Best Sleeping Positions for Sacroiliac Joint Pain Relief

Sacroiliac (SI) joint pain can be very disabling, affecting your daily life, especially sleep. The sacroiliac joints are located at the base of the spine, connecting the spine to the pelvic girdle that supports body movement. When these joints become irritated or inflamed, the resulting pain can be debilitating. Understanding the best sleeping positions for sacroiliac joint pain relief is essential for improving your comfort and ensuring the better night’s sleep possible. 

Pain due to the sacroiliac joint can be felt at the lower part of the back, around the hip. It is commonly due to injury, arthritis, pregnancy, or other diseases of the joints, such as degenerative joint disease. The common manifestations are sharp, stabbing pain in the lower back, buttocks, and occasionally radiating down the legs. Therefore, proper diagnosis by a healthcare professional is vital to determining the specific cause and appropriate treatment plan.

Sleeping Positions For Sacroiliac Joint Pain Relief

Best Sleeping Positions for Sacroiliac Joint Pain Relief

Side Sleeping: Pros and Cons

Sleeping on the side of the body is widely suggested for those who have issues of pain within the sacroiliac joint. This posture may help in easing the pressure on the affected joints. For maximal comfort, it is recommended to put a firm pillow between the knees. This alignment assists in stabilizing your pelvis and spin, therefore minimizing the strain on the sacroiliac joints. However, be mindful of switching sides regularly to avoid imbalances and additional discomfort.

Back Sleeping: Benefits and Drawbacks

Another perfect position that can be used to minimize sacroiliac joint pain is back sleeping. Also, lying flat on the back is a comfortable position to weigh evenly and maintain the natural curve of your spine.  By sleeping with a pillow under your knees, pressure on the lumbar spine and sacroiliac joint can be reduced even further. While this position is preferable, it is not good for people with sleep apnea or those who have snoring issues.

Stomach Sleeping: Is It Advisable?

Sleeping on your stomach is generally discouraged for people who experience sacroiliac joint pain because lying on the stomach is unfavorable. This position often leads to an unnatural arch in the lower back, increasing pain and discomfort. If you just feel better when sleeping on your stomach, use a thin pillow under your abdomen and hips to reduce strain on your lower back.

The Fetal Position: Comfort and Support

Lying on your side with your affected side down and your knees contracted towards the chest as you form what is referred to as the fetal position is ideal for relieving sacroiliac joint pain. This position creates the gap between the vertebrae, hence relieving pressure on the spinal column and the joints. Make sure you have a small, rolled-up towel between your knees to help support good posture. 

5 Expert-Recommended Sleeping Positions for Sacroiliac Joint Pain Relief

Fetal Position:

  • Lay down on one side with your knees bent toward your chest as much as possible ( resembling the fetal position). 

  • Head and knees should be well supported using pillows. 

  • Thus positioned, the spine and pelvis are well aligned, reducing certain pressure on the SI joint. 

Side-Lying with Pillow Between Knees:

  • Choose a comfortable side, and place a pillow between your knees.

  • It is advised to slightly flex your top leg at the knee for better support.  

  • The pillow stabilizes the pelvis and relieves pressure on the sacroiliac joint. 

Supine Position with Pillow Under Knees:

  • Lying on your back with an aligned spine.

  • Position a pillow under your knees.

  • This supports the lumbar spine and reduces pressure on the SI joint.

Pillow Under the Pelvis:

  • When lying on your back, place a small pillow or rolled-up towel under your pelvis.

  • This slight elevation helps maintain a neutral spine position and reduces pressure on the SI joint.

Supportive Mattress and Pillows:

  • Buy a mattress that provides adequate support for your spine. 

  • Always ensure you use the correct pillow to keep the head, neck, and spine aligned at the correct angle when sleeping. 

Sleeping Positions For Sacroiliac Joint Pain Relief

Optimizing Your Sleeping Environment

Mattress Selection: Importance and Options

Selecting the right mattress is highly essential in the case of SI joint pain. It is suggested to take a medium-firm type of mattress, as it provides more than enough support without being too hard. Memory foam mattresses can also be advantageous as they are sensitive to the shape of the body, which reduces pressure areas. 

