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:
- Sacral Thrust
- Thigh Thrust
- Gaenslen’s Test
- 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.