Ukuhlukana kubonakaliswa yizimpawu ezihlukahlukene ngokuhamba kwesikhathi:

I-1) Okokuqala, kukhona ubuhlungu obungalindelekile, obunobudlova, njengokugwaza, okuhambisana ne-snap futhi okuphoqa ukumisa umzamo wamanje.

I-2) Umsipha okukhulunywa ngawo ukhubazekile futhi kuba nzima ukuhlanganisa isisulu. Ukwelula (i-passive) kanye ne-isometric contraction ke akunakwenzeka futhi kubuhlungu kakhulu¹. Ubuhlungu buba phakade, futhi noma yikuphi ukunyakaza okudinga umsipha okukhulunywa ngakho kubangela ubuhlungu obuseduze nobokuqala. Ubuhlungu bubukhali futhi bukhulu ku-palpation.

3) Ukulimala okukodwa noma ngaphezulu kuvela emahoreni noma izinsuku, ngezinye izikhathi kuhambisane nemihuzuko nokushintsha kombala eduze komsipha olimele (kuye ngokuthi ungakanani, indawo kanye nokujula kokulimala.

4) Umsipha uhlala uqinile amasonto ambalwa.