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Spurling’s Test

The Spurling's test is a medical maneuver used to assess nerve root pain or  radicular pain. This test is performed if, in the history, the patient has complained of nerve root symptoms, which at the time of examination are diminished or absent. This test is designed to provoke symptoms.

The patient is positioned in sitting. the test is performed by asking the patient  to rotate the head to the uninvolved side and then to the involved side. The clinician then carefully applies a downward pressure on the head, with the head in neutral. The test is considered positive if pain radiates into the limb ipsilateral to the side at which he head is rotated.

Neck pain with no radiation into the shoulder or arm does not constitute a positive test.