Sacroiliac Joint pain

SI joint pain

A common presentation during and after pregnancy

SI joint pain (or Sacro-Iliac Joint pain) affects predominantly women during and after pregnancy. It can also affect men. The SI Joints sit where the sacrum (the very end of your spine) meets the pelvis (more specifically, the right and left ilium). It can be one, or both joints to be painful.

The quality of pain can be sharp or dull, often without radiation (the pain remains local). Usually it is worse during the morning and it eases with movement. 

Anatomy of the SI Joint:

The sacroiliac joint is located at the junction of the sacrum and the ilium on both sides of the lower back. It is a synovial joint with limited movement, as it is primarily designed to support the weight of the upper body and transfer it to the pelvis and lower limbs. The stability of the SI joint is maintained by strong ligaments and muscles surrounding it.

Symptoms of Sacroiliac Joint Pain:

SI joint pain is often characterized by a deep, dull ache in the lower back and buttocks. The pain may radiate down the back of the thigh and may be more prominent on one side. Other common symptoms include:

Pain with Movement: Activities that involve bending, twisting, or prolonged sitting/standing can trigger or worsen SI joint pain.

Pain While Climbing Stairs: The act of climbing stairs may exacerbate SI joint pain due to increased stress on the joint.

Pain when Changing Positions: Transitioning from sitting to standing or vice versa can be painful for individuals with SI joint issues.

Instability: Some people may experience a feeling of instability in the lower back or a sense that the pelvis is "out of alignment."

Causes of Sacroiliac Joint Pain:

Several factors can contribute to SI joint pain:

Trauma or Injury: A fall, accident, or direct impact to the lower back can cause SI joint dysfunction and pain.

Arthritis: Inflammatory arthritis conditions, such as ankylosing spondylitis, can affect the SI joint and lead to pain and stiffness.

Pregnancy: During pregnancy, hormonal changes and the release of relaxin hormone can lead to increased joint laxity, potentially causing SI joint pain.

Degenerative Changes: As people age, wear and tear on the SI joint may lead to osteoarthritis and subsequent pain.

Leg Length Discrepancy: A significant difference in leg lengths can affect the alignment of the pelvis and SI joint, leading to pain.

SI Joint Pain during Pregnancy:

During pregnancy, the body releases the hormone relaxin to prepare the pelvis for childbirth. Relaxin increases the ligamentous laxity around the SI joint and other pelvic structures, which can lead to SI joint pain and instability. Additionally, the growing uterus and the shifting of the body's center of gravity during pregnancy can put additional strain on the SI joint, exacerbating pain and discomfort.

NHS and NICE Guidelines for Managing SI Joint Pain:

The UK's National Health Service (NHS) and the National Institute for Health and Care Excellence (NICE) have developed guidelines for managing SI joint pain. Treatment options may include:

Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be recommended to manage mild to moderate SI joint pain.

Mobilisation: Chiropractic, Osteopathy or Physiotherapy, as prescribed by NICE guidelines, can include exercises to strengthen the muscles supporting the SI joint, improve flexibility, and enhance joint stability.

Injections: For severe SI joint pain, corticosteroid injections may be administered directly into the joint to reduce inflammation and alleviate pain.

Role of Chiropractic and Manual Therapy:

Chiropractors and manual therapists can play a significant role in managing SI joint pain. They employ various techniques to restore proper alignment, mobility, and function to the SI joint and surrounding structures. Treatment may involve:

Chiropractic Adjustments: Specific adjustments to the SI joint can help realign the joint, reduce inflammation, and alleviate pain.

Soft Tissue Therapy: Manual techniques, such as massage and myofascial release, can target tight muscles and soft tissues around the SI joint, promoting relaxation and reducing tension.

Exercise Prescription: Chiropractors may design tailored exercise programs to strengthen the core and pelvic muscles, which can improve the stability of the SI joint.

Advice on Posture and Movement: Education on proper posture and body mechanics can help individuals avoid movements that exacerbate SI joint pain and improve overall biomechanics.

