What the SI Joints Do

• Consider that the SI joints enable us to twist. According to Sportsinjuryclinic.net, our legs are comparable to two long levers and if we didn't have the SI joint, along with the pubic symphesis, which is located at the front of the pelvis, we wouldn't be able to make certain movements, including twisting, and our pelvis would be ripe for a fracture.
  
  

Inflamed Joints

• Sacroiliac pain can be caused by inflammation of the joints; hormones, especially during pregnancy; trauma and biomechanical factors, meaning that you aren't moving correctly. When the SI joint, which connects the pelvis to the spine's sacrum, becomes inflamed, this will cause you pain, primarily in your lower back.
  
  

Conditions that Contribute to Pain

• If you have certain conditions this is going to put you at higher risk for SI joint pain. Those conditions include osteoarthritis and ankylosing spondylitis, which are called spondyloarthropthies because they impact the spine. Ankylosing sponodylitis is the most common type of inflammatory condition that causes SI joint pain, according to Sportsinjuryclinic.net. Other conditions that can cause SI joint pain include inflammatory bowel disease, psoriatic arthritis and Reiter's syndrome, all of which are inflammatory disorders that can be diagnosed through blood tests, notes Footballrescue.com. An additional cause of SI joint pain is having legs that are not equal in length.
  
  

Effects

• If you have sustained an injury to the sacroiliac joints, you may feel aching on one side of your lower back, stiffness when you get out of bed in the morning, pain that ranges from a dull ache to an intense pain, pain in the testicles if you are male and pain in your lower limbs, which is sometimes diagnosed incorrectly as sciatica. Prolonged sitting and walking can cause pain as can coughing and sneezing, according to Singhealth.com
  
  

Manual Therapy Treatment

• Treatment for SI joint pain is generally manual therapy, according to Physioroom.com. The goal is to restore normal joint mechanics to the sacroiliac joint by removing stresses on the ligaments that surround the joint.
  
  

Bipolar Radiofrequency

• If you are suffering terribly from SI joint pain there is a procedure called bipolar radiofrequency that can provide relief for months and maybe even longer, notes Spineuniverse.com. The joint is numbed while the nerves are changed or lesioned to disable the nerve's capacity to transmit pain signals. Even though the target nerves will grow back, the pain relief can continue. If the pain comes back, the procedure can be done again.
  
  

Exercises

• Exercises that help reduce SI joint pain include sitting in a chair and pushing your butt to the back of the chair. Your spine should be resting against the chair's back and your collarbone must be precisely in line with your breast and rib bones and your hip bones.
  
  Try standing with your back against the wall, with your heels, backbone and shoulder blades touching the wall. You will find that there is an arch in the lower back. Try to reduce the arch by touching your lower back against the wall, according to Exercise-for-sacroiliac-joint-pain.
  
  

Pelvic Stablization

• Lie on your back, making sure that your spine, tailbone and lower ribs are touching the mat or floor. Put your hands on your hip bones, inhale, hold your breath and then release your breath. As you exhale, raise one leg to a 90 degree angle to the hip. Make a circle with your leg. The hip socket will rotate. This is considered a pelvic stabilization exercise and it should reduce your SI joint pain.