How to know if I have sacroiliitis: these are the symptoms you notice when running or walking

Daniel Garcia
Fisioterapeuta y runner empedernido
Posted on 18-09-2023

Sacroiliitis can affect people of all ages and levels of physical activity, but it is especially common in runners and other athletes who perform repetitive, high-intensity movements. In this article, we will discuss what sacroiliitis is in recreational runners, its causes and how it can be treated and prevented.

Sacroiliitis refers to inflammation of the sacroiliac joint, which is where the sacrum and pelvis meet. This joint plays a critical role in the transmission of forces between the spine and the lower extremities, which is crucial for pelvic stability and proper gait biomechanics. The sacroiliac joint can be affected by various pathologies, such as inflammation, degeneration or joint locking among others.

Inflammation of this joint can be caused by repetitive overloading or misalignment of the pelvis with respect to other structures.

What are the symptoms of sacroiliitis?

Sacroiliitis often manifests as pain in the lumbar region or lower back. This pain may radiate to the hip or buttocks and may be experienced as dull or sharp pain. There may also be pain in the leg or thigh on the affected side. In addition to pain, sacroiliitis may cause:

  • Stiffness in the lower back or pelvis.
  • Difficulty standing or walking.
  • Pain when sitting for prolonged periods of time.
  • Burning or tingling sensation of the legs.

Symptoms of sacroiliitis may worsen with physical activity, during times of emotional stress, and during the menstrual period for women. In severe cases, this injury can cause a loss of mobility or flexibility in the lower back and the area may even feel hot to the touch.

For runners, sacroiliitis can cause mechanical pain and symptoms can interfere with training and athlete performance. Runners may notice these symptoms at the start of a run, which can hinder movement and directly affect running ability.

One of the main factors contributing to sacroiliitis in runners is repetitive loading on the pelvis and spine. When running, the body is subjected to a great deal of impact that can affect the joints, including, of course, the sacroiliac joint.

Not sure which running shoe to choose?

In a few simple steps we help you to choose the ideal running shoe for you

Go to the Shoe Finder

In addition to repetitive overload, pelvic misalignment can also contribute to sacroiliitis in recreational runners. If the pelvis is not properly aligned, it can place additional stress on the sacroiliac joint, increasing the risk of inflammation and pain.

Main causes of sacroiliitis in runners

If sacroiliitis is caused by an overuse injury to the joint, physical therapy and specific strengthening exercises may be needed to improve mobility and reduce pain. Stability and postural correction exercises may also help relieve pain and improve sacroiliac joint motion.

Some of the possible causes of sacroiliitis in runners include:

Overload and overuse

Runners who overtrain or abruptly change their training routine may subject the sacroiliac joints to overuse that can lead to inflammation and pain.

Traumatic injuries

Falls or injuries to the pelvis or spine can damage the joints involved and cause sacroiliitis.

Muscle imbalance

Weak or unbalanced muscles can put unequal pressure on the sacroiliac joints, which can lead to inflammation and pain.

Gait problems

If the runner has an incorrect or improper running technique, it can place additional stress on the sacroiliac joints.

Posture problems

Runners who run with poor posture or improper posture can put additional stress on the sacroiliac joints, which can lead to sacroiliitis.

How can sacroiliitis be treated?

Treatment of sacroiliitis in runners begins with reducing inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) are common medications to reduce pain and inflammation. Physical therapy may also be considered to reduce inflammation and stimulate blood circulation to the affected area.

In addition to medications, it is important for runners to work on correcting posture and pelvic alignment. Physical therapy can help runners learn specific exercises to improve pelvic alignment and mobility, which can reduce stress on the sacroiliac joint and thus reduce pain.

The use of heat and/or ice can also be effective in reducing inflammation and pain, although it is important to consult with a physician or physical therapist before beginning any home treatment

In addition to treating sacroiliitis in runners, it is important to take preventive measures to reduce the risk of sacroiliitis. Some of the preventive measures runners can take include:

  • Maintaining proper running technique to avoid overloading the sacroiliac joint.
  • Strengthening the muscles of the pelvis and spine with specific strengthening exercises.
  • Wearing proper running shoes and comfortable clothing when running.
  • Incorporating dynamic stretching and warm-up exercises before starting to run.
  • Decreasing the intensity of training if symptoms of pain occur.

Final conclusions about sacroiliitis

In conclusion, sacroiliitis in runners is a common condition that can cause pain and inflammation in the sacroiliac joint. Treating sacroiliitis involves reducing inflammation and working on correcting pelvic alignment to reduce stress on the joint.

In addition, runners can take preventive measures to reduce their risk of sacroiliac sacroiliitis by using proper running technique, strengthening the pelvic muscles, wearing appropriate running shoes, and decreasing the intensity of training when symptoms of pain occur.

It is also recommended that runners who experience pain in the sacroiliac joint area see a specialised physiotherapist for evaluation and treatment.


You may be interested in:

Read more news about: Running News