Question
How do you correctly make a diagnosis of pelvic girdle pain?
Answer
To make a diagnosis of pelvic girdle pain, you must have three positive tests. That can be provocation tests, pain palpation tests, or load transfer tests. The provocation tests can include Patrick's Faber tests, the P4 test, Gaenslen’s test, and a modified Trendelenburg test. Pain palpation tests are also provocation tests, but they are performed by palpating structures to find out if those structures have become sensitized, the pubic symphysis palpation and a long dorsal ligament test. For load transfer tests, we look at again the Trendelenburg test, the active straight leg raise test and the Stork test. If we have three positive out of any of these tests, we can make a diagnosis of pelvic girdle pain and we can proceed to treatment in our examination, and begin to do the intervention.
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