Indications

Moses’ Test is an ankle examination procedure that tests for vascular insufficiency of the lower extremities as well as thrombophlebitis, arteriosclerosis obliterans, gastrosoleus strain or MFTPs.

Procedure

Patient should be awake and cooperative during a Moses’ test.

  1. Patient should be prone during this examination.
  2. The patient should have her knee flexed 90 degrees.
  3. The examiner squeezes the patient’s calf and observes patient for signs of discomfort and pain.

Examiner squeezes the patient’s calf and checks for signs of pain.

Interpretation

Positive Moses’ Test

There is positive Moses’ test when there is

  • Short duration “deep” calf pain – this could indicate lower extremity vascular insufficiency, thrombophlebitis, arteriosclerosis obliterans.
  • Persistent “achy” calf pain – gastrosoleus strain or MFTPs.

Clinical Notes

Patients with thrombophlebitis usually give a history of a gradual onset of localized tenderness; there may be a prior history of local trauma, previous similar episodes, varicose veins, prolonged travel or enforced stasis.