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  • Writer's pictureDr Dagbue

Understanding Sacroiliitis: The Hidden Cause of Pelvic Pain

Grapic of a man holding the right side of the lower back with the caption "Understanding Sacroiliitis beside it

Welcome back to the Health for the Spirit, Soul, and Body Blog! In today’s entry, we dive deep into a condition known as Sacroiliitis. Just like with Carpal Tunnel Syndrome, our mission is to break down this term and guide you through its implications, ensuring you’re well-informed about its nature, symptoms, causes, and prevention.

Understanding Sacroiliitis

Sacroiliitis refers to the inflammation of one or both sacroiliac joints – the points where the lower spine (the sacrum) connects with the pelvis (the ilium). This inflammation can cause discomfort and pain in the lower back and buttocks, often affecting daily mobility and activities.

Other names for Sacroiliitis

While the medical term is "Sacroiliitis", it is also frequently referred to as SI joint inflammation or SI joint dysfunction.

Symptoms of Sacroiliitis

Those affected by Sacroiliitis often report:

  • Pain in the lower back, buttocks, or thighs, which might escalate during prolonged standing or walking.

  • Stiffness or a burning sensation in the pelvic area.

  • Difficulty turning over in bed or standing up after sitting for extended periods.

Causes of Sacroiliitis

The inflammation in the sacroiliac joints can arise due to:

  • Trauma: An accident or fall that impacts the lower back or buttocks.

  • Joint degeneration: As we age, wear and tear can affect our joints, leading to inflammation.

  • Pregnancy: The body undergoes changes during pregnancy, including the release of certain hormones that allow for pelvic ligaments to stretch. This, combined with the baby’s weight, can put stress on the sacroiliac joints.

  • Arthritis: Specific types like ankylosing spondylitis (a type of spinal arthritis) can be a contributing factor.

  • Infection: Rarely, an infection in the sacroiliac joint can lead to Sacroiliitis.

Diagnosing Sacroiliitis

If you're experiencing symptoms synonymous with Sacroiliitis, it's pivotal to consult with a healthcare provider. They might conduct a physical examination, review your medical history, and potentially suggest imaging tests like X-rays or MRI scans (which capture detailed images of bone and soft tissues respectively) to get a clearer picture.

Treatment Options for Sacroiliitis

Treatment largely depends on the severity and cause of the inflammation:

  • Medication: Over-the-counter pain relievers or prescribed drugs can help manage pain and inflammation.

  • Physical Therapy: Specific exercises can strengthen muscles around the sacroiliac joint, providing better support.

  • Joint Injections: Corticosteroids (anti-inflammatory medicines) can be injected directly into the sacroiliac joint to alleviate pain.

  • Surgery: In severe cases, if other treatments fail, a surgical procedure to fuse the joints may be considered.

Preventive Measures

To reduce the chances of developing or aggravating Sacroiliitis:

  • Maintain good posture to reduce strain on the sacroiliac joints.

  • Engage in regular exercise to keep the back muscles strong.

  • Use supportive footwear, especially if you're on your feet for extended periods.

  • Avoid lifting heavy objects or, if necessary, ensure you use the proper technique.


Sacroiliitis, though lesser known than some conditions, can significantly influence an individual’s quality of life. Being aware of its symptoms, causes, and preventive measures is essential. If you suspect you may have Sacroiliitis, early diagnosis and appropriate intervention are key. We hope this post offers clarity on the subject, and as always, prioritize your spirit, soul, and body's health! If this information has helped you in understanding sacroiliitis, do share it with those around you.


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