Sacroiliac joint pain can cause significant discomfort in the lower back and pelvis, impacting daily activities and quality of life. Understanding the anatomy of the SI joint, recognizing the symptoms, and identifying the causes are essential steps in managing this condition effectively. NHS and NICE guidelines offer evidence-based approaches to address SI joint pain, including pain relief, physical therapy, and supportive devices. Additionally, chiropractic and manual therapy can play a valuable role in managing SI joint pain by providing specific adjustments, soft tissue therapy, exercise prescription, and expert advice on posture and movement. If you experience persistent or severe SI joint pain, it is crucial to seek professional evaluation and guidance to determine the most appropriate treatment plan for your individual needs. It is always worth to investigate lower back pain causes, especially if severe lower back pain. 

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tony hannan
08:52 09 Jun 25
Eduardo is excellent worth every penny
Michael Ford
10:14 06 Jun 25
Sue Craigie
09:46 01 Jun 25
Thank you Edo and Phil for resetting my pathway.I have 38 years of patchy recovery from a nursing back injury.This intensive approach has markedly reduced my painful episodes and spinal posture problems.My family has noticed a big difference in me with many obvious and subtle improvements.I look forward to continuing this progress with both Edo and Phil to achieve further improvements.
dawn dallow
12:48 16 May 25
Fantastic professional service
Lauren Edwards
14:44 09 May 25
I visited Alive back in January for a free consultation and opinion for my regular migraines and knee pain due to a physically challenging job. The team was friendly and welcoming. Edo who did the assessment then recommended a 3 month plan of treatments including adjustments and massage therapy. I instantly began to notice the frequency of my migraines decreasing along with my knee pain being completely gone due to my hip realignment. Highly recommended, thank you!
Katie Browne
12:55 09 May 25
Alive Chiropractor , Edo Comes to us , we live 8 miles from Dorchester. He works his Chiropractic magic on my 96 year old mother. She needs this to enable her to walk with a zimmer. Amazingly she is out of her wheelchair. I highly recommend Edo. He is very knowledgeable & professional. Mum is living an independent life. She even woke me up at 3am To go dancing!!!!
Sylvia Delves
18:12 19 Apr 25
My consultation with Edoado was met with a very attentive confidant professional attitude. He was very kind and caring.
Jamie Oates
09:57 18 Apr 25
Excellent treatment and knowledge. Greatly improved my standard of living . Affordable payment scheme. Highly recommend
John Jeffrey
11:44 16 Apr 25
I was recently introduced to Alive Chiropractic as I was looking for a more local Chiropractor. I am very pleased to have found Edoardo as he is really excellent. He assesses your condition and comes up with a treatment plan which he explains in detail. I am already improving and becoming more mobile and active again. I cannot recommend him highly enough.
Dr. Federico De Fazio
14:03 15 Apr 25
Dr. Edo is an absolute legend.Saved me from different injuries and helped me a lot of chronic issues I was dealing with.He is a saviour.Highly recommended
Micheal Fletcher
19:15 09 Apr 25
As experiences go, and although it's regarding illness this has been one of the nicer one,s , and I,m sure on going will only get better IN Dr. Edourdo,s hands.
David Crabb
17:54 01 Apr 25
Five star treatment so far, always on time positive treatment
Louise Ollerenshaw
07:00 27 Mar 25
Brilliant chiropractor. I drive from Bournemouth for Dr Edo’s expertise….Highly recommended!
Laura Pitman
19:43 03 Mar 25
Edo is amazing, so knowledgeable,helpful and kind. He listens to what the problem is and after a thorough consultation will put together an individual plan. Duting my treatment Edo was very reassuring, gave me exercises and lots of very useful advice.
Kiss In Light Photography
08:15 02 Mar 25
Edoardo was way beyond professional efficient and helpful. Being his regular clients gives me peace of mine. His care was absolutely outstanding when I had a back injury and needed professional help in the peak season of weddings. Edoardo not only helped me in person but kept in touch with me kinda like being on call and was keen to respond my messages and thanks for his professional care and enthusiasm I was able to recover quicker than I thought! Would only recommend him and his services to anyone to protect your health and prevent downfalls with body alignment. Absolutely amazing business!
