If you have pain in the buttocks or lower back, this may be an indication of a problem with your sacroiliac joint. Pain in this area is usually dull and may radiate into your groin and buttocks. When this pain is severe, it can make it difficult to climb stairs or get out of a seated position.
Symptoms of sacroiliac joint pain may mimic other health conditions, such as degenerative hip disease, lumbar disc herniation, or hip bursitis. The pain in this area is most likely accompanied by numbness and tingling in the hips and can prevent you from sleeping well.
Pain in the sacroiliac joint is often deep-seated, and can be similar to radicular pain. Patients may also experience pain when sitting or lying down, or when climbing stairs. Symptoms may be so severe that you cannot do everyday activities, and you may even experience pain after a traumatic event such as a fall that lands on one side of the hip. For these reasons, it is crucial to seek medical attention as soon as possible.
In order to diagnose sacroiliac joint pain, a comprehensive physical examination and history are necessary to rule out other conditions. Physical exam techniques may include provocative joint tests, x-rays, and spinal imaging. MRIs may also be performed to confirm the diagnosis.