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Orthopedic provocation testing — identifying which spinal positions and movements reproduce or relieve symptoms, and what that tells us about the affected level and structure Nerve root tension testing — straight leg raise, femoral nerve stretch, and related tests to assess how compressed nerve roots are responding under tension Dermatomal sensory mapping — tracing which nerve roots are involved based on where numbness, tingling, and altered sensation appear in the leg Reflex and motor strength testing — assessing the neurological integrity of each root level and identifying any motor deficits that change the treatment approach Gait analysis — observing how the stenosis is actually expressing itself in walking pattern, compensatory postures, and movement strategies Imaging review — when MRI or CT is available, we review it as part of the full clinical picture, not as a replacement for functional assessment In Korean medicine, this precise structural and neurological evaluation has its own framing