Imaging tests - X-rays, CT scans, and/or MRI scans may be ordered if the doctor suspects an injury as the source of pain or to look for changes in the sacroiliac joint. Provocative tests are a commonly used method for healthcare professionals determine whether pain is originating from the SI joint. Sacroiliac tests These tests can be divided into those that assess movement or position by palpation (palpation tests) and those that stress the structure to reproduce the patient's symptoms (pain provoca tion tests). If ankylosing spondylitis is suspected, your doctor might recommend an MRI a test that uses radio waves and a strong magnetic field to produce very detailed cross-sectional images of both bone and soft tissues.
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Provocative tests such as distraction (apply pressure to anterior superior iliac spine), Gaenslen test (apply downward pressure to the affected limb as it hangs down off the exam table which provides SI joint torsion), Compression test (the patient is side lying and the examiner's hands are placed on the upper part of the iliac crest and are. Sacroiliac shear test: While you lie face down, the doctor puts one hand on top of the other over your tailbone and pushes down, looking for motion in your joint.
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