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Sacroiliac (SI) Joint Pain Treatment

Request an appointmentColorado (720) 749-5599Arizona (602) 325-2024
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Pain Management, Physical Therapy, Chiropractic and Acupuncture
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Sacroiliac (SI) Joint Pain Treatment Starts Here

Snow-covered mountains with valley and evergreen trees in foreground.

The sacroiliac (SI) joint connects the spine to the pelvis and helps transfer force during walking, standing, and lifting. When the SI joint becomes irritated or unstable, it can cause low back pain, buttock pain, and discomfort that may feel similar to sciatica. At Mountain View Pain Center, we help identify what’s driving your symptoms and build a plan to reduce pain and restore comfortable movement.

Next step

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Symptoms

Common Symptoms of SI Joint Pain

  • Pain on one side of the low back or just below the beltline
  • Buttock pain (often one-sided)
  • Pain that may refer into the groin, hip, or upper thigh
  • Pain that worsens with standing, walking, stairs, or transitioning from sitting to standing
  • Pain with prolonged sitting or driving
  • Tenderness near the back of the pelvis
  • Feeling “stuck,” stiff, or unstable through the pelvis
  • Symptoms that flare after lifting, twisting, or uneven weight-bearing
Causes

Common Causes and Risk Factors

  • Pain on one side of the low back or just below the beltline
  • Buttock pain (often one-sided)
  • Pain that may refer into the groin, hip, or upper thigh
  • Pain that worsens with standing, walking, stairs, or transitioning from sitting to standing
  • Pain with prolonged sitting or driving
  • Tenderness near the back of the pelvis
  • Feeling “stuck,” stiff, or unstable through the pelvis
  • Symptoms that flare after lifting, twisting, or uneven weight-bearing

When to Seek Urgent Care
Seek urgent evaluation if you have new or worsening weakness, loss of bowel or bladder control, saddle numbness, severe unrelenting pain after trauma, fever/chills, or rapidly worsening numbness/tingling.

Diagnosis

How We Evaluate SI Joint Pain

SI joint pain can overlap with low back pain, hip pain, and sciatica-like symptoms, so we focus on clarifying the source. Your visit may include a review of symptom triggers, movement testing, and assessment of the low back, hips, and pelvis. We may use specific exam maneuvers that help determine whether the SI joint is contributing to your pain. If symptoms include radiating pain, numbness, or tingling, we may also perform a basic neurologic screen. We also check for red flags to determine whether imaging or referral is appropriate.

Treatment

How We Treat SI Joint Pain

At Mountain View Pain Center, our multidisciplinary team combines evidence-based care to reduce irritation and improve pelvic stability:

Pain Management

Targeted diagnostic injections and image-guided procedures when appropriate to reduce inflammation and help confirm pain sources.

Physical Therapy

Movement-based care to improve hip mobility, strengthen the core and glutes, and build pelvic stability for long-term results.

Chiropractic Care

Hands-on care to support joint mobility and reduce muscle tension, tailored to your symptoms and comfort.

Acupuncture

A natural option to support pain relief and relaxation, often combined with your broader plan.

Treatments We Commonly Recommend

  • Core and glute strengthening for pelvic stability
  • Hip mobility work and movement retraining
  • Manual therapy for the low back, hips, and pelvis
  • Posture, gait, and lifting mechanics coaching
  • Graded return-to-activity plan
  • Image-guided SI joint injection (when appropriate)
  • Home program to reduce flare-ups and build consistency
At home

Home Care & Quick Relief

  • Core and glute strengthening for pelvic stability
  • Hip mobility work and movement retraining
  • Manual therapy for the low back, hips, and pelvis
  • Posture, gait, and lifting mechanics coaching
  • Graded return-to-activity plan
  • Image-guided SI joint injection (when appropriate)
  • Home program to reduce flare-ups and build consistency
Next step

Find SI Joint Pain Relief Today

Read next

Related Resources

  • Conditions We Treat
  • Our ServicesPain ManagementPhysical TherapyChiropractic CareAcupuncture
  • Find a Location
Read next

Related Conditions

Lower Back PainFacet Joint SyndromeHerniated DiscSciatica & Nerve PainDiscogenic Pain
By metro

Where to be treated for sacroiliac joint pain

Every clinic below has Chiropractic, Physical Therapy, Acupuncture and Pain Management on one chart, so care can move between them without a new referral.

Denver metro

Downtown out through the north, west, south and east suburbs.

  • Downtown Denver
  • Central Park, Denver
  • Lowry, Denver
  • Northglenn
  • Lakewood
  • Littleton
  • Highlands Ranch
  • Lone Tree
  • SE Aurora
  • Southlands, Aurora
  • Lafayette

Colorado Springs

Academy, Interquest and Tenderfoot cover the north, central and south of the city.

  • Academy
  • Interquest
  • Tenderfoot

Northern Colorado

Harmony in Fort Collins and our Greeley clinic serve Larimer and Weld counties.

  • Harmony, Fort Collins
  • Greeley

Arizona

Across the Valley, from the West Valley through Phoenix to the East Valley.

  • Deer Valley, Phoenix
  • North Phoenix, Dunlap
  • Glendale, Westgate
  • Peoria
  • Mesa
  • Chandler
Before you come in

SI Joint Pain FAQs

Where is SI joint pain felt?

SI joint pain is often felt on one side of the low back or buttock, sometimes referring into the hip, groin, or upper thigh.

Can SI joint pain feel like sciatica?

Yes. SI joint irritation can refer pain into the buttock and upper leg and may feel similar to sciatica. We evaluate symptoms to determine whether nerves are involved.

How is SI joint pain diagnosed?

Diagnosis often involves your symptom pattern, exam findings, and targeted testing. In some cases, an image-guided diagnostic injection can help confirm the SI joint as a pain source.

What treatments help SI joint pain the most?

Many people improve with a coordinated plan that builds hip mobility and pelvic stability—often combining PT, Chiropractic care, Acupuncture, and, when appropriate, Pain Management procedures.

Do I need imaging?

Not always. If your symptoms or exam suggest imaging would help guide care, we’ll recommend the appropriate next step.

Do I need a referral to schedule?

Often, no. Some insurance plans require a referral or authorization—if you’re unsure, we can help verify.

How do you tell the sacroiliac joint from the low back?

A group of examination tests point to the joint rather than the spine, and where it is still unclear a diagnostic injection settles it. Getting this right matters, because treating the wrong structure is why sacroiliac pain often drags on.

Does it get worse in pregnancy?

It commonly does, because the ligaments around the joint loosen. Care during and after pregnancy is aimed at the muscles that have to take up that slack.

You do not have to live with this while it sorts itself out.

Sacroiliac (SI) Joint Pain is treated at every Mountain View Pain Center clinic in Colorado and Arizona — see the full clinic map, Colorado or Arizona.

Request an appointmentColorado(720) 749-5599Arizona(602) 325-2024
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HOURS OF OPERATION

Mon: 8:00 am - 6:00 pm
Tue: 8:00 am - 6:00 pm
Wed: 8:00 am - 6:00 pm
Thur: 8:00 am - 6:00 pm
Fri: 8:00 am - 1:00 pm
Sat: Closed
Sun: Closed