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Recognizing Sacroiliac Joint Problems

Your lower back pain isn’t getting any better with home remedies. Lately, the pain seems to move into your hip or groin. You need to find out what’s causing this disruption to your daily activities. The problem could be your sacroiliac joint. 

Daniel Loder, MD, double board-certified pain management physician, sees patients every day with back pain of varied origins. He gets to the root of your pain, determining if it stems from your sacroiliac joint

 What is the sacroiliac joint?

Your sacroiliac joints provide the stability you need to walk and move around. The sacrum, the large bone you can feel at the base of your spine, connects your torso to your lower body. You have a sacroiliac joint on each side of the sacrum. The joints connect the sacrum to the large bones in your hips, the ilium. The sacrum and its joints help hold your body upright and give you stability as you go through your day. 

What are the symptoms of sacroiliac joint dysfunction? 

You can have a variety of symptoms from sacroiliac joint (SI) dysfunction. Following are signs that it may be the root of your discomfort. 

Dull, aching lower back pain that spreads 

Although lower back pain can be a symptom of a number of conditions, it’s a marker of SI joint dysfunction. Your pain may be a dull ache that not only affects your lower back; it can also spread to your groin, hips, and/or buttocks. A common complaint is pain in your buttocks or your thigh on one or both sides. 

Stabbing pain with numbness or tingling

SI joint dysfunction can mimic sciatic pain. You feel intense stabbing pain that can come with numbness or a tingling sensation. 

Pain when putting pressure on the joint 

Climbing stairs and bending down are movements that put pressure on your SI joint. Your pain may intensify with these types of activities. 


Does your lower back or abdomen feel like it’s going to cave in so you feel you aren’t supported when you’re walking or trying to sit down in a chair? SI joint dysfunction can cause instability. 


If you can no longer bend over easily or walk up the stairs, it may be your SI joints that are reducing your range of motion below your torso. 

Diagnosing sacroiliac joint problems 

SI joint dysfunction symptoms are sometimes similar to sciatica symptoms. Dr. Loder’s expertise provides you with assurance that your diagnosis is correct. He performs different orthopedic tests in which he applies pressure in specific areas to the front and then the back of your hips. If the pressure produces pain, you likely have an SI joint problem. 

To help verify that the SI joint is the issue, Dr. Loder may give you an injection, which contains a numbing substance, in the joint. If the injection offers you pain relief, the issue stems from the SI joint. An X-ray or MRI can be used to rule out a herniated disc or other musculoskeletal issue if needed. 

Once he’s diagnosed SI joint dysfunction, Dr. Loder provides a variety of conservative and noninvasive and minimally invasive treatments to relieve your pain. 

Call Daniel Loder, MD, or book an appointment online for relief from your lower back pain and pain from other etiologies. Modern technology can help relieve chronic pain. 

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