NOBLES TEST (actually Noble's Test).Lateral knee pain.Nobles test (Noble's) is used to examine lateral knee pain especially in the absence of trauma for athletes, cyclists, and the general public. The iliotibial band (ITB) is a broad tendon that runs from the Tensor Fascia Lata muscle on the side of the upper thigh and pelvis, and has its insertion just below the outer side of the knee.
The definitive test for this condition is Nobles test. Your chiropractor will place his thumb over the side of your knee and, whilst repeatedly flexing the joint, will look for a painful nodule in the ITB. S/he will compare the two knees, as it's a tender spot even in the normal knee.
Should Nobles test be positive, it always wise also to examine the sacroiliac joint, and also look for signs of an old ankle sprain and foot pain. If all the extremity tests are negative, the hip should also be carefully examined, as hip pathology often refers to the knee. Femero Acetabular Impingement Syndrome is a condition not infrequently found in young athletes, and the presenting syndrome could be pain elsewhere, as in the ITB. So too, Meralgia Paresthetica should be considered as it causes pain and/or numbness on the side of the thigh ...
FEMERO ACETABULAR IMPINGEMENT SYNDROME CASE FILE - - the stiff hip, with an arthritic feel, but in the young person. SPRAINED ANKLE ... FOOT PAIN ... MERALGIA PARESTHETICA ... SCIATICALast, and not least, we are assuming this is not a pinched nerve in the spine or buttock in which the classic Straight Leg Raise test of LASEGUE with a postive Braggard will be positive, and the more useful SLUMP TEST. A Piriformis syndrome too of course can cause pain in the upper leg ...
|