Jess Mear
09:08 01 Mar 25
The treatment I received was amazing. I had injury to my neck and I feel so much bettter now. I was talked through why different things would help my injury with at home exercises which was very good. The treatment itself was superb both Edo and Phil are amazing.
BETA BRAIN
10:18 27 Feb 25
Edo is one of the most knowledgable and passionate Chiropractors I've ever encountered. Him and his team are very professional and caring. Highly recommend Alive Chiropractic to anyone who's looking for improving their health.
shelli lopes-barnes
13:44 12 Feb 25
Highly recommend Dr Edo at Alive Chiropractic in Poundbury. He is thorough, compassionate and a good listener. My husband and I both saw Dr. Edo for our back and neck issues and feel so much better.
Sally Warburton
13:12 25 Jan 25
Edo has worked hard to help my alignment in my pelvis and shoulders. I am pretty much pain free when I walk. Regular monthly adjustments and exercises to work on at home has made me more aware my posture and fitness regime! He is very professional, knowledgeable and honest . I thoroughly recommend him. Thankyou Edo!!
Grzegorz Mierzwa
08:50 14 Jan 25
Amazing place, after my initial therapy quality of my life has improved significantly. Thank you very much for continuous support, great advices and understanding.You are always polite, very knowledgeable with great approach to patients.To all interested - do not hesitate, I highly recommend! See you soon!
Alpha&Cub
10:41 13 Jan 25
Fantastic service from a friendly and knowledgeable chiropractor. Edo helped explain what he thought the issue was, help relieve some of the pressure and pain there and then and gave me some tips on self management.Will definitely be visiting again!
gaedic ansell
06:57 13 Jan 25
I have been going to alive chiropractic for neck, shoulders and back pain. Edo and Phil are both very friendly and very professional. 6 weeks in and the body feels a lot better. I would highly recommend Alive to anyone. Thank you both
Elliot Hall
19:26 12 Jan 25
Highly recommend if you’re having any issues, very well experienced and highly knowledgeable. Lovely guy. Thanks!
Sue Brown
20:45 10 Jan 25
I was first introduced to Alive Chiropractic two years ago when I was in a lot of neck and shoulder pain. It was then detected that my pelvis needed adjustment. Alive Chiropractic have worked on these areas so I now suffer very little pain , this is because I receive monthly maintenance appointments. There is no reason to be in pain as Alive Chiropractic are always at the end of a phone. I am currently suffering from sciatica which again is now being treated.I would fully recommend Alive Chiropractic,Edo is a very warm, welcoming caring and does not judge.
Charmaine Hardiman
10:16 10 Jan 25
Edo is amazing!! Has helped me so much with posture and pain. Combine that with regular treatments by Phil, I feel so much better and so positive. I can highly recommend this extremely professional practice.
Jodie Stroud
21:09 09 Jan 25
When I first visited Edo, I was struggling with poor posture and persistent back pain. In a surprisingly short period, my posture improved dramatically—I now stand up straight effortlessly, something I never thought possible. The constant upper back pain I had has almost completely gone. Edo's approach to treatment is very holistic, he doesn’t just treat the symptoms but provides guidance to achieve overall improved health and well-being. I now feel that I have a much greater understanding of my body, and how to look after it properly!
Paul Lee
10:42 08 Jan 25
Have been attending Alive for 6 months. The improvement to mobility and flexibility in my lower back is superb. Ed explains clearly what needs to be fixed and he gets on and fixes it! Thank you, Ed, very happy with my posture and am now ready for skiing!
Harriet Horniman
16:32 06 Jan 25
I have been having very good massages with Philip Hanger. I believe they help my stress levels. He hones in on tight muscles/ sore spots. I would recommend him.
Dan Coule
07:25 12 Dec 24
Been with Dr Edo since he began in Poundbury and have been so happy I walked in his door .He explained what and how he was going to help me , had an extensive treatment period to begin with and then became a monthly visitor .He has been so much help to me over this time and I would recommend his gifts to everyone.A truly lovely man and gifted communicator and practitioner.If in pain go and give him a try , living in a body that feels like a prison is no fun but this guy has the keys to set you free!
