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Q. I thought I had a problem with my back. My doctor examined me and said it's not my back, but that I have a sacroiliac dysfunction. What is a sacroiliac dysfunction, and can I be sure that I don't have problems with my back?

A. Dysfunction means that something is not working right. The joints formed by the pelvis and sacrum may be a source of pain or movement problems due to inflammation or where there is pressure on these soft tissues and muscles that make up the sacroiliac (SI) joint. The SI joint can cause pain alone or together with other spine problems. Additional testing can help sort out problems of the SI joint and whether you are having other problems in your low back. SI joint dysfunction can come from changes in the way the pelvis lines up with the tailbone (sacrum). The changes in pelvic alignment can put extra stress on the ligaments that support the pelvis and sacrum. Medical and therapeutic treatments are available to improve the alignment and function of your SI joint, to ease your pain, and to prevent future problems.

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