What condition is associated with a positive Spurling's test?

• A. Cervical spondylosis
• B. Cervical radiculopathy
• C. Thoracic outlet syndrome
• D. Neck strain

Answer: (B)

A positive Spurling's test is primarily associated with cervical radiculopathy. This test is designed to assess the presence of nerve root compression in the cervical spine. During the test, the patient’s head is tilted and rotated towards the affected side while applying axial compression. If this maneuver reproduces the patient's symptoms, such as pain or tingling radiating down the arm, it indicates a likely involvement of a nerve root, which is characteristic of cervical radiculopathy.

Cervical radiculopathy often occurs due to conditions that cause nerve root irritation or compression, such as herniated discs, osteophytes, or cervical spondylosis. Therefore, a positive Spurling's test serves as a valuable clinical tool in diagnosing this condition by confirming the relationship between the symptoms and the cervical spine's nerve roots.

While cervical spondylosis may contribute to radiculopathy, the specific test directly points to the presence of a radiculopathic condition when positive. Thoracic outlet syndrome and neck strain do not typically present with a positive Spurling's test as they involve different anatomical and pathological factors.