Spurling's Test | Cervical Radicular Syndrome

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. There are many ways to perform the Spurling's test for cervical radicular syndrome. Here is the best way to perform it!

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Note to self:
(Magee, 2021) states that Bradley and colleges recommend 3 stages to this test...
1) Compression, spinal neutral.
2) Compression with head in extension.... Then compression with extension + rotation (chin to unaffected side).
3) Compression with side flexion, like in the video.

G.C-fnes
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I have clinical exams in two days, these are the best resources for me to pass, thankyou so much for making these videos.

hellosummers
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You guys are saving me during nurse practitioner school! Thank you!

ginatyra
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Hi Divya Physiotherapist here... simplicity of the video is highlight thing in your videos, providing concept in easy and simple way, its awesome..., videos are very helpful and I am happy that I am commenting for the first time for someones presentation in social media

divyadivya
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Hi guys, I have been following your videos for some time and find them very useful for refreshing the techniques I regularly use. I particularly appreciate the addition of supporting evidence for each technique and love the addition of the levels of clinical value that you nprescribe your tests (your traffic light system).
I was wondering idf you have considered doing videos looking at regional anatomy and the tests you would do for each region personally and considering this traffic light system.

e.g. Neck testing... In this video we would look at our battery of tests for someone presenting with neck pain (presuming you didn't figure it out mostly already from the Hx). We would use... Spurlings, compression, distraction etc as these tests all have the highest clinical value out of the test we have assessed...

I would love to see some videos like this from you guys breaking down which tests you would use for certain regions or perhaps certain suspected pathologies and their common differentials to show your Dx sieving procedure?

Thanks and keep up the good work!
Nick

nickfoulds
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Massage therapy student thank you for helping me pass first year

rainsizer
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As per Maggie's 7th edition, it is Rotation to the affected side ( NOT SIDE BENDING - does it makes difference ?)

IMRAN-ejkr
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I wish y’all would put asterisks and hand gestures to show when tests in which positions will be positive.

AndrewBreland
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Hi, thank you for the wonderful videos on physical examination. Please help me distinguish between spurling's and Jackson compression test. TiA.

AnaesthesiaEtc
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What about adding lateral rotation to the affected side as the 3rd level of provocation? Since extension, lateral flexion and lateral rotation all narrow the diameter of the vertebral foramen.

physioweng
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What’s more important sensitivity or specificity in regards to clinical value? Great video guys

mrhmd
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Lol I’m doing musculoskeletal right now in NP school preparing for lab. Thanks for this 👍🏾

StoicScape
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If there is a stretch pain on the side that is being stretched then what muscle is being stretched in that position?

nidhigogia
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i always found this test to be pretty useless when it comes to treatment...like when a patient comes in super painful neck and cant even move, any thoughts with other physios here?

haanswinn
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If the pain arises on the contralateral side of the neck while performing the spurling tst ...the possible diagnosis is?

Username-pe
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What if you get the pain just turning your head and without the top of it even having to be touched?

Glesga_lassie
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If pain in neck and arm while doing thia test
What is diagnoses

Goodvision-sibr
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We have to do test on pain side or opposite side?

abiraminandyalam
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what is the difference between specificity vs sensitivity? :P

Vinnyography
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Great demonstration, but could you cut out the intro and get to the core info a little more efficiently?

ginon