Milgram's Test is performed to assess which condition?

• A. Hip impingement
• B. Spinal stenosis
• C. Posterior thigh tendinopathy
• D. Intervertebral disk placing pressure on the lumbar nerve root

Answer: (D)

Milgram's test is used to evaluate suspected lumbar intervertebral disc herniation with nerve root compression. When the patient lies supine and lifts both legs a few inches off the table and holds, a reproduction of low back or leg pain indicates that the maneuver is increasing intrathecal pressure and compressing a nerve root adjacent to a posterior disc herniation. This pattern points toward disc pathology as the source of symptoms, rather than other soft-tissue or joint conditions. Other issues like hip impingement or posterior thigh tendinopathy involve different structures and typically don’t reproduce pain in this maneuver; spinal stenosis has different characteristic responses to extension and flexion, which Milgram’s test is not specifically designed to differentiate.