Can Chiropractors Make SI Joint Pain Worse?

can chiropractor make si joint pain worse


People who have pain in their sacroiliac (SI) joints often try different treatments, like chiropractic care, to feel better. Chiropractors are trained professionals who diagnose and fix problems with the muscles and bones. But there have been worries about whether chiropractic tweaks can make SI joint pain worse. In this piece, we’ll talk in depth about this topic and give an unbiased look at the possible risks of chiropractic care for SI joint pain.

How to Make Sense of SI Joint Pain

The sacroiliac joint, also called the SI joint, is between the sacrum (the triangular bone at the base of the spine) and the ilium (a part of the hip). The SI joint’s main job is to keep the upper body stable and supported while allowing a small amount of movement.

How to Make Sense of SI Joint Pain

Pain in SI joint usually causes pain in the lower back, buttocks, or hip area. It can be mild, moderate, or serious, and it can cause stiffness, muscle imbalances, and trouble doing certain things. SI joint Can Chiropractors Make SI Joint Pain Worse pain can be caused by a number of things, such as an accident, inflammation, pregnancy, arthritis, or stressing the joint over and over again.

Treatment for SI Joint Pain with Chiropractic

What is chiropractic care?

Chiropractic care is a non-invasive form of health care that focuses on diagnosing and treating problems that affect the musculoskeletal system, especially the spine. Chiropractors use manual techniques, like adjusting or manipulating the spine, to improve joint mobility, relieve pain, and improve the general health of their patients. The goal of chiropractic treatment is to get the musculoskeletal system back into proper alignment and function so that the body can heal itself.

Chiropractic Techniques for SI Joint Pain

When it comes to SI joint pain, chiropractors use certain methods to get to the root cause and relieve the pain. These methods could include:

Chiropractic Techniques for SI Joint Pain

1. Chiropractic adjustments:

Chiropractors may use manual adjustments to move the affected joint, providing controlled force to improve alignment and decrease pain. The goal is to get the body back to its regular range of motion and take pressure off the SI joint.

2. Soft-Tissue Therapy:

Chiropractors may also use soft-tissue treatments, like massage or myofascial release, to reduce muscle tension and improve flexibility around the SI joint. These methods can help ease pain and speed up the healing process.

3. Rehabilitative Exercises:

In addition to manual therapies, chiropractors may recommend certain exercises to improve the muscles that support the SI joint. These activities can help strengthen the joint and keep it from getting hurt or sore again.

It’s important to know that chiropractic treatment plans are made for each person’s specific situation and may use a combination of techniques.

Possible Dangers of Chiropractors

Even though chiropractic care is usually thought to be safe, there are always risks with any medical procedure. There are some risks to think about when it comes to SI joint pain.

The pain in the SI joint gets worse.

One worry about using chiropractic care to treat SI joint pain is that the pain might get worse. It’s important to remember that chiropractic adjustments are meant to make joints move better and relieve pain. But in some cases, SI joint pain can be made worse by certain chiropractic methods or improper adjustments.

The SI joint is a sensitive spot, and if it is already swollen or hurting, using too much force or moving it around can make it hurt even more. Adjustments or methods that put too much pressure on the SI joint can make the pain and inflammation worse. This can cause the symptoms to get worse.

Possible Dangers of Chiropractors

Before starting any treatment, chiropractors must carefully look at each patient’s situation. People with SI joint pain can find out if chiropractic care is right for them by having a thorough exam that includes a review of their medical history and any necessary imaging tests.

There may be other risks.

In addition to making SI joint pain worse, chiropractic care can also cause a few other rare but possible side effects. Some of these risks are:

1. Nerve irritation:

Chiropractors make adjustments by moving the spine and the structures around it. Rarely, this kind of movement can irritate nearby nerves, causing pain, numbness, or tingling.

2. Muscle Strain:

Adjustments or methods that are done too forcefully can strain the muscles around the SI joint. This can make your muscles sore or hurt, especially if they are already weak or out of balance.

3. Fracture or dislocation:

Joint fractures or dislocations are very rare, but they could happen if the SI joint is moved too forcefully or in the wrong way. This risk is kept to a minimum by doing a good job of assessing and choosing techniques.

It’s important to point out that these risks are rare and can be kept to a minimum by going to a qualified, experienced chiropractor who follows best practices and talks openly with their patients.

Thoughts and Careful Steps

SI joint pain can be helped by chiropractic care for many people, but there are some things to think about and watch out for.

Patient Selection

Not everyone who has pain in the SI joint may be a good candidate for chiropractic care. If a patient has a serious medical condition like severe osteoporosis, a broken spine, or inflammatory arthritis, they may need to look into other treatment options. It is important to talk to a healthcare professional, like a dentist or primary care doctor, to figure out what the best course of action is for each person.

How to Talk to Your Chiropractor

For safe and successful treatment, it’s important to talk openly and honestly with your chiropractor. It’s important to give your chiropractor a full medical background, including any injuries, surgeries, or health problems you’ve had in the past. This information will help them decide if chiropractic care is right for you and how to treat you.

