Bilateral sacroiliac arthritis at the age of 33 can be treated with oral anti-inflammatory and analgesic drugs, and find out the causes of sacroiliac arthritis and carry out targeted treatment. Bilateral sacroiliac arthritis can cause joint pain and limited movement, and can be treated with oral anti-inflammatory and analgesic drugs for pain relief, such as diclofenac sodium and meloxicam. At the same time, we should actively find the cause of sacroiliac arthritis, 33 years old belongs to the youth stage, rarely due to primary sacroiliac arthritis, most of them are due to other diseases secondary cause sacroiliac arthritis, such as ankylosing spondylitis, but also can be taken orally LiuZhuisuPiPi, methotrexate, and other medicines for treatment. If it is caused by abnormal development of the hip joint, such as flat hip, etc., we should pay attention to appropriate rest, avoid heavy physical labor, can be combined with hot compresses, baking, massage and other physiotherapy treatment. If the 33-year-old bilateral sacroiliac arthritis symptoms, it is recommended that the patient go to the hospital, check to clarify the cause of the disease, and receive regular treatment. The use of drugs need to follow the doctor’s instructions.