Spurlings Test – Foramen compression test

Purpose: 

To test for presence of nerve root pathology.

Test procedure:

• The patient is seated.
• The examiner stands behind patient.
• The examiner sequentially compresses, extends and then rotates the patients head to the side of the suspected lesion.
• Observe the patient for pain, or radicular symptoms.

Test findings:

Positive if radicular symptoms develop. Negative if symptoms are not provoked. Positive test may indicate cervical nerve root compression or irritation. Local pain may also indicate prolapsed cervical disc, osteophytes or foraminal stenosis.