Anatomy

Where the sacroiliac joint sits and why it matters.

The sacroiliac joints sit where the sacrum meets the iliac bones. They transfer force from the upper body into the pelvis and legs while helping maintain stability.

Ligament Anatomy

Illustration of sacroiliac joint ligaments and pelvic anatomy

The ligament complex around the SI joint contributes heavily to both stability and pain generation.

Typical Pain Distribution

Front and back body diagram showing typical sacroiliac joint pain distribution

Symptoms often appear in the buttock, pelvis, groin, posterior thigh, and sometimes lower leg.

Structure

Sacrum

The sacrum forms the triangular base of the spine and acts as the central bridge between the lumbar spine and the pelvis.

Structure

Iliac Bones

The iliac portions of the pelvis create the broad, weight-bearing surfaces that meet the sacrum at the SI joints.

Clinical Relevance

Ligaments And Stability

Much of SI joint stability comes from surrounding ligaments, which is why pain can arise from both the joint surfaces and the supporting tissues.