Pelvis & Sacrum · Non-surgical treatment in Delhi NCR
Sacroiliac (SI) Joint Dysfunction
Also called: SI joint pain · Pelvic girdle pain · Sacroiliitis
Frequently misdiagnosed as sciatica. The SI joint refers pain into the buttock and back of the thigh, but the treatment is completely different from disc care.
Quick answer
How is Sacroiliac treated?
SI joint dysfunction is pain from the joint between the sacrum and pelvis, felt as a sharp ache just beside the dimple of the lower back, often after pregnancy, a fall or single-sided loading. Back2Health treats it with pelvic adjustment, shockwave for the posterior ligaments, and glute-and-core stability rehab that keeps the joint aligned.
Symptoms patients describe
- Sharp, one-sided pain just below the belt line, near the dimple
- Pain on rolling in bed, climbing stairs or standing on one leg
- Referred ache into the buttock, groin or back of the thigh
- A feeling that the pelvis is 'out' or unstable
- Discomfort on prolonged sitting with legs crossed
Why it happens
- Pregnancy and postnatal ligament laxity
- Fall onto the buttock or a mis-step off a kerb
- Leg length difference or asymmetric gait
- Weak gluteus medius allowing pelvic drop
- Post-lumbar-fusion stress transfer to the SI joint
Assessment
How we confirm the diagnosis before touching your spine.
No two patients with the same MRI need the same plan. This is the examination sequence used at the first visit.
- 01Cluster of provocation tests: FABER, thigh thrust, compression, distraction, Gaenslen's
- 02Standing and seated flexion tests for pelvic motion asymmetry
- 03Gluteal strength and single-leg stance control assessment
- 04Leg length and foot posture screening
Treatment protocol
How Back2Health treats sacroiliac.
Phased, measured and time-bound. Your exact schedule is set after the first assessment.
Phase 1 — Calm and realign
Weeks 1–2
Pelvic adjustment or gentle mobilisation, laser to the posterior SI ligaments, and load management advice for daily tasks.
Phase 2 — Stabilise
Weeks 3–5
Shockwave to the chronically irritated ligaments, glute medius and deep core activation, and correction of asymmetric habits.
Phase 3 — Load symmetrically
Weeks 6–8
Single-leg strength, gait retraining and return to running, yoga or gym without recurrence.
Technology used for this condition
Realistic outlook
SI dysfunction responds quickly to correction but relapses without gluteal strength — the rehab phase is non-negotiable.
When not to wait
- Inflammatory pattern: young patient, night pain, prolonged morning stiffness (possible ankylosing spondylitis — needs rheumatology review)
- Fever or systemic illness
Answers
Sacroiliac: common questions.
Is SI joint pain the same as sciatica?+
No. SI pain rarely travels below the knee and does not follow a single nerve path. Provocation testing separates the two in minutes.
Can chiropractic help postnatal pelvic pain?+
Yes, and it is one of the most rewarding cases we see. Gentle correction plus targeted strengthening restores confident, pain-free movement.
Book an assessment
Get your sacroiliac properly diagnosed.
Bring your MRI or X-ray. You'll leave the first consultation knowing exactly what is wrong, whether decompression is right for you, and how many sessions it should take.