SIJ Pain at a Glance
Sacroiliac joint (SIJ) pain affects the area where the spine meets the pelvis. It often creates aching, stiffness or sharp pain in the lower back, buttock, or groin. Many people notice increased discomfort when standing up, walking uphill, or changing positions after sitting.
What Is SIJ Pain?
The sacroiliac joints sit on each side of the spine, linking the sacrum to the pelvic bones. These joints help transfer weight between the upper body and legs, so irritation in this region can feel quite intense. SIJ pain may arise from joint strain, altered movement patterns, uneven loading, pregnancy, or surrounding soft tissue tension.
Symptoms often overlap with lower back pain, making it important to rule out muscular, spinal or hip-related causes.
Impact on Daily Life
People with SIJ pain often describe difficulty with common movements. Tasks like sitting for long periods, getting out of the car, standing in queues, or walking for exercise may feel harder than they should.
Some people also notice discomfort during sleep when turning over or when weight shifts unevenly through the pelvis.
Modern Medicine Overview
In mainstream settings, SIJ pain is typically assessed through physical examination and movement tests. Treatment can include pain-relief medication, anti-inflammatory strategies, physiotherapy, guided exercise, or in some cases, image-guided injections.
Doctors often focus on restoring movement, reducing inflammation, and strengthening the surrounding muscles to stabilise the pelvis.
How Acupuncture May Help
Acupuncture is commonly used for musculoskeletal conditions, including pain involving the pelvis and lower back. During a session, fine sterile needles are placed at points chosen to support your presentation. The aim is to ease tension, encourage local circulation, and support the body’s natural processes.
Some people look to acupuncture alongside other care because it may help with symptoms such as stiffness, aching, and restricted movement. You can read more about how I practise acupuncture here: acupuncture. I may also draw from principles of Chinese medicine or discuss whether herbal medicine seems suitable for your broader pattern.
The Traditional Chinese Medicine View
From a Chinese medicine perspective, SIJ pain may relate to imbalances in qi, blood or the functional systems that govern the lower back and pelvis. Patterns often involve stagnation, cold, dampness, or deficiency, depending on the individual. The goal is to support movement, circulation, and balance throughout the channels associated with the lumbar and pelvic regions.
Research Summary
The Acupuncture Evidence Project (2017) reviewed research across a range of pain conditions and reported evidence for acupuncture in several musculoskeletal presentations, including some forms of lower back pain. While not all studies look specifically at SIJ pain, they explore related symptoms such as mobility, stiffness, and discomfort.
Other systematic reviews have examined acupuncture’s potential influence on the body’s pain-modulation pathways. These studies suggest possible changes in muscle tension, connective tissue response, and local circulation. Results vary, and researchers often note that more high-quality trials are needed.
What a Session May Look Like
During a consultation, we’ll go through your symptoms, health history, and what’s been happening recently. If acupuncture appears suitable, I’ll use fine, single-use sterile needles at points chosen for your presentation.
Cupping or electroacupuncture may be used in some sessions. Herbal medicine may also be discussed when it seems appropriate for your overall pattern.
Sessions focus on gentle needling and supporting the body’s natural processes. I keep the approach simple and tailored to your needs without unnecessary add-ons.
Other Supportive Approaches
Depending on your presentation, your treatment plan may include:
Not all of these are used in every session. The approach is based on what seems most suitable for your condition.
Self-Care and Lifestyle Tips
You may find benefit in simple strategies to reduce irritation around the pelvis. Gentle mobility exercises, pacing activity, avoiding long static positions, or using heat for stiffness may be helpful. Some people also notice improvement with walking programs, glute strengthening or simple pelvic stability work.
Small adjustments at home, like better chair support or short breaks from sitting, can make daily life more comfortable.
Related Conditions
Book an Appointment
If you’d like to explore acupuncture as part of your care, you’re welcome to get in touch with my Hervey Bay clinic.
Book Acupuncture Online
Or call the clinic on 07 4317 4349 if you’d prefer to speak to someone.
The clinic is located in the arcade between the 50’s Diner and the Thai Diamond Restaurant on the Esplanade in Scarness.
References
- Cohen, S. et al. (2013). Sacroiliac joint pain: a comprehensive review. Clinical Journal of Pain.
- Laslett, M. (2008). Evidence-based diagnosis and treatment of the painful sacroiliac joint. Journal of Manual & Manipulative Therapy.
- Vleeming, A. et al. (2012). European guidelines for the diagnosis and treatment of pelvic girdle pain. Pain Practice.
- Acupuncture Evidence Project (2017). Janz & McDonald.