For citation purposes: Greis A, Berk J, Gellhorn AC. Non-interventional treatment options for sacroiliac joint mediated pain: A review. OA Musculoskeletal Medicine 2013 May 01;1(1):10.



Non-interventional treatment options for sacroiliac joint mediated pain: a review

A Greis, J Berk, AC Gellhorn

Authors affiliations

UW Medicine Sports and Spine Physicians, Department of Rehabilitation Medicine, University of Washington, Washington, USA

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The sacroiliac joint is a known source of lower back, buttock, groin and lower extremity pain. A number of non-interventional treatment options for sacroiliac joint pain exist, and most patients with sacroiliac joint pain are managed conservatively with a combination of oral medications, physical therapy and manual therapy. Sacroiliac joint belts and other lower extremity orthoses are often used to stabilise the joint, treat underlying biomechanical abnormalities and to facilitate the rehabilitation program. There are few studies that specifically evaluate non-interventional treatment of confirmed sacroiliac joint pain. This review discusses the theoretical basis and the evidence for available treatments for sacroiliac joint pain. Therapeutic exercise and manual therapy are supported by clinical trials, though the level of evidence supporting these interventions is low.


Sacroiliac joint mediated pain is a known entity that can cause discomfort in the low back, buttock, groin and/or lower extremity. It is often difficult to diagnose and symptoms may arise from both intra and extra-articular structures within the sacroiliac joint complex. Lumbopelvic biomechanics should be corrected with a focus on strength and flexibility. There is limited support for both physical therapy and manual therapy, though studies to date have been small with methodological limitation.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)