Sacroiliac (SI) Joint Pain Care in Frisco
When your low back keeps flaring up, it is easy to assume the problem is a disc. But for many people, the real source is the sacroiliac (SI) joint. This small joint at the base of the spine can create major discomfort that shows up on one side of the low back, into the buttock, or around the hip. The frustrating part is that SI joint pain often mimics sciatica or “general low back pain,” so it can linger for months without a clear answer.
What Is the SI Joint?
You have two sacroiliac joints, one on each side, connecting the sacrum at the base of your spine to the pelvis. These joints help transfer weight between your upper body and legs, support stability, and absorb shock during everyday movement.
When the SI joint becomes inflamed, restricted, or unstable, it can cause pain patterns that mimic disc problems. That overlap is one reason SI joint dysfunction is often overlooked without a thorough evaluation.
What Are the Common Signs of Joint Dysfunction?
People with SI joint irritation often notice symptoms such as:
- One-sided lower back pain
- Buttock, hip, or pelvic discomfort
- Pain when standing up from sitting
- Discomfort climbing stairs
- Stiffness after sitting for long periods
- Tenderness over the pelvic joints
- Pain that feels similar to sciatica but does not travel fully down the leg
What Can Cause SI Joint Pain?
SI joint irritation is often mechanical, meaning it’s influenced by how the pelvis, low back, and hips are moving and stabilizing. Contributing factors may include posture habits, pelvic instability, pregnancy-related changes, repetitive lifting or twisting, sports injuries, and prior low back trauma.
In some people, the joint becomes restricted and stiff. In others, it becomes too mobile. Both patterns can place stress on the area, leading to inflammation and discomfort.
How Chiropractic Care Can Help
Chiropractic care for SI joint dysfunction focuses on restoring healthier motion and reducing stress through the pelvis and low back.
With the Gonstead method, Dr. Venn uses detailed analysis to determine which joints need attention. Adjustments are specific and targeted, rather than generalized twisting. This level of precision matters, especially when symptoms have lingered or when you have tried other approaches without clear progress.
When SI joint motion improves and surrounding structures are better supported, many people notice greater comfort when standing, walking, and performing everyday movements.
A Clear Plan That Supports Long-Term Progress
Your care plan depends on your exam findings and goals, but may include a combination of hands-on correction and practical guidance. SI joint care may include:
- Specific Gonstead adjustments
- Movement and stabilization guidance
- Postural correction strategies
- Targeted rehabilitation recommendations
- Ergonomic support for work and daily life
If disc involvement is suspected, spinal decompression may be discussed as part of a broader plan.
SI Joint Pain vs Disc Pain: Why the Difference Matters
Many people assume their pain is disc-related because it can feel like sciatica. In general, disc irritation is more likely to radiate below the knee and may include numbness, tingling, or weakness. SI joint pain often stays more localized around the buttock, pelvis, or upper leg and may feel more mechanical, meaning it changes with positions and movement.
Identifying the root cause is essential to choosing the right next steps and avoiding a cycle of guesswork.
When You Should Seek Medical Care Right Away
Seek prompt medical evaluation if you have progressive leg weakness, loss of bladder or bowel control, severe trauma, fever, or signs of systemic illness. If something falls outside our scope, we will refer you to the appropriate resource because your health and safety come first.
Frequently Asked Questions
How can I tell if my pain is coming from the SI joint?
Are SI joint adjustments safe?
Book an Appointment
If one-sided pelvic or lower back pain has been limiting your movement, it may be time for a precise evaluation and a clear plan forward. Contact Venn Chiropractic and Wellness Center today to schedule an appointment.

