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The 3 phases test of Menell to differentiate between pain coming from the hip, the SI joint or the lumbar spine. First we are going to test the hip joint fixate the pelvis on the tuber ischiaticum into ventral caudal direction and grab your patient's ipsilateral leg on the inside to create internal rotation which is the hip's closed-packed position and bring it into extension. This is positive if your patient is complaining about familiar pain. In order to test the SI joint fixate the sacrum bel
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3-Phase test of Menell to differentiate between nociception from the hip, SIJ and lumbar spine Let's assume that your patient does not have radicular or neuropathic pain that is radiating distal to the knee - so he falls into the category of aspecific low back pain. Then it is important to to determine the source of nociception which might be coming from the lumbar spine, SIJ, or hip, often radiating into the buttocks, lateral hip, or groin. Watch the video to learn a quick test to provoke each
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