What is the present finding when the Bragard Sign is positive?

• A. Radiating pain down the anterior aspect of the LE
• B. Exacerbation of LE complaints
• C. Radiating pain down posterior aspect of the LE
• D. No pain experienced

Answer: (C)

The Bragard Sign is an assessment used during physical examinations to evaluate for lumbar nerve root irritation or herniated discs. When the sign is positive, a clinician typically observes radiating pain down the posterior aspect of the lower extremity. This indicates that there is likely compression or irritation of the sciatic nerve or its roots, often associated with a herniated lumbar disc.

The rationale behind the selection of this particular finding is based on the mechanism of nerve root irritation, which can result in pain that travels along the nerve pathways. In this case, the posterior aspect of the lower extremity corresponds with the distribution of the sciatic nerve, which is a crucial aspect of the assessment. Other options such as exacerbation of LE complaints or radiating pain down the anterior aspect do not align with the typical findings associated with a positive Bragard Sign, as the focus here is specifically on the posterior part of the leg owing to the nerve root involvement.