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How do you test for a Sacroiliac joint (SI) Problem?

At Apex we use a Mckenzie Lumbar Evaluation to rule out a lumbar problem and hip testing prior to testing the Sacroiliac Joint.  If the lumbar and hip joints don’t appear to be a source of pain we then perform a series of five Sacroiliac Joint clinical tests to rule out whether we have a sacroiliac problem.
The following are the five tests to identify likelihood of SI problems:

  1. Sacral Thrust
  2. Distraction
  3. Thigh Thrust
  4. Gaenslen’s Test
  5. Compression Test (sidelying test)

If three out of these tests are positive high likelihood of Sacroiliac Joint Problem. All of these tests that are positive should only be positive if it reproduces the pain you are currently seeking treatment. Please follow our video to see the tests.  Sometimes we have patients that have both a Sacroiliac Joint problem in addition to a Lumbar problem.  Once you treat one area it then becomes clearer if you have an additional problem.

Tom Willemann

Tom Willemann

Tom Willemann is a premier physical therapist based out of Bergen County, New Jersey. He holds an MS in physical therapy from the University of Miami, is credentialed in the world-renowned McKenzie Method of Mechanical Diagnosis and Therapy (MDT), and holds an OCS (Orthopedic Clinical Specialist) certification. As of 2018, there are approximately 14,000 ABPTS certified specialists in the nation and less than 400 of them are located in the state of New Jersey. Tom is the owner and director of Apex Orthopedic Rehabilitation in Paramus. He opened the clinic, which specializes in spine and sports injury prevention, in 2004 after many years of experience in the field. Tom’s caring interest in others and his strong belief in continuity of care, combined with his clinic’s ability to find solutions for the most difficult orthopedic problems, have earned Apex Orthopedic Rehabilitation its excellent reputation with patients and medical professionals in northeastern New Jersey and beyond. A true “family man,” Tom takes pride in his clinic’s warm and welcoming environment.
Tom Willemann

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