Pillow Choice: Supporting Your Spine

The kind of pillow that you choose will play a vital role in your sleep quality as well as your discomfort. Thus, for side sleepers, a firm pillow with which their neck does not sink in is better. Back sleepers should use a pillow that conforms to the curve of the neck. Also, having a body pillow can provide some extra support and comfort.

Adjusting Bed Height for Ease of Movement

Adjusting the height of your bed can make getting in and out easier, reducing strain on your sacroiliac joints. Your bed should ideally be at knee level so that it does not take a lot of effort to change from a standing position to a lying position. 

Lifestyle Adjustments for Pain Relief

Exercise: Strengthening and Stretching

Staying active plays a crucial role in the treatment of sacroiliac joint pain. Daily, regular exercise that does not place any significant pressure on your joints, including walking, swimming, and doing yoga, would help strengthen the muscles around joints. It is also possible to improve flexibility and diminish the level of stiffness by adding stretching routines as well. 

Diet and Hydration: Impact on Inflammation

A diet that is free of foods causing inflammation along with foods low in anti-inflammatory nutrients should be adopted to reduce sacroiliac joint pain. It is necessary to include natural diets like fatty fish, greens, nuts, and berries. Other elements are as important as the next, for instance, hydration is very vital for the body since it helps in the maintenance of joint health and, besides, fights against any inflammation. 

Ergonomics in Daily Activities

Practicing ergonomic intervention in personal activities could help with the aggravation of sacroiliac joint pain. Meet your organizational needs so that you maintain the right posture and do not work for long periods, either sitting or standing. Using some good ergonomic chairs and lumbar supports can also provide additional comfort and support.

Professional Treatments and Interventions

Physical Therapy: Techniques and Benefits

Physical therapy is very effective for sacroiliac joint pain. The therapists can prescribe certain exercises and therapeutic tools to help in contracting the muscles around the sacroiliac joints, exercising the joint’s flexibility, and enhancing overall mobility. Frequent sessions can lead to significant improvements in pain levels and function.

Chiropractic Care: Alignment and Relief

Sacroiliac joints are also manipulated during chiropractic adjustments, which improves immediate pain relief and mobility. Chiropractors apply specific procedures to reduce joint inflammation and restore proper function. However, it is necessary to consult a licensed chiropractor experienced in treating the sacroiliac joint. 

Medications and Supplements: Pros and Cons

Over-the-counter pain relievers and anti-inflammatory medications can offer temporary relief from sacroiliac joint pain. Additionally, supplements such as glucosamine and chondroitin may support joint health. However,  these options should be discussed with your healthcare provider to ensure they are appropriate for your condition.

What are some common triggers for SI joint pain?

Various factors trigger sacroiliac joint (SI joint) pain, including physical activities, poor posture, occupational factors, footwear choice, weight, and age. Let’s explore how these factors act and how to prevent flare-ups: 

Physical Activities:

Activities like sitting, walking, climbing stairs, and standing often involve movement of the lower back, pelvis, and legs together.

Prevention Tip: Incorporate lifestyle modifications and therapeutic activities that protect and strengthen the lower back and pelvis.

Poor Posture:

Maintaining poor posture while sitting or standing can also put a strain on the SI joint. Sitting, standing, or remaining in a single position for a long time may also be a possible cause of pain.

 

Prevention Tip: Pay attention to your posture and use supportive chairs and cushions.

Physical Inactivity: 

Inadequate exercise weakens the muscles around the SI joint. Muscles may not be strong enough to provide enough support, therefore, one experiences pain.

Prevention Tip: Engage in low-impact exercises to strengthen your core, back, and hip muscles.

Occupational Factors: 

Some occupations that involve standing most of the time, sitting, or walking (e.g., teachers, store clerks, restaurant workers) put a lot of pressure on the SI joint. Any work that involves lifting heavy objects, constant bending, or putting pressure on the joint is another source of stress.

Prevention Tip: Take breaks, sit back properly, and think about ergonomics. 

Footwear Choice:

Improper footwear can affect your gait and put stress on the SI joint. High heels or shoes that lack proper arch support may contribute to pain. Prevention Tip: Choose supportive shoes with cushioning.

Weight and Age:

Being overweight puts abnormally high pressure on the SI joint, resulting in inflammation of the area and pain.

Prevention Tip: Maintain a healthy weight and stay active.

