They occur frequently with pregnancy or following trauma, or they may be due to a congenital predisposition.
Pain can be of inflammatory origin with some diseases, for example rheumatoid arthritis or ankylosing spondylitis, and even in the first days after a trauma.
In this phase the recommended therapy is to rest and drugs, prescribed by the doctor and possibly the application of ice or hot packs according to the cause of the inflammation. In the acute phase the use of a corset or a band around the pelvis can be indicated, while treatment after a trauma depends on the extent of the trauma itself. An X-ray is the first piece of advice. After a radiographic check the outcome of the trauma is treated and a program of recovery of the movements always prescribed according to the severity of the lesion.
Another cause of pain in the sacro-iliac joint is mechanical – that is, influenced by movements and positions. The therapy necessary for this type of problem, addressed to a mobilization, then specific gymnastics, or to a stabilization, through specific exercises to strengthen the musculature that controls the stability of the joint. Sometimes it is necessary to wear a corset for a short period to control instability.