Sacroiliac pain

Posted by magnus34 @magnus34, Dec 15, 2025

Looking for any advice that might lead to relief of significant pain originating from Sacroiliac Joints

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Profile picture for loriesco @loriesco

Start with an orthopedic surgeon who diagnoses pain in your SI joint. Get referred to pain management. Try various resolutions like exercise, steroid injections, and ablation. See what works and see what doesn’t work. ALSO – really important. Try a really great MFR therapist! After 30 years of SI joint dysfunction, for me it is the muscles pulling tight over the SI joint. YES I have tight joints and I have butt loads of arthritis in the joint. But that isn’t what causes the pain most days. Did you happen to have a job where you sat a lot? This can cause SI joint dysfunction and it’s the muscles pulling tight over your SI joint. The MFR therapist does acupressure over the muscles that lie over the joint and brings me tons of relief. I have to continue on my own doing stretches, not sitting so much and returned to the MFR therapist on a regular basis. When you get older, your muscle fascia glues together, the tugging as a group causes pain and the muscles have to be massaged and separated. Then they glide nicely over the joint.
In addition, the barometric weather changes will aggravate the arthritis in the joint. So when it gets cold and damp and foggy outside my Si joints, get stiff and painful causing inflammation. Stretching and a heating pad relieves the pain.

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@loriesco That is probably the BEST overall advice I've seen on SI joint pain! All your resolutions have been tried here, but the most effective, so far, is stretching/PT exercises; and last month I found a massage therapist who works on my facia (she is not a MFR) and I am having relief for my tennis, walking, fly fishing (where you stand in one place a long time).
So Thanks!

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Profile picture for bealillie @bealillie

@loriesco
Does MFR hurt? I feel like pain in both sacroiliac, but also the pelvic floor muscles so I’m not sure which one came first. I think the floor muscles are weak because I had an injury at the beginning of the year and I keeps reigniting every time I try to strengthen and my SI joint to suffering area so clearly I assume that MFR would be good for the whole area or to find a therapist. who does it here where I am at least.

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@bealillie it doesn’t have to. You consult with the therapist and you work together to bear the most pressure you can comfortably take. It changes for me. Sometimes it feels like he’s too soft and sometimes it feels like he’s too hard and he insists he’s using the same pressure it’s that my body sometimes is in better shape and sometimes is in worse shape. I usually hold my tongue if it’s too painful because I’m paying good money and I want to have a result. You could have it be like a nice massage if you wanted, but that’s not gonna break down the facia. Have you ever heard that saying no pain no gain, lol.

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Profile picture for loriesco @loriesco

@bealillie it doesn’t have to. You consult with the therapist and you work together to bear the most pressure you can comfortably take. It changes for me. Sometimes it feels like he’s too soft and sometimes it feels like he’s too hard and he insists he’s using the same pressure it’s that my body sometimes is in better shape and sometimes is in worse shape. I usually hold my tongue if it’s too painful because I’m paying good money and I want to have a result. You could have it be like a nice massage if you wanted, but that’s not gonna break down the facia. Have you ever heard that saying no pain no gain, lol.

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@loriesco thanks
Now just have to find

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Profile picture for teddy69 @teddy69

@magnus34 I’d go for a second opinion. I had to…went to spine specialist and he did few different injections then told me go pain management or orthopedic. I went back to my orthopedic doctor and he did a few manipulation tests which I tested positive and then sent me for injections which took pain away and I was able to get surgery due to I did PT etc and nothing helped. I no longer have pain in that area. Best thing I did was get that second opinion. 😊

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@teddy69
What was the surgery recommended

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Profile picture for magnus34 @magnus34

@teddy69
What was the surgery recommended

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@magnus34 I had a right SI joint fusion. I had the surgery and same day went home.

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