporates spinal manipulation, mobilisation, muscle release techniques, cranial work, back exercises (individually tailored self mobilisation, stretching and strengthening), referral for massage therapy, diet and nutritional advice, functional neurological exercises, breathing techniques, acupuncture, cryotherapy (heat and/or ice), postural improvements, foot orthotics, ergonomic advice and relaxation counselling.

From the Preston Chiropractor Team
Getting You Back in Action & Enjoying Your Life Again
Serving the people of Preston and surrounding areas including Southport and Lytham St Annes