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Valsalva Test
The Valsalva test is designed to detect the presence of a space-occupying lesion. With the patient in the seated position, ask them to take in a deep breath and hold it in for about 10 to 15 seconds while bearing down as if having a bowel movement. This increases pressure in the intra-thecal space. The test is considered positive if it produces or exacerbates neck pain, upper limb pain, or both.
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