Sacroiliac Joint Dysfunction symptoms

Irwin Abraham, MDIrwin Abraham, MD

Sacroiliac Joint Dysfunction symptoms

Most often a person with
SIJD will tell the following story:
Sleeping may be okay or interrupted.

Some discomfort, at least, is present in the morning when one wakes up or starts to get out of bed.

Getting out of bed is most often painful and /or one feels stiff.

Walking for some steps relieves at least some of the pain

The pain or discomfort returns or worsens when one walks or sits for a while or stands for a prolonged period.

Any change in activity or position will start to relieve the pain but it will return in a while with the new position or activity such as walking, sitting or standing.

If you sit, sometimes putting a foot up on a stool will help for a while.

Pain can be in the low back on one or both sides; it often goes from one side to the other.

On some days pain may be only on one side and then later in the day or the next day it may be only on the other side.

Pain may come only in spurts for a few days

Problems of Posture  in Sacroiliac Joint Dysfunction

1. Leg Length Difference  in Sacroiliac Joint Dysfunction
When there is an anterior rotation of one hip on the sacrum, the hip joint is passively moved into a slightly lower level. This will make the
entire leg seem longer to the body. This is a functional difference in the leg length compared to the other side. By functional, I mean that the actual leg length from top to bottom is the same but the apparent length is more. That is, the leg length of one leg will seem to be longer than that of the other leg. If both hips are rotated, then both legs will be pushed downward. If the hips rotate equally (which is usually not the case), then both legs will be equal in length. If it’s the same amount, then there will be change in leg length from right to left.

2. Curved Spine in Sacroiliac Joint Dysfunction
When the hip is higher on one side, the body above it is shifted. This often is partially compensated for by the spine curving. The amount of curvature depends on the amount of hip anterior rotation.

3. One Shoulder May Be Higher in Sacroiliac Joint Dysfunction
Because the higher hip makes the spine curved the shoulders may compensate for the curved spine by one shoulder being higher and/or one being lower. This change helps keep the head and eyes level.

4. Tilted Head in Sacroiliac Joint Dysfunction
Uneven height of one shoulder may be enough for the head to compensate on its own by tilting.

5. Abnormal Foot Position in Sacroiliac Joint Dysfunction
The anterior rotation of the hip causes the leg and foot to rotate to the

Read more about Sacroiliac Joint Prolotherapy Treatments