Spurling's test

Spurling's test is a medical diagnostic procedure used to identify cervical radiculopathy. It is named after American neurologist Francis Spurling, who first described the test in 1944.

Procedure

The Spurling's test is performed with the patient in a seated position. The examiner rotates the patient's head towards the affected side and then extends and laterally flexes the neck while applying axial load. A positive test is indicated by the reproduction of radicular symptoms, which suggests cervical radiculopathy.

Clinical significance

Spurling's test is used to diagnose cervical radiculopathy, a condition characterized by nerve root impingement or inflammation in the cervical spine. This condition can cause pain, numbness, or weakness in the neck, shoulder, and arm. The test is particularly useful in patients with a history of neck pain or trauma.

Limitations

While Spurling's test is a valuable diagnostic tool, it has some limitations. It may not be suitable for patients with severe neck pain or those with a history of cervical spine surgery. Additionally, a negative test does not rule out cervical radiculopathy.

See also

• Cervical radiculopathy
• Neck pain
• Spinal disc herniation

References

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