Hello, Thanks for writing to us. From description, it seems you might be suffering from Degenerative arthritis or osteoarthritis of the spine. This might be causing degeneration of the sacroiliac (SI) joints and in turn leading to inflammation and SI joint pain. Following treatments can be effective in managing your symptoms: 1. Rest - A short period of rest may help calm the inflamed sacroiliac joints. 2. Heat and/or ice - Warmth or cold applied to the area will provide local pain relief. Application of a cold pack will help reduce the inflammation in the area. Application of warmth, such as a heating pad or hot tub, will help stimulate blood flow and bring healing nutrients to the area. 3. Sleep position - Changing ones sleep position can help alleviate pain while sleeping and at waking. It best to sleep on the side, with a pillow placed between the knees to keep the hips in alignment. 4. You can take anti-inflammatory drug like Ibuprofen to reduce pain and inflammation under supervision of your doctor. Wishing you good health... Regards Dr Saurabh Gupta.