What does a positive Babinski reflex mean?
A positive Babinski reflex can indicate nerve damage in the central nervous system, which includes the brain and spinal cord. During a neurological exam, your doctor tests reflexes to check how well signals are traveling through your nervous system.
When testing the Babinski Show Full Answer
What does a positive Babinski reflex mean?
A positive Babinski reflex can indicate nerve damage in the central nervous system, which includes the brain and spinal cord. During a neurological exam, your doctor tests reflexes to check how well signals are traveling through your nervous system.
When testing the Babinski reflex, the doctor strokes the bottom of your foot. In adults, a positive result means your big toe moves upward instead of downward. This can be a sign that MS lesions are affecting the nerve pathways that control reflexes.
What to expect at your neuro appointment:
Your neurologist will likely perform a complete neurological exam, which may include:
- Testing other reflexes in your ankles, knees, and elbows
- Checking your muscle strength and coordination
- Evaluating your balance and walking
- Testing sensation in different areas of your body
- Assessing your vision and eye movements
If the results suggest MS, your neurologist may order additional tests like MRI scans, a spinal tap to check cerebrospinal fluid, or evoked potential tests to measure how quickly electrical signals travel through your nerves.
Remember, a positive Babinski reflex is just one piece of the puzzle. Your neurologist will look at all your symptoms and test results together to make an accurate diagnosis.
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Neurological Exam for MS: What To Expect
December 17, 2025