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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.
Repeated flexion of the knee, as in running and cycling, may cause a friction syndrome between the ITB and the lateral femoral condyle. It is in essence a tendonitis.
There is tenderness just higher than the lateral knee joint, where the tendon may rub over the femoral condyle, causing pain and sometimes swelling. Tests for the meniscus and the ligaments are negative. The definitive test for this condition is Noble's 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 Noble's test be positive, the sacro-iliac joint and the foot and ankle should always be examined. If all the knee tests are negative, the hip should also be carefully examined, as hip pathology often refers to the knee. SciaticaLast, and not least, we are assuming this is not a pinched nerve in the spine or buttock. A Sciatica, in which the classic Straight Leg Raise test of Lasegue will be positive.To go from Nobles test back to ITB syndrome, for treatment of this condition.
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