3 doctors weighed in:

What's the best way to test s1 joint dysfunction?

3 doctors weighed in
Dr. Lauren Elson
Physical & Rehabilitation Medicine
2 doctors agree

In brief: No consensus

Many tests have been evaluated to see which has the best sensitivity and specificity for si joint pain.
The faber is useful, as is ganselons and the gillet test. Tenderness right over the joint is also suggestive. Really, the big picture of the tests mentioned above plus the exclusion of other problems helps to solidify the diagnosis.

In brief: No consensus

Many tests have been evaluated to see which has the best sensitivity and specificity for si joint pain.
The faber is useful, as is ganselons and the gillet test. Tenderness right over the joint is also suggestive. Really, the big picture of the tests mentioned above plus the exclusion of other problems helps to solidify the diagnosis.
Dr. Lauren Elson
Dr. Lauren Elson
Thank
Dr. Edward Neilsen
Family Medicine

In brief: FABER

The faber test works great.
When lying back, flex one leg at the thigh (flexion), move the leg outward, away from the body (abduction), and rotatete the thigh outward - the heel will rotate in and the toes will point out (external rotation). This will reproduce si joint pain.

In brief: FABER

The faber test works great.
When lying back, flex one leg at the thigh (flexion), move the leg outward, away from the body (abduction), and rotatete the thigh outward - the heel will rotate in and the toes will point out (external rotation). This will reproduce si joint pain.
Dr. Edward Neilsen
Dr. Edward Neilsen
Thank
1 comment
Dr. Edward Neilsen
It isolates that joint...moving the other muscles and joints more out of the way. For example, hip joint usually hurts more with internal rotation than the external rotation with FABER testing. SI joint pain can often be treated wth an injection -- usually under x-ray or ultrasound guidance.
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