Val Beavis
12:37 01 Nov 24
Fantastically understanding of issues presentedOffers practical advice for individuals of any ageExplains proposed programs wellVery confident that treatment will be successfulHighly recommend
Kirsten Young
17:22 25 Oct 24
I have just completed an intense package of chiropractic correction treatments and had some deep tissue massage therapy into the 2nd Month, I can honestly say what a huge difference it’s made to me, my alignment pre and post treatment has been significant!I am sleeping more comfortably again, my walking has improved too, my confidence has improved, I was treated with great respect. I have learnt new exercises which also has helped thanks to Ed owner of Alive chiropractor and Phil too for his excellent deep tissue massage therapy. I cannot thank them both enough, I feel like a new person!I’ve now signed up for a regular maintenance programme. Thank you both very much, it’s very much appreciated.
Amy Callaghan
07:33 26 Sep 24
Half way through a 3 month treatment plan with Edo, and really pleased with the progress so far. Would definitely recommend Alive chiropractic!
Becky Samways
12:46 31 Aug 24
Highly recommended! Certainly knows his stuff and offers a comprehensive treatment plan with extra exercises to complete at home to increase the progress of treatment. I am 6 months pregnant and he was able to really help with problems with my back and posture
Jan Jay
15:49 16 Aug 24
Having attended Edo's practice for the past 3 weeks, I can already feel a marked improvement in my posture & alleviation of my lower back pain.He certainly has 'healing hands'.Clearly passionate about his profession, not only does his treatment keep you supple. He also gives plenty of advise & exercises to keep yourself active.The waiting room area is that of peace & tranquility with soothing background music.There is ample free parking.You've nothing to lose but everything to gain if you want to stay fit, healthy and active.I highly recommend his expertise & personalised approach.
Rosa Hare
16:28 15 Aug 24
I have been seeing Edo for 5 weeks now, nearly halfway through our 12 week plan, I am so happy with how much better I am feeling. Edo is welcoming, friendly and cares very much about his clients health and wellbeing.I highly recommend Edo and Alive Chiropractic. Great service from initial assessment, to treatment, and ongoing progress checks. As well as a range of exercises to continue at home.
Richard
12:52 03 May 24
Fantastic informative straightforward information looking forward to working with Edo
Linda Jukes
18:07 01 May 24
I have had back pain for many years and tried lots of different ways to ease it, with no success. From my first appointment at Alive Chiropractic Clinic, I could feel an improvement. I am so pleased with the results after a 12 week course. The clinic is superb and Edo is friendly and supportive. I will continue to visit the clinic and recommend to everyone!
Gary Rolls
19:48 24 Apr 24
I have been a patient of the Alive Chiropractor clinic for the last six weeks. Following a stroke in March 2022 I had been suffering with a walking imbalance and general lack of mobility. I would say that my improvement stands somewhere between 60-70% already. I would happily recommend the clinic to anyone that is suffering to book themselves an appointment.
Peter Waller
11:29 15 Apr 24
After visiting Dr. Edoardo at the Alive chiropractic clinic, I booked a block booking of 12 sessions. From start to finish he made me feel very comfortable, and as each session went on i began to feel much better within myself.As well as the work he done with me in the clinic, he has taught me many different exercises to help me with the problems in which i suffer with, as well as explaining to me how my diet can also help me going forward.He has been a great help, and i shall continue to see him in the future so that he can help me maintain ( and improve) my well being.RegardsPeter
leonie macdonald
16:15 18 Mar 24
I was greeted by an interested and professional person. I was helped to deal with a recent trauma, not only with deep breathing techniques and compassion but also accurate chiropractic treatment. Every time I left my appointment I felt a profound sense of healing.
Emma Simmons
20:34 07 Jan 24