Symptoms and Diagnosis 

Common symptoms include lower back pain, hip aches, and pain when standing or sitting for long periods. Diagnosis is mainly done by physical examination and imaging studies, though diagnostic injections may also be used to identify the source of the pain. 

Long-term Management Strategies 

Managing SI joint pain usually involves the use of multiple approaches and procedures that involve lifestyle changes as well. Regular exercise, correct posture, and proper professional medical care should be part of long-term management. Ensuring you are more proactive and get a check-up on time can significantly improve your quality of life.

What are some natural remedies for SI joint pain?

When it comes to sacroiliac joint pain, natural remedies can provide relief and support healing. Here are some effective approaches:

Stretching and Rest: 

Light stretching assists in loosening tight muscles around the SI joint. It is possible to promote healing by resting and avoiding excessive strain on the affected area.  

Hot and Cold Therapy:

Apply heat or cold packs to the affected area. Heat makes muscles relax, whereas cold reduces inflammation. 

Prolotherapy: 

Prolotherapy is a procedure that involves injecting a solution (often dextrose) into the joint to encourage tissue regeneration. It needs to consult a health professional. 

Collagen-Rich Diet: 

One should take foods containing collagen, such as bone broth, fish, and chicken. Collagen is used by the body for tissue repair as well as joint health. 

Soft Tissue Therapies: 

Think about getting a massage, the myofascial release technique, or a chiropractic adjustment. These therapies can help with pain reduction, relaxation of muscles, and enhancement of joint movement.  

Physical Therapy:

A physical therapist can determine exercises to help improve the SI joint and the muscles around it. Aerobic exercises, which are of low intensity, provide more comfort. 

Chiropractic Adjustments:

Qualified chiropractic practitioners can assist in correcting this position and alleviating any pain. 

Maintain Good Posture: 

Several muscles that are involved in maintaining the proper posture help in pulling forces away from the SI joint, thus reducing the stress on the joint. Hear the words sitting and standing, these are some instructions you need to remember. 

Low-Impact Exercise: 

Regular exercises such as swimming, walking, and gentle yoga also help in joint health. Stay away from activities that place a lot of force on the SI joint. 

 Essential Oils:

 Lavender oil and chamomile oil may provide pain relief if a massage is done on the affected area. Use them in a dilution with a carrier oil before applying them.

FAQs

Q. How can I tell if my sacroiliac joint is causing my pain?

ANS: To determine if your sacroiliac joint is the source of your pain, consult with a healthcare professional for a thorough evaluation. Symptoms typically include pain in the lower back, buttocks, and legs, which may worsen with specific movements or positions.

Q. What are the worst sleeping positions for sacroiliac joint pain?

ANS: Sleeping on your stomach is generally the worst position for sacroiliac joint pain, as it can cause an unnatural arch in the lower back and increase pressure on the joints.

Q. Can a mattress cause sacroiliac joint pain?

ANS: Yes, an unsupportive mattress can contribute to sacroiliac joint pain by failing to maintain proper spinal alignment. It is essential to choose a mattress that provides adequate support and comfort.

Q. How long does it take to get relief from sacroiliac joint pain?

ANS; The time it takes to get relief from sacroiliac joint pain varies depending on the cause and severity of the condition, as well as the treatment approach. Consistent treatment and lifestyle adjustments can lead to gradual improvement.

Q. Are there any specific exercises to avoid with sacroiliac joint pain?**

ANS: Avoid high-impact activities and exercises that strain the lower back, such as heavy lifting and twisting motions. Focus on low-impact exercises that promote strength and flexibility without exacerbating pain.

Q. Can pregnancy cause sacroiliac joint pain?**

ANS: Yes, pregnancy can cause sacroiliac joint pain due to hormonal changes that loosen ligaments and increased weight that places additional stress on the joints. Pregnant women should consult with their healthcare provider for safe pain management strategies.


Therefore, it is essential to know the best sleeping positions for sacroiliac joint pain relief to improve your comfort and sleep quality. By making decisions regarding your sleeping environment, and certain changes in your daily routine, and with the help of a doctor or a specialist, you can effectively manage sacroiliac joint pain and enhance your well-being. Remember, persistent pain requires an active management strategy aiming at enhancing the patient’s quality of life in the long run.  


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