Can Chiropractor Make SI Joint Pain Worse?

When dealing with persistent discomfort, particularly in the sacroiliac (SI) joint area, many individuals consider chiropractic care as a potential solution. 

However, there is a significant question that arises: can chiropractor make SI joint pain worse? 

Anyone considering this route needs to be aware of the nuances of chiropractic care and how it affects SI joint pain.

SI Joint Pain

The sacroiliac joint connects the sacrum, which is the triangular bone at the base of the spine, to the iliac bones of the pelvis. This joint plays a big role in transferring weight and forces between the upper body and lower body. 

When these joints become inflamed or dysfunctional, it can lead to SI joint pain, which can manifest as:

• Lower back pain
• Pain in the buttocks or hips
• Pain radiating down the legs
• Stiffness and reduced mobility

Factors contributing to SI joint pain may include injuries, pregnancy, arthritis, or prolonged postural issues. Given the complexity of the joint and its connections to other parts of the body, treating SI joint pain can be challenging.

How Can Chiropractors Treat SI Joint Pain?

Chiropractors specialize in diagnosing and treating musculoskeletal disorders, with a primary focus on spinal adjustments and manipulations. Their goal is to restore proper alignment, improve mobility, and reduce pain. 

When it comes to SI joint pain, a chiropractor may use various techniques, including:

• Spinal Manipulation: Aimed at correcting misalignments in the spine and pelvis to alleviate pain.
• Manual Therapy: Techniques to mobilize the joints and improve function.
• Exercise Recommendations: To strengthen muscles supporting the SI joint and improve stability.

While many patients find relief through chiropractic care, there are instances where chiropractic treatments may exacerbate SI joint pain.

Can Chiropractor Make SI Joint Pain Worse?

There can be instances when a chiropractor can make a mistake and make your pain worse, however, that generally doesn’t happen. 

But here is what can happen during your session that makes your SI joint pain worse:

1. Misdiagnosis or Incomplete Assessment

One of the primary reasons chiropractic care could worsen SI joint pain is due to misdiagnosis or incomplete assessment. Chiropractors may sometimes overlook underlying conditions, such as fractures, infections, or severe arthritis. 

If a chiropractor applies manipulation to a misdiagnosed condition, it could lead to increased pain and further complications.

2. Aggressive Techniques

Chiropractors employ various techniques, and not all patients respond the same way. Some chiropractors may use aggressive manipulation techniques that can lead to inflammation or irritation in an already sensitive area. 

If a patient’s SI joint is already inflamed, aggressive adjustments can exacerbate pain instead of alleviating it.

3. Lack of Customized Care

Each patient is unique, and a one-size-fits-all approach rarely works in chiropractic care. If a chiropractor fails to tailor treatment to the individual’s specific needs, it can lead to inadequate relief and, in some cases, worsening pain. 

Factors such as age, physical condition, and the severity of SI joint dysfunction should inform the treatment plan.

4. Underlying Conditions

Chiropractic care may also complicate conditions unrelated to the SI joint.

For example, if a patient has an underlying condition like disc herniation or facet joint syndrome, chiropractic adjustments intended for the SI joint could aggravate those issues, resulting in more pain.

Signs to Monitor

If you choose to pursue chiropractic care for SI joint pain, monitor your symptoms closely. 

Here are signs that may indicate worsening pain:

• Increased pain after an adjustment
• New symptoms, such as numbness or tingling
• A noticeable decrease in mobility or flexibility
• Pain that radiates to other areas of the body

If you experience any of these symptoms, communicate with your chiropractor and consider seeking a second opinion.

Tips for Safer Chiropractic Care

Here are some tips to ensure a safer experience:

1. Choose a Qualified Chiropractor: Look for a chiropractor who specializes in treating SI joint issues and has experience with your specific condition.
2. Provide Complete Medical History: Disclose all medical conditions and previous injuries to ensure an accurate assessment.
3. Seek a Comprehensive Evaluation: A thorough evaluation, including imaging studies if necessary, can help identify the underlying causes of your pain.
4. Discuss Treatment Options: Before beginning treatment, discuss the techniques your chiropractor plans to use and any concerns you may have.

Conclusion

While chiropractic care can provide relief for SI joint pain for many individuals, there are instances where a chiropractor can make SI joint pain worse. 

Knowing about these potential risks and communicating openly with your healthcare provider is important for ensuring the best possible outcomes. 

So, if you’re considering chiropractic treatment, approach it with awareness and caution, and always prioritize your health and well-being.

And make sure to check out our other articles on wellbeing.