My experience from the very first consultation has been excellent! Edo is extremely knowledgeable and a great professional. His holistic outlook and advice brings benefits beyond his chiropractic adjustments, which is an added bonus! I would highly recommend his practice.
olly morency
09:16 21 Nov 23
An excellent service; Edo helped me with corrections for my back, and advice on how to improve my health span with breath work and improved movement. Strong recommend!
Moira Priestley
20:18 15 Oct 23
I found the treatment I received very beneficial. My sciatica has eased a lot and I am sleeping much better. I would highly recommend Alive Chiropractic.
Ben Boughton-White
06:04 15 Oct 23
A fantastic chiropractic experience!Dr Edo provides a whole body approach to resolving chiropractic issues. His care plan to help solve your unique issues is fantastic, short and simple adjustments rather than long sessions of big adjustments has worked brilliantly for me. Communications are easy and booking ahead is brilliant for me and my schedule.I can’t recommend Alive highly enough!
Benny Clifford
15:53 25 Sep 23
Dr Edo has been a great help in getting me moving again, and he is a trustworthy pair of hands in his field of work. Top man!The reception is also very welcoming. I very much recommend this place!
Jane Bygraves
12:30 14 Sep 23
I have a better range of movement and am moving more freely after a course of gentle, thorough treatment with Alive Chiropractic. My energy levels have improved.
Sarah Spadon
18:48 10 Sep 23
I’ve been adjusted by Dr Edoardo for a number of years now, since I’ve been under care I’ve never had any problems but most importantly he helps me keep my nervous system healthy through maintenance care which allows me to be more in control in all of my day to day activities and keeps my mind healthy. His adjustments are gentle and precise and he is really kind and makes you feel at ease in any moment. Highly recommend!
Morgex
11:05 10 Sep 23
This is my first experience with chiropractic ever, and it has been life changing! I have a slipped lumbar disc and I was in lots of pain and had very limited mobility. I saw Edo for a few appointments and not only did my back get better, it has stayed that way since! I am doing the exercises he prescribed and now I am only seeing him for maintenance and I feel better than ever, more relaxed and aware of my posture overall . He is a good listener, very informative, professional and communicative.
Isabella White
07:15 08 Sep 23
A wonderful experience so far with Dr Edo at his clinic in Poundbury. I have come away from my first six sessions feeling so much more aware and in tune with my body, and I have experienced noticeable changes in my body and mindset also.Dr Edo is professional, knowledge, and believes firmly in his work which he is clearly passionate about. I feel he has an empowering vision, cares deeply, and has a refreshing balance of western and eastern understanding. Because of this, Dr Edo has a deeper, holistic approach by taking into account all aspects of one's lifestyle (diet, exercise, mental/emotional state) in sessions. For someone like myself who values a holistic perspective on health, Dr Edo's approach is invaluable and helped me relax and feel at great ease. Sam in reception is lovely and you instantly feel welcomed when coming in for a session also. Thank you to you both. Highly recommend!
Chris Copeland
20:59 16 Aug 23
Dr. Edo has a very calm temperament and his knowledge aids in your own relaxation, which is a help when your own flexibility, mobility or posture are far from relaxed. Sam, the Chiropractic assistant, is the first person to greet you when you arrive and will explain the fundamentals of the practice. The practice is clean, modern and has ample road side parking. The whole experience has been a success and I am now able to move without pain, the new mobility gained will enable me to get on with life and have new experiences and adventures, for this I thank you.
Sonya Hendry
18:21 16 Aug 23
I have been coming to see Ed at Alive Chiropractic since opening. Visiting regularly is enabling me to have a more comfortable and mobile life. The ambiance and warm welcome, along with total professionalism means so much.
Alison Michele Williams
20:49 30 Jul 23
A great, professional, friendly service. A whole rounded approach to better well being and healthy body.Thank you!
Tessa Aindow
16:58 13 Jul 23
Brilliant experience. My back has improved so much and I don’t have the same aches and pains. Dr Edo is very professional and gives great advice and exercises to help alongside the adjustments at the clinic.
