• Trauma or injury: A fall, car accident, or sports injury can cause the SI joint to become misaligned or inflamed.
• Pregnancy: During pregnancy, hormonal changes cause the ligaments around the SI joint to relax, which may lead to instability and pain.
• Arthritis: Conditions such as osteoarthritis can affect the sacroiliac joints, leading to inflammation and dysfunction.
• Overuse or repetitive stress: Engaging in activities that put excessive strain on the SI joint, like heavy lifting or intense physical activity, can lead to dysfunction.
• Leg length discrepancy: A difference in the length of your legs can cause an imbalance in your pelvis and place uneven stress on the sacroiliac joints.
• Poor posture or movement patterns: Habitual poor posture or improper lifting techniques can put extra strain on the SI joints over time.

• Lower back pain: Pain is often felt on one side of the lower back, though it can radiate to the hips, buttocks, and even down the legs.
• Pain with movement: Certain movements, such as bending, lifting, or twisting, may exacerbate pain. Prolonged sitting or standing can also increase discomfort.
• Stiffness: You may experience a feeling of tightness or reduced flexibility in your lower back or hips.
• Pain during or after exercise: High-impact activities, such as running or jumping, may trigger or worsen SI joint pain.
• Leg pain: The pain can occasionally radiate down the thighs, though it typically does not extend below the knee (this distinguishes SI joint pain from sciatica).
• Difficulty with balance: Some individuals with SIJD may experience a sensation of unsteadiness or imbalance due to the dysfunction in the pelvis.

• Medical history: A thorough discussion about your symptoms, activities, and any past injuries.
• Physical examination: A chiropractor or physiotherapist will assess your posture, gait, and movement patterns to identify any signs of SI joint dysfunction.
• Orthopaedic tests: Specific tests, such as the FABER test (flexion, abduction, and external rotation), may be performed to check for tenderness or movement limitations in the SI joints.
• Imaging tests: In some cases, X-rays or MRIs may be ordered to rule out other conditions like fractures or infections.

• Spinal adjustments: Targeted chiropractic adjustments can help realign the pelvis and sacroiliac joints, improving movement and reducing pain.
• Pelvic mobilisations: Gentle manual techniques are used to mobilise the SI joints and restore proper function.
• Soft tissue therapy: Techniques such as myofascial release may help relax tight muscles around the SI joints, reducing strain.
• Postural correction: A chiropractor will help you address posture issues that may be contributing to SI joint dysfunction.

• Stretching and strengthening exercises: Custom-designed exercises can help improve flexibility, strengthen the muscles that support the pelvis, and alleviate pressure on the SI joint.
• Core stabilisation: Strengthening the muscles of the abdomen and lower back can help provide better support for the SI joints.
• Manual therapy: Mobilisation or manipulation of the SI joint and surrounding tissues can reduce stiffness and pain.
• Education on posture and body mechanics: Proper body mechanics during everyday activities can reduce strain on the SI joint and prevent further injury.

In severe cases, additional treatments such as injections or surgery may be considered, but these options are typically explored after conservative treatments have been tried.

• Maintain good posture: Avoid slouching and maintain a neutral spine when sitting or standing.
• Exercise regularly: Engage in low-impact activities, such as walking or swimming, to strengthen the muscles that support the SI joints.
• Use proper lifting techniques: Always bend your knees and keep your back straight when lifting heavy objects.
• Stretch regularly: Flexibility exercises can help keep your muscles and joints supple and reduce stiffness around the SI joints.
• Support your pelvis: Wear supportive shoes and avoid standing or sitting for long periods without moving.