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Sacroiliac Syndrome (Low Back) treatment guide

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Guide Overview

A brief summary of what you'll find inside our treatment guide.


Sacroiliac Joint Syndrome is a chronic condition, which means that it often develops over a prolonged period. It occurs when one of the load-bearing joints that join the spine to the pelvis doesn’t move properly.

This might be due to one of the sacroiliac joints being stiff or ‘stuck’ (‘restricted’); or because it moves too much (‘hypermobility’)

Causes (Aetiology)

Uneven movement in the sacroiliac joints causes instability in the pelvic girdle when standing or sitting. Exercise or repetitive movement then irritates the sacroiliac joint causing it to become inflamed and painful.

Signs and symptoms

Sacroiliac Joint Syndrome often feels better with rest and a little pain relief but without effective rehabilitation, it always comes back when returning to normal activity, sport or exercise.

Symptoms include:

  • Sharp pain into the low back and buttock
  • Pain and tenderness when the affected buttock is pressed
  • Pain which refers to the back of the thigh but not down the leg
  • Pain and stiffness which is worse in the morning or after sitting

Acute phase management

Most people fail in their treatment of Sacroiliac Joint Syndrome because they are unable to identify the cause of their pain. Once the source has been identified, effective steps can be taken to manage the symptoms.

Our treatment guide will help you to identify what’s causing your pain and create the right conditions to begin effective rehabilitation.

Post-acute phase management

Post-acute phase rehabilitation involves the staged introduction of isometric, concentric and eccentric muscle stretches, scar tissue removal and proprioceptive exercises to balance the ligaments and connective tissues in the pelvis.

Condition-specific exercises will help you achieve a full, pain-free range of movement to stop the symptoms coming back.


Sacroiliac joint syndrome responds well to self-treatment and conservative care; although recovery times are dependent on the severity of the condition.

Our treatment guide provides comprehensive tips and advice to achieve a full recovery in the shortest possible time.


If you follow the treatment guide correctly and are diligent with the rehabilitation programme, then complications are unlikely.

However, without correct rehabilitation, there may be recurring stiffness, inflammation, and pain.

Periodic stretching and joint mobilisation exercises to improve pelvic stability and reduce inflammation are some of the techniques contained in our clinically proven treatment guide to help prevent reoccurrence.

Start today and fast track your recovery!

Our guides contain all the latest clinical advice for musculoskeletal healthcare.

You can save hundreds of pounds or dollars on expensive physical therapy by treating the condition simply and effectively at home.

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Sacroiliac Syndrome (Low Back) treatment guide

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