Understanding the Differences: SI Joint Pain vs. Lower Back Pain

Lower back pain is one of the most common musculoskeletal complaints, with nearly 80% of people experiencing it at some point in their lives. Among these cases, 15-30% are linked to sacroiliac (SI) joint dysfunction. Unfortunately, due to overlapping symptoms, SI joint pain is often mistaken for general lower back pain (LBP) (Barhum, 2023). Proper diagnosis is essential for effective treatment and long-term recovery.

What Is SI Joint Pain?

Sacroiliac (SI) joint pain occurs when there is dysfunction in the SI joints, which connect the sacrum at the base of the spine to the pelvis. These joints are crucial for stabilizing and absorbing shock between the upper body and legs.

Symptoms of SI Joint Pain:

• Localized pain in the pelvis or buttocks
• Pain radiating to the groin or thighs (rarely below the knee)
• Worsens with prolonged sitting, climbing stairs, or transitioning from sitting to standing

What Is Lower Back Pain?

Lower back pain originates from the lumbar spine, involving muscles, discs, or nerves. It is often diffuse and can radiate down the legs, particularly when nerve compression (e.g., sciatica) is present.

Symptoms of Lower Back Pain:

• Pain may extend to the legs
• Aggravated by bending, lifting, or twisting
• May involve muscle stiffness or nerve-related tingling

How BPS Tensegrity Can Help

At BPS Tensegrity, we specialise in diagnosing and treating both SI joint pain and lower back pain using a personalised, research-driven approach.

Comprehensive Assessment and Diagnosis

Our expert physiotherapists conduct a thorough evaluation to differentiate between SI joint dysfunction and lower back pain. Diagnostic tools, including physical tests and imaging, are used to pinpoint the root cause, ensuring accurate and effective treatment.

Tailored Treatment Plans for Pain Relief

For SI Joint Pain:

• Manual therapy to mobilize the joints
• Stabilizing exercises for pelvic support

For Lower Back Pain:

• Core-strengthening exercises
• Lumbar flexibility routines

Pilates for Rehabilitation and Long-Term Relief

Pilates is central to our rehabilitation approach, offering:

• Improved core stability
• Enhanced posture and movement patterns
• Long-term prevention of pain recurrence

Manual Therapy and Ongoing Support

Manual therapy techniques include:

• Joint mobilizations for SI joint dysfunction
• Soft tissue techniques for lumbar pain

We also provide education on posture correction, ergonomic improvements, and lifestyle modifications to sustain your recovery journey.

Why Choose BPS Tensegrity?

At BPS Tensegrity, we focus on whole-body care, combining manual therapy, Pilates, and personalised exercise plans to address the root cause of your pain. Located in Sydney, our state-of-the-art facilities and experienced team are here to help you return to an active, pain-free lifestyle.

Differentiating between SI joint pain and lower back pain is critical for effective treatment. At BPS Tensegrity, we are committed to delivering customised care to help you achieve lasting relief, learn more about our SI joint treatment approach here. Or book your initial consultation today and take the first step towards a pain-free life

FAQs

1. How do I know if my pain is from the SI joint or lower back?
   A professional assessment can accurately determine the source of your pain. Book an evaluation at BPS Tensegrity.
2. Can Pilates help with SI joint and lower back pain?
   Yes! Pilates strengthens core muscles, stabilizes the spine, and prevents future injuries.
3. What treatments do you offer for SI joint pain?
   Treatments include manual therapy, stabilizing exercises, and education for long-term relief.

Reference:
Barhum, L. (2023, October 5). Relief for mild to severe SI joint dysfunction. Verywell Health. https://www.verywellhealth.com/si-joint-dysfunction-7970764