Malwina T
15:56 19 Jun 23
Great and unique treatment. Eased the lower back pain significantly! Changed my outlook on chiropractic treatments and self care. Highly recommend!!!
jill cheng
09:17 16 Jun 23
I visited the clinic after suffering with low back pain for nearly ten years. The chiropractor helped me regain functionality and quality of life. More importantly, he helped me understand and connect some aspects of my life to my body and how it works, strongly recommended 👍🏻
Chirosofia
20:41 14 Jun 23
I have known Edoardo since day one at Chiropractic College, and I have witnessed his growing passion for this profession. His long time experience as a Yoga Instructor, combined to his deep knowledge into the Chiropractic art, science and philosophy, will make your journey towards healthy-living a very pleasant experience. Book that appointment and enjoy feeling better!
Paul Ansell
12:33 08 Feb 23
All my life I’ve had bad posture and bad back I’ve been to doctors specialists and always same outcome I’ve got to live with it. At the age of 58 I went to this practice and he has done wonders this is the best I have ever been since I can remember. Highly recommend
Zoe Ratcliffe
17:05 30 Jan 23
I attended Alive chiropractor after seeing a special offer they were offering and suffering from a bad back for a long time it felt like a good idea to go see what they said. Since this I have been attending twice a week and the improvements are happening. Edo is very knowledgeable and really wants the best for you he doesn't just care about the back or other pains you may be having but also acknowledges the impact these things can have on you emotionally and personally. I can't recommend this service enough.
Michelle Lambell
21:55 24 Jan 23
Regular sessions with Dr Edo at Alive Chiropractic have made such a big difference to my posture, my way of working at my desk and taught me how to manage my breathing, all of which have led to a big shift in my mindset towards looking after myself and my body.I will happily recommend Alive Chiropractic to my friends.
Paul Nicol
08:22 30 Sep 22
I have just finished initial treatment for my back problem. Appointments with the NHS in the past have never resulted in a diagnosis let alone treatment. However at Alive I received a diagnosis and treatment plan on the initial consultation. This set out exactly how I was going to be treated and cost. Following the treatment I could not be healthier or happier. An exceptionally professional service in which Dr Edoardo Elisei seems passionate about what he does. It is more than just a hands on treatment on his 'couch', but a full lifestyle treatment ensuring exercises and diet are in balance to assist recovery and as a preventative for the future. I would be happy to recommend to anyone.
claudia marcela lopez gallardo
08:05 30 Jul 22
Edo is a great professional, very friendly and knowledgeable. He corrected my posture in only few months, he said this was going to happen and I couldn't believe it, it was so fast and happened, the changes not only I could feel them but also you can see them. He did the adjustments with a lot of care, with a lot of patience he took the time to give the advices and exercises that I could benefit my posture in the future. I totally recommend him.
TheLizwalker
10:18 18 Jul 22
When I first met Dr Ed I had problems bending, and worst of all I could hardly move my neck. I was a total painful wreck.Ed takes a very holistic approach, encouraging me to lose weight and work on different rehab exercises to reinforce the manipulations and adjustments he made.Here I am some three months on, I weigh a lot less, I have incredible flexibility in my lower back and can now touch my toes and, best of all. I have full flexibility of my neck.Eds holistic approach really works, he is very approachable and easy to chat about things with.One caveat, Ed knows when you haven't done your exercises so don't cheat. :)I cannot thank him enough for the massive improvements in my health and his encouraging me to make little changes for a healthier long term lifestyle.
Elaine Daniel
13:05 07 Jul 22
I saw Edo in March and he was so informative regarding my spinal issues. I have had many treatments from him over the past few months and feel so much better and have more movement and less pain. He provides exercises for clients to help with strengthening muscles which is all part and parcel of chiropractic healing. I would recommend going to see him anytime.
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