Freiberg test | Tests for Piriformis Syndrome – which ones are available?

Freiberg test

A positive Freiberg sign is also an indication of Piriformis syndrome and can therefore serve as a test. The patient lies supine on an examination couch and lets the lower leg of the affected side hang down over the edge of the couch in the air. An external rotation of the lower leg results in a passive internal rotation of the thigh. If pain occurs in the gluteal region, the Freiberg test is positive, as the test provokes the piriformis muscle to approach the sciatic nerves.

Beatty Test

The Beatty test can provide information about the presence of a Piriformis syndrome in case of corresponding complaints. In this clinical test, the patient lies on the healthy side and lifts the upper bent knee approx. 10 cm (abduction) against the resistance of the examiner. If there is pain in the buttocks area, the Beatty test is considered positive and there is a possibility of Piriformis Syndrome.

Pace test

In the pace maneuver, the affected leg is spread out (rotated outward) while the patient is sitting. The contraction of the piriformis muscle and the resulting irritation of the sciatic nerve causes pain in the gluteal region and a piriformis syndrome could be present.

External rotation and abduction