Sacro iliac syndrome

Sacro iliac syndrome

According to my Injury classification system, Sacro iliac (SI) syndrome is considered Level 3 Injury, as per the three structures compromised, the alignment, muscles/tendon, and the ligaments.

The overall alignment of the pelvic girdle complex is a key structure involved and responsible for maintaining the health and resilient of the ligamentous support. When the pelvis is misaligned or a visible deformity is presence, certain ligaments becomes shorten and others overstretched, and in an attempt to maintain the joint apposition leads to further deformation and injury.

SI sprain tend to cause significant inflammation and pain at the level of the joint with associated refer pain patterns towards the groin and lower extremity. Patients usually reports of morning stiffness and difficulty in weight bearing activities. In certain individuals, a fat deposit is found at the level of the SI and it may interfere in the joint mechanics contributing to the overall syndrome.

SI patterns of misalignment and associated symptoms

Anterior – superior (AS) illium misalignment tends to cause pain at the bottom of the SI joint with referred pain patterns towards the groin and inner thigh and knee.

Posterior Inferior (PI) illium misalignment generally cause pain at the top of the SI with referred pain patterns towards the buttocks and outer thigh and knee.

Is important to note that for the ligament to become injured, the previous defence mechanism have to have failed to allow the biomechanical stress to damage the ligament, therefore, the treatment care must aim to restore the health of the entire pelvic girdle protective structures.


Assessment Protocol

Clinical assessment to identify the key pelvic misalignment dysfunctions that have contributed to this condition.

Soft tissue analysis to pinpoint the level of irritation in the ligaments.


Anterior – posterior (AP) and lateral lumbar/pelvic views are an essential imaging to check the different patterns of pelvic misalignments


Spinal MRI is essential for visualizing the extent of injury on the muscle/tendon and ligamentous layers.

Locate the exact injury point; Allows the treatment to be more specific during the application of the treatment modalities

Identify the extent of tissue damage and the presence of scar tissue; Provides valuable information regarding prognosis and the application of friction soft tissue modalities to aid on scar tissue removal.


Treatment protocol

Specific pelvic adjustments followed by a rehabilitation regime to strengthen the entire soft tissue support of the pelvic girdle .

Application of Low-level Laser and PEMF to aid on the cellular level of heling as well as improving the microcirculation for the area.

Friction soft tissue therapy helps to reduce dysfunctional scar tissue

Specific selected essential oil application to enhance healing

Depending on level of misalignment and chronicity a minimum of 6 weeks up to 12 weeks of treatment care may be necessary to resolve this deformity.

Related Conditions