Sacroiliac (SI) Joint Pain Relief Q&A
At San Antonio Pain Consultants, we provide specialized care for individuals suffering from Sacroiliac (SI) joint pain. In this Q&A, we answer common questions about SI joint pain relief and the treatment options available to help alleviate discomfort. Whether you’re experiencing mild pain or chronic discomfort, Dr. Darius Zagunis, M.D., offers personalized solutions tailored to your needs. With advanced treatments and years of experience, we are dedicated to helping you find lasting relief. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.


Table of Contents:
How can I get immediate relief from SI joint pain?
How do you treat an inflamed SI joint?
How long does it take for an inflamed sacroiliac joint to heal?
What causes SI joint flare-ups?
If you’re experiencing sudden SI joint pain, we can help you find immediate relief and effective solutions tailored specifically to your needs. As specialists in pain management right here in San Antonio, our experienced providers offer personalized guidance and advanced treatments to alleviate your discomfort quickly and safely.
For initial relief at home, applying ice packs or cold therapy to the affected area for approximately 15-20 minutes can help reduce inflammation and provide temporary numbing relief. Alternatively, heat therapy using heating pads or warm baths can relax tight muscles surrounding the SI joint, offering comfort and easing tension.
Gentle stretching exercises targeting the lower back, hips, and buttocks can also provide immediate relief by reducing muscle tightness and improving flexibility. Simple stretches such as gentle knee-to-chest movements, bridging exercises, or pelvic rotations can help ease tension around the SI joint. It’s important to perform these exercises carefully, without pushing yourself into pain.
Over-the-counter anti-inflammatory medications like ibuprofen or naproxen may temporarily alleviate inflammation and pain. Always follow recommended dosages, and consult your provider at San Antonio Pain Consultants if you have questions or concerns regarding medication use. Additionally, wearing an SI joint belt or brace can deliver quick support and stability to the joint, making daily activities such as sitting, standing, or walking more comfortable. These belts compress and stabilize the pelvis, minimizing joint movement and reducing inflammation and discomfort.
Maintaining proper posture, particularly when sitting for extended periods or standing, can reduce stress on your SI joint. Consider ergonomic chairs or supportive cushions that encourage spinal alignment to prevent further irritation. Relaxation techniques such as deep breathing, meditation, or gentle massage therapy can also help decrease stress and muscle tension in your SI joint area, providing additional relief.
An inflamed sacroiliac (SI) joint can cause significant discomfort and negatively affect daily activities. At San Antonio Pain Consultants, our specialists are dedicated to accurately diagnosing and effectively treating SI joint inflammation, helping patients return to a more comfortable, active lifestyle.
Initially, our team emphasizes conservative management strategies, such as recommending rest and modifications to daily activities to avoid exacerbating symptoms. Additionally, our physicians can advise on simple at-home therapies, including ice packs and heat application, to reduce inflammation and soothe discomfort. Over-the-counter anti-inflammatory medications like ibuprofen or naproxen may also be suggested to alleviate pain and inflammation.
We work closely with highly trained physical therapists who create personalized rehabilitation programs specifically tailored to each patient’s condition. These therapy sessions typically involve targeted exercises, gentle stretching, core-strengthening routines, and posture correction techniques aimed at strengthening the muscles surrounding the SI joint, improving joint stability, and minimizing stress on the inflamed area.
For additional support, our specialists may recommend the use of supportive braces or belts designed to stabilize the pelvis and reduce strain on the SI joint, particularly during demanding activities. Furthermore, our practice offers effective manual therapies, including therapeutic massage and gentle manipulation techniques, to improve alignment, provide muscle relaxation, and enhance overall joint function and comfort.
When conservative treatments are insufficient, San Antonio Pain Consultants specializes in advanced interventional procedures. Our physicians perform corticosteroid injections directly into the SI joint under precise image guidance, providing significant relief by targeting inflammation at its source. In cases of persistent or severe pain, minimally invasive treatments such as radiofrequency ablation may be recommended. This procedure works by disrupting nerve signals responsible for pain, helping patients achieve lasting relief.
At San Antonio Pain Consultants, our expert team understands that each patient experiences sacroiliac (SI) joint inflammation differently, and healing timelines can vary significantly after sacroiliac joint ablation. Generally, an inflamed SI joint may heal within a few weeks to several months, depending upon the underlying cause, severity of inflammation, and the specific treatment approach implemented by our specialized providers.
For mild inflammation resulting from minor strain or overuse, our specialists typically expect improvement within about two to four weeks, particularly when our patients follow our customized recommendations, including appropriate rest, activity modification, physical therapy, therapeutic heat or ice application, and anti-inflammatory medications.
However, in more persistent or chronic cases—such as those linked to arthritis, autoimmune conditions, or other chronic pain conditions—recovery may extend over several months. At San Antonio Pain Consultants, we offer targeted therapies designed specifically for persistent SI joint inflammation, such as comprehensive physical therapy programs, specialized strengthening exercises, corticosteroid injections, and advanced interventional pain management procedures, all aimed at reducing inflammation and expediting healing.
At San Antonio Pain Consultants, we understand that sacroiliac (SI) joint flare-ups can significantly impact your daily life. Located in the lower back and pelvis, the SI joint is susceptible to irritation, inflammation, or dysfunction due to several common causes.
● Trauma and Injury: Many San Antonio residents experience SI joint pain following injuries such as falls, accidents, direct impacts, or sudden twisting movements. These events can stress the SI joint and surrounding ligaments, causing inflammation and discomfort.
● Repetitive Movements and Postures: Activities common to our daily routines—like prolonged sitting, heavy lifting, frequent bending, or twisting—can gradually irritate and inflame the SI joint. Our specialists regularly help patients identify and modify such habits to reduce pain and improve function.
● Pregnancy-Related SI Joint Pain: Expectant mothers commonly face SI joint discomfort due to hormonal changes that loosen ligaments, increasing joint instability. Combined with the added weight and altered posture during pregnancy, these changes can place significant stress on the SI joint.
● Inflammatory Conditions and Arthritis: Conditions such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and other inflammatory disorders can lead to chronic inflammation and pain in the SI joint. Our experienced providers deliver tailored treatments to help manage these inflammatory symptoms and improve quality of life.
● Biomechanical Issues and Muscle Dysfunction: Issues such as uneven leg length, abnormal gait patterns, or muscle imbalances in the lower back, pelvis, or legs can place added stress on the SI joint. Dysfunction in muscles surrounding the joint—including the gluteal muscles, lower back muscles, and pelvic floor muscles—can further aggravate SI joint instability and pain.
● Age-Related Degeneration: As we age, degenerative changes like cartilage deterioration and joint degeneration become more common, increasing susceptibility to SI joint flare-ups. Our experts provide targeted interventions aimed at managing degenerative joint conditions, helping our patients maintain an active lifestyle.
At San Antonio Pain Consultants, our personalized approach aims to identify your unique cause of SI joint pain, ensuring effective management and relief tailored specifically to your needs. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.


Conditions We Treat
▸ Back & Spine Pain
▸ Herniated Disc Treatment
▸ Sciatica
▸ Neck Pain
▸ Knee Pain
▸ Arthritis Pain
▸ Arm & Shoulder Pain
▸ Abdominal & Pelvic Pain
▸ Headaches & Migraines
▸ Hip Pain
▸ Neuropathy
▸ Cancer Pain