How do you know if its L3 or L4?

The height of the vertebral body of L3 is equal in the front and back; L4 is taller in front compared to the back.
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How do you know if L3 is L4?

Wearing nonsterile gloves, locate the L3-L4 interspace by palpating the right and left posterior superior iliac crests and moving the fingers medially toward the spine (see the image below). Palpate that interspace (L3-L4), the interspace above (L2-L3), and the interspace below (L4-L5) to find the widest space.
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Where is your L3 and L4 located?

The lumbar region of the spine, more commonly known as the lower back, consists of five vertebrae labeled L1 through L5. The lumbar region is situated between the thoracic, or chest, region of the spine, and the sacrum. The lumbar spine typically has a slight inward curve known as lordosis.
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Where do you feel pain from L4?

Symptoms if the affected root is L4:

Radiating pain: the pain begins in the lower back and radiates down the inner side of the leg to mid-thigh. Hypoesthesia: Numbness or loss of sensation on the inner side of your leg and foot. Reflexes: The knee jerk reflex may be absent.
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Where do you feel L3 pain?

This refers to the disc that is situated between Lumbar bones 3 and 4. Learn more about L3L4 Symptoms. Pain: You may feel sharp shooting pain on the inside of the lower leg usually from below the knee to the top of the big toe.
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L3 L4 Herniated Disc Evaluation



What part of the body does L3 and L4 affect?

Nerves of the lumbar spine

L2, L3 and L4 spinal nerves provide sensation to the front part of your thigh and inner side of your lower leg. These nerves also control hip and knee muscle movements.
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What are the symptoms of L3 nerve damage?

This syndrome is characterized by weakness, numbness, tingling, and /or paralysis in both legs. There may also be a reduction or complete loss of bowel and/or bladder control. Immediate medical attention is crucial in this condition to preserve leg function.
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What are the symptoms of L4 damage?

What Are The Symptoms of L4-L5 Damage?
  • Sharp pain that begins in the lower back and moves down the leg.
  • Weakness in the leg with motion.
  • Numbness in the leg, foot, and/or toes.
  • Tingling and/or pins-and-needles sensation along the sciatic nerve.
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Where do you get pain if you have a bulging disc on L3 and L4?

L3 or L4 symptoms include pain in lower back and /or pain that radiates to the quadriceps in the front of the thigh. L5 symptoms include pain in lower back and/or pain in the outside of lower leg, down to toes, which may include numbness, weakness and tingling.
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What are the symptoms of a pinched nerve at L4?

Tingling and Numbness

If your disc is pressing on a nerve, you may also experience tingling, numbness, or a pins-and-needles feeling from your L4-L5 disc region. The numbness may be felt “in one leg that can begin in the buttock or behind the knee and extend to the thigh, ankle, or foot,” as stated by WebMD.
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How do you know if you have L4 vertebrae?

Count up one level and find the spinous process of L4. The L4 spinous process is typically larger than the L5 process. To double check place your hands on the iliac crests with your thumbs pointing towards one another which will put you in the region of L4.
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What happens if L3 is damaged?

What Are the Symptoms of an L3 Injury? This is the middle vertebra of the lumbar spine, and the first vertebra to not contain a section of the spinal cord. Common symptoms of an L3 lumbar spinal injury include weakness, numbness, and loss of flexibility in the legs, hips, and/or groin.
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How do you get rid of L3-L4 pain?

Nonsurgical Treatments for L3-L4
  1. Medication. Both over-the-counter (OTC) and prescription medications are used to treat pain stemming from L3-L4, including nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, tramadol, and/or corticosteroids. ...
  2. Immobilization. ...
  3. Physical therapy. ...
  4. Chiropractic manipulation. ...
  5. Injection.
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Can L3 cause hip pain?

It is suggested that impingement of the higher lumbar spinal nerve roots (L1–L3) can cause pain in the dermatomal distribution surrounding the hip. The dermatomal distribution of the L1 spinal nerve is located in the groin and the upper part of the buttock.
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What pain does L4 L5 cause?

The L4-L5 motion segment may cause referred pain from the joints and/or muscles or radicular symptoms that travel through nerves. Referred pain from L4-L5 usually stays within the lower back and is typically felt as a dull ache. The back may also feel stiff.
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How long does it take to recover from L3 L4 surgery?

Your Recovery

It may take 4 to 6 weeks to get back to doing simple activities, such as light housework. It may take 6 months to a year for your back to get better completely. You may need to wear a back brace while your back heals. And your doctor may have you go to physiotherapy.
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Can L3 cause groin pain?

Background: Groin pain can be induced by high-level (L1-L2 or L2-L3) lumbar disc herniation.
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What are the side effects of L4 L5 disc bulge?

A herniated disc at lumbar segment 4 and 5 (L4-L5) usually causes L5 nerve impingement. In addition to sciatica pain, this type of herniated disc can lead to weakness when raising the big toe and possibly in the ankle, also known as foot drop. Numbness and pain can also be felt on top of the foot.
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Can L4 cause hip pain?

In the case of an L4-L5 lumbar disc herniation, the lower back pain can radiate to the hip and leg. When you have a herniated disc in the lumbar spine, the pain is not always located in the affected area. In many cases, the patient begins to notice discomfort in areas that are related to each other.
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What are the symptoms of a herniated disc at L3 L4?

Symptoms of a L3-L4 disc herniation can include pain, numbness, tingling, and weakness in the lower back and legs.
...
Other symptoms include:
  • Muscle weakness.
  • Numbness or tingling in the leg.
  • Sciatica (pain that radiates down the sciatic nerve)
  • Difficulty walking or standing.
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How long does it take for L4 to heal?

It takes between six months and one year to fully recover from L4-L5 fusion. You may need four to six weeks to return to basic activities around the house after the procedure, and one to two months to return to work.
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Can L3 cause sciatica?

Sciatica that originates at the L3-L4 level (see diagram below) in the lower back often includes pain and/or numbness in the middle lower leg and foot; you may also be unable to bring your foot upward (heel walk), and you may have reduced knee-jerk reflex.
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Can L3 cause foot pain?

The kind of pain felt depends on the location of the spinal dysfunction. For instance, a problematic L3–L4 spinal area would cause pain in the front of the thigh, the frontal area of the knee, the shin, or the foot.
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What nerve comes from L3 L4?

The obturator nerve arises from L2, L3, and L4 spinal nerves. It provides the primary motor supply to the medial (adductor) muscle compartment of the thigh.
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