Spurling’s test

Refers to a medical maneuver used to assess nerve root pain.

The patient’s head is turned to the affected side while extending and applying downward pressure to the top of the patient’s head.

A positive Spurling’s sign occurs when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally.

It is a type of cervical compression test to assess nerve root pain.

A positive Spurling’s sign can present with a variety of symptoms, including pain, numbness and weakness.

The neurological examination may show signs suggesting a cervical radiculopathy.

It is a relatively sensitive physical examination maneuver in diagnosing cervical spondylosis or acute cervical radiculopathy.

It is 95% sensitive and 94% specific for diagnosing nerve root pathology.