-
chronic pain
- systemic inflammatory
- degenerative
-
deep, non-specific pain
SI etiology, infxn, tumor
-
radiating pain
SI joint or lumbar spine
-
pain occurs when getting in or out of bed
SI etiology
-
pain occurs when adducting
pubic symphysis issue
-
pregnancy
SI jt laxity causing pain
-
fall on butt
SI joint injury
-
twist injury
SI joint injury
-
hx of arthritis
- RA
- reiters
- anklyosing spondylitis
-
increased lordosis
flexion contracture
-
decreased lordosis
paraspinal muscle spasm
-
sensory nerves of pelvis
- iliohypogastric
- ilioinguinal
- genitofemoral
- lateral femoral cutaneous
- pudendal
-
level of iliohypogastric
L1
-
-
level of lateral cutaneous
L2-3
-
level of pudendal nerve
S2-4
-
meralgia parestetica
pain or numbness to lateral thigh due to injury to lateral femoral cutaneous nerve
-
iliohypogastric responsible for
- sensation tosuprapubic area
- lateral butt/thigh
-
ilioinquinal responsible for
sensation to inguinal area
-
genitofemoral responsible for
sensation to scrotom or mons
-
lateral femoral cutanous responsible for
sensation to lateral hip/thigh
-
pudendal responsible for
sensation to perineum
-
level of femoral nerve
L2-4
-
femoral n responsible for
hip flexion (iliospsoas)
-
inferior gluteal responsible for
external rotation (glut max)
-
n to quadratus femoris responsible for
external rotation (short rotators)
-
superior gluteal n responsible for
abduction (glut med/ glut min)
-
pelvic rock
- push both iliac crests looking for pelvic ring injury
- + test: instability or motion
-
SI stress test
- press ASIS and iliac crests looking for SIJ injury
- + test: pain
-
Patrick test
- FABER for SIJ pathology
- + test: pain or LE won't abduct below other leg
-
Meralgia test
- pressure to medial ASIS for LFCN entrapment
- + test: preoduction of pain, burning, or numbness
-
rectal and vaginal test
- inserting finger into orifices looking for trauma (pelvic ring fx)
- + test: gross blood
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