What Is SI Joint Pain?

SI joint pain occurs in the sacroiliac joint, a shock-absorbing structure located between the lower spine and the hip bone. The joint connects the base of the spine to the pelvis, working alongside the lumbar spine to support the upper body. Acting as a natural shock absorber, the SI joint helps reduce stress between the upper body and lower extremities.

When dysfunction or inflammation affects the sacroiliac joint, it can lead to significant pain in the lower back, buttocks, or even the affected side of the leg. Known as sacroiliac joint dysfunction, this condition can result from traumatic injuries, repetitive stress, pregnancy, autoimmune diseases like ankylosing spondylitis, or chronic pain conditions.

How Does SI Joint Pain Affect the Body?

Sacroiliac joint pain can significantly impact your ability to move and perform daily tasks. Pain often radiates from the lower spine to the hips and thighs, mimicking other conditions like herniated discs or spinal stenosis. Pain caused by SI joint dysfunction can radiate through the lower back, hips, and even down the legs. This joint dysfunction may cause inflammation and muscle tension in the affected area, leading to stiffness, reduced mobility, and even referred pain in the upper body. SI joint pain may also be accompanied by acute pain when standing, walking, or shifting positions, which can severely limit physical activity and quality of life.

Causes of SI Joint Pain

Sacroiliac joint dysfunction may be caused by several factors, including:

  • Traumatic injuries or repetitive strain
  • Pregnancy or childbirth-related joint changes
  • Arthritis, such as rheumatoid arthritis or ankylosing spondylitis
  • Inflammation or degeneration of the joint
  • Uneven leg length or gait issues

Symptoms of Sacroiliac Joint Pain

The symptoms of SI joint dysfunction can resemble other spinal or hip conditions, making a thorough evaluation essential. Common symptoms include:

  • Lower back pain and stiffness
  • Pain that radiates to the buttocks, thighs, or groin
  • Discomfort when sitting, standing, or walking for long periods
  • Pain on one side of the body (affected side)
  • A feeling of instability in the pelvis or lower back

Sacroiliac Joint Pain Treatment in the Greater Austin Area

At Greater Austin Pain Center, we offer advanced sacroiliac joint pain treatment options tailored to each patient's needs. Our spine specialists begin with a detailed medical history, physical examination, and imaging studies to identify the root of your pain problems.

Conservative treatments may include:

  • Non-Surgical Treatments: Including bracing, posture training, and manual therapy
  • Physical Therapy: Targeted exercises to strengthen the lower body and relieve pressure on the joint

At Greater Austin Pain Center, we offer:

  • Joint Injections: Steroid injections combined with a local anesthetic to reduce inflammation and provide relief
  • SI Joint Fusion: A minimally invasive procedure using a small incision to stabilize the sacroiliac joint and reduce pain in severe or treatment-resistant cases.

Learn more about our procedures and pain treatment options

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Am I at Risk of SI Joint Dysfunction?

SI joint pain can affect anyone, but is more common in individuals with certain risk factors, such as:

  • Previous trauma or lower back injury
  • Rheumatoid arthritis or autoimmune diseases
  • Pregnancy or recent childbirth
  • Sedentary lifestyle or uneven movement patterns
  • Chronic pain conditions or joint dysfunction history

Understanding your risk factors and receiving a thorough evaluation from a qualified provider is the first step toward pain relief and a customized treatment plan.

Testimonials

"I am so relieved I could cry! Finally a pain specialist who listens, cares, and wants to help! Dr. Alan Silberberg has given me so much hope! As someone who has seen pain specialists for decades in different states, this is where you want to come. You NEED him in your life! My only regret is not coming in sooner."

Sarah Jean C.

"The staff is very friendly and I was seen on time. The intake process was seamless and efficient. Dr. Jarzombeck is always very kind and thorough in her explanations. These folks are a pleasure to work with. I highly recommend Greater Austin Pain Center and Dr. Jarzombeck!"

Kim D.

"Everyone is always very nice and courteous. Dr. Julia is amazing! He is friendly, kind and caring and so easy to talk with.  All the office staff I have had contact with has always been courteous and kind as well. Would highly recommend coming here!"

Lesley C.

Frequently Asked Questions

Can SI joint pain be treated without surgery?

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Yes. Many patients experience relief through physical therapy, joint injections, and other non-surgical treatments. A tailored treatment plan can address your symptoms effectively.

How is SI joint pain diagnosed?

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Diagnosis begins with a review of your medical history, a physical examination, and imaging studies. Diagnostic joint injections may also be used to confirm the source of pain.

What is sacroiliac joint fusion?

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Sacroiliac joint fusion is a minimally invasive procedure that uses a small incision to insert implants that stabilize the sacroiliac joint. It is typically recommended in severe cases where conservative treatments have failed.

How long does a joint injection take?

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SI joint injections are outpatient procedures that usually take about an hour, including prep and recovery time. Most patients can resume light activity the same day.

What conditions are often mistaken for SI joint pain?

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Conditions such as herniated discs, spinal stenosis, and hip pain can mimic SI joint dysfunction. That’s why a thorough evaluation is essential for accurate diagnosis.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Treat Your Sacroiliac Joint Pain at Greater Austin Pain Center

If you’re experiencing SI joint pain or symptoms of sacroiliac joint dysfunction, our experienced pain management team in Austin, TX, is here to help. We offer personalized care plans and advanced treatments designed to reduce pain, restore mobility, and support an active lifestyle. With locations in Austin, Kyle, Dripping Springs, and San Marcos, we make it convenient to get the care you need. Contact us today to schedule your consultation and start your journey toward lasting pain relief.

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