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What is sacroiliac joint pain?
The sacroiliac joint connects the sacrum at the bottom of the spine to the pelvis, and there is one on each side. It moves very little and its job is to pass load between the trunk and the legs. So it does not “go out of place” or “slip” as is often said, and a click or short-lived relief after an “adjustment” does not mean a joint went back into place. The joint can be a source of pain, but pain in the same area can also come from the lower back, the hip or the buttock muscles, which is why a careful examination matters before naming the cause.
Common signs and what may irritate it
- Pain low on one side of the back, which may spread to the buttock or thigh and usually stays above the knee
- Pain with long sitting, getting up from a chair, standing on one leg or turning over in bed
- Pain climbing stairs, taking long steps or getting out of a car
- It may start after pregnancy or childbirth, a fall onto the buttocks, a sudden increase in activity or a twisting movement, and sometimes has no clear cause
What usually helps?
Gentle regular movement is usually better than long rest, so we keep you walking and changing position rather than staying still. Strengthening the buttock, trunk and hip muscles helps. It often starts with bridges from lying down and activating the deep abdominal muscles, then progresses to sit-to-stand, step-ups, single-leg standing and side-support exercises, gradually and in stages. A little discomfort during exercise is usually acceptable if it settles the same day or by the next morning. Manual therapy and release of muscle knots are used as part of the plan to ease pain and make movement easier, and they do not replace exercise. If you are pregnant, ask your doctor or therapist before starting any new exercise.
How we treat sacroiliac joint pain at Revibe
- We listen: when the pain started, on which side, which movements, sitting and sleep are affected, and any pregnancy, childbirth or previous fall
- We examine lower back, hip and pelvis movement, do provocation tests for the joint, and assess buttock and trunk strength
- We identify the likely source of pain, rule out look-alikes, and find what keeps it going
- We treat: manual therapy, release of muscle knots around the lower back and buttock, and dry needling or cupping when useful as part of the plan
- We progress with a gradual home exercise programme to strengthen the pelvis and trunk and adjust it as you improve
Watch the explanation
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When do you need urgent medical care?
- Numbness around the buttocks or genitals, a new change in passing urine or stool, or weakness in the legs — go to the emergency department straight away or call an ambulance: 911 in Jordan or 122 in Iraq and Kurdistan
- Back pain with fever, chills or feeling generally unwell
- Severe constant night pain that does not change with position, with unexplained weight loss or a history of cancer
- Severe pain after a fall or accident, or being unable to stand on the leg
- Morning stiffness lasting more than half an hour that eases with movement, especially in younger people, which may point to an inflammatory cause that needs a doctor’s assessment
In these cases go to the nearest emergency department or a doctor straight away — instead of booking physiotherapy.
FAQ
Is my pelvis out of place, and do I need it put back?
No. The sacroiliac joint is very stable and moves very little, so it does not go out of place. A click or short relief after an “adjustment” does not mean the bones went back into place. What usually helps is movement and strengthening the pelvis and trunk, with manual therapy as a supporting part of the plan.
Do I need an X-ray or MRI for sacroiliac joint pain?
In most cases not to start treatment. We refer you for imaging or to a doctor if there are signs that call for it, such as long morning stiffness or the warning signs listed above.
Can I keep walking and exercising with the pain?
Usually yes, with adjusted load. Walking and regular movement are generally better than long rest, and we agree with you which activities suit your stage and which to ease off for now.
How many sessions will I need?
It depends on your condition and its stage; after the first assessment we explain the plan and the expected number of sessions.
More common questions: Back pain questions — 31 questions
Ready to start?
Book your first session at Revibe Clinic in Amman (it starts with an assessment), or message us on WhatsApp.
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Reviewed by Ahmed AlKhatib, licensed physiotherapist — 22 October 2026
This information is general education and does not replace a clinical assessment.