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Clinical Examination of the Sacroiliac (SI) Joint Introduction The sacroiliac (SI) joint connects the sacrum with the ilium and helps transmit forces between the spine and lower limbs. Pain from this joint may mimic lumbar or hip pain, so special tests are used to identify SI joint dysfunction by reproducing pain through compression, distraction, or shear stresses. Major SI Joint Tests and Their Performance 1. Distraction (Gapping) Test Position: Supine Procedure: Examiner presses both ASISs out
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When does insurance actually cover an SI joint fusion? 🦴✨ Here’s the real checklist ⬇️ 1️⃣ Chronic pain — localized SI pain for 6 months 🚶‍♂️ 2️⃣ Tried everything else first — PT, meds 💊, injections 💉 (with only temporary relief). 3️⃣ Provocative SI joint tests — at least 3 positive on exam: • FABER (Patrick’s test) • Gaenslen’s • Thigh thrust • Compression test • Distraction test • Sacral thrust 🔍 4️⃣ Diagnostic blocks — 2 separate image-guided SI blocks giving 75% relief ✅ 5️⃣ Imaging — M
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