What type of pain is typically associated with a positive Lewin Standing Test?

• A. Stabbing pain in the chest
• B. Cramps in the calf
• C. Sharp pain in the lower back or legs
• D. Dull ache in the knees

Answer: (C)

A positive Lewin Standing Test indicates that the patient experiences sharp pain in the lower back or legs when attempting to stand from a seated position or when the knees are extended while standing. This type of pain is often associated with conditions affecting the lumbar spine or nerve root involvement, such as a herniated disc or spinal stenosis. The nature of the pain tends to be sharp because it is typically linked to nerve irritation or compression. This responsiveness to the test reflects the mechanics of how lower extremity and lumbar spinal issues can be aggravated by specific movements that stress the affected structures, leading to a clear clinical sign that assists healthcare providers in diagnosing underlying conditions.