The sacroiliac joint is located in the gluteal region, where the spine meets the pelvic bones. There a joint on each side of the pelvis. The joint is surrounded by strong ligaments in the pelvis that allow little to no motion of the joint. Any condition or injury that leads to damage or inflammation of the joint can cause sacroilitis or sacroiliac joint pain.
Like any other joint in the body, the sacroiliac joint can become stressed due to everyday wear and tear. Prolonged stress can eventually cause the joint to become inflamed leading to swelling, stiffness and pain. The sacroiliac joint is susceptible to injury when an axial load is placed on the leg and pelvis. Taking a misstep while walking, or slamming on the brakes in a car can lead to sacroiliac joint pain. Falls to the buttocks can lead to direct trauma of the joint as well.
Sacroilitis can present itself as dull, low back pain radiating to the buttock, and back of the thigh. If both sacroiliac joints are involved, the pain may radiate into the buttocks and thighs. Activities such as prolonged sitting, running, or walking can make the pain worse.
Treatment options may include anti-inflammatory medications, pain medications, physical therapy, and sacroiliac joint injections. Performing an exercise program for the back and pelvis can help prevent sacroilitis. Most people will get prolonged relief from these treatments.