How to Talk to Your Chiropractor

During your treatment sessions, tell your doctor about any pain or changes to your symptoms. Then, your chiropractor can change their methods or treatment plan to make sure you are safe and comfortable.


In conclusion, chiropractic care can be a good choice for people with SI joint pain who want to feel better. But it’s important to know about and think about the possible risks of chiropractic care. Even though chiropractic adjustments are usually safe and successful, there is a small chance that SI joint pain could get worse or that you could have other rare problems.

To reduce these risks, it’s important to find a qualified chiropractor with a lot of experience who will carefully evaluate your situation and make a treatment plan that fits your needs. To make sure treatment is safe and successful, it is important to talk openly and give a full medical history.

In the end, a person with SI joint pain should talk to a doctor about whether or not to get chiropractic care, taking into account their own needs, preferences, and other treatment choices.


Can tweaks from a chiropractor ease pain in the SI joint?

SI joint pain may not be “cured” by chiropractic tweaks alone. Chiropractic care can help people with SI joint pain in different ways, depending on the cause and how each person responds to treatment. The goal of chiropractic adjustments is to increase joint movement, relieve pain, and realign the muscles and bones.

Some people with SI joint pain may find that chiropractic adjustments help a lot by lowering inflammation, improving joint function, and fixing muscle imbalances. But it’s important to remember that chiropractic care is often just one part of a larger treatment plan that may also include exercise, physical therapy, and changes to your lifestyle.

The goal of chiropractic care isn’t just to relieve pain temporarily but also to fix the underlying problems that cause SI joint pain and help people heal and get better for good. It is important to have realistic goals and know that different things can happen to different people.

How many chiropractic visits are usually needed to treat pain in the SI joint?

SI joint pain can be treated with chiropractic care, but the number of sessions needed depends on a number of things, such as the seriousness and length of the condition, how each person responds to treatment, and the treatment method chosen. Some people may feel much better after just a few sessions, while others may need more intensive treatment over a longer period of time.

Most of the time, chiropractors make unique treatment plans for each patient based on what they need. During the first part of treatment, you may need to come in more often to deal with severe symptoms and start the healing process. As the symptoms get better, the number of lessons may go down.

Most of the time, you need to go to a number of chiropractic appointments over a few weeks or months to get the best results. But it’s important to talk to your doctor about how long and how often your treatments will last because it will depend on your unique situation.

I have pain in my SI joint. How can I treat?

Yes, there are other methods for SI joint pain that people can try if chiropractic care doesn’t work or doesn’t work well enough. Some of the method are discussed:

1.Physical therapy works on improving strength, flexibility, and stability through targeted exercises and hands-on techniques. A physical therapist can make a specific treatment plan to help with SI joint pain and the muscle imbalances that can cause it.

2. Painkillers:

Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or painkillers may be given to relieve pain and reduce inflammation caused by SI joint problems. You can use these medicines along with other treatments.

3.Steroid shots:

In some cases, corticosteroid shots can be put right into the SI joint to reduce swelling and pain. Most of the time, an orthopedic expert or a doctor who specializes in pain management will give these injections.

4. In prolotherapy, a solution, usually a dextrose solution, is injected into the injured area to speed up the body’s natural healing process. Its goal is to strengthen the tendons and keep the SI joint stable.

5. Surgical Interventions:

If the SI joint pain is very bad and conservative treatments don’t help, surgery may be an option. Depending on the reason and the person’s situation, these can range from minimally invasive procedures to fusion surgery.

It’s important to talk to a doctor or nurse about other treatment options and figure out which one would work best for your situation.

Does insurance cover chiropractor care?

Coverage for chiropractic care depends on the insurance company, the individual insurance plan, and the country or region where you live. Chiropractic care is often partially covered by insurance, especially for treatments that are medically important.

Before getting chiropractic care, you should call your insurance company to find out what it covers, including any limits, payments, or requirements. Some insurance plans have specific requirements that must be met for coverage, like a recommendation from a primary care doctor or proof that the treatment is medically necessary.

Before you start chiropractic treatment for SI joint pain, you should make sure your insurance covers it and know how much you’ll get back. Some chiropractors also let people pay cash or out of pocket if they don’t have insurance or if their plan doesn’t cover the service.

When talking with your chiropractor about treatment choices, it’s a good idea to ask about your insurance coverage and any costs. They can give you advice and help you get through the insurance process, such as by giving you the paperwork you need or sending in claims on your account.

Remember that coverage and reimbursement policies can vary a lot between insurance companies and plans. To get accurate and up-to-date information, you should call your insurance company.


In conclusion, people with SI joint pain may be able to get help from a chiropractor. Even though chiropractic adjustments can carry some risks, most people get better and feel less pain after getting them. It is important to choose a qualified and experienced chiropractor, talk openly about your situation and worries, and follow treatment plans.

Even though chiropractic adjustments may not cure SI joint pain completely, they can help improve joint function, lessen pain, and improve your general health. It is also important to think about other treatment choices and work with health care professionals to figure out the best way to handle your situation.

If you have pain in your SI joint and are thinking about chiropractic care, make sure you know what you’re doing and put your safety and health first. By working closely with your doctor and keeping the lines of communication open, you can get the most out of chiropractic care while minimizing any risks.