Sacroiliac joint (SIJ) movements are imperceptibly small and there is no evidence to support the use of clinical tests of SIJ movement dysfunction. Nevertheless, the presence of pathoanatomical processes in the SIJ is not denied; they may very well contribute partly to the pain experience. 

A paradigm shift in clinical reasoning is needed, towards modifying clinicians’ perceptions, correcting beliefs about structural fragility, and implementing evidence-based treatment rationales. These are conclusions by an international group of scientists who conducted a review on this topic.