Where does L4 hurt?

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.
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What are the symptoms of L4 nerve 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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What part of the body does L4 affect?

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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Where do you feel L4-L5 pain?

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. Depending on the type and severity of the underlying cause, the L4-L5 motion segment may cause lumbar radicular pain of the L4 and/or L5 spinal nerves, also called sciatica.
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Where is L4 nerve pain?

The 4th lumbar nerve root (L4) is the 3rd most frequently affected nerve and results in pain that radiates through the lateral thigh and the inside of the lower leg. Numbness usually occurs on the outside of the thigh. The thigh muscle can be weak and the knee reflex can be decreased or absent.
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Low Back Pain - Disc Herniation ,Sciatica - Everything You Need To Know - Dr. Nabil Ebraheim



How do you fix L4 pain?

Both prescription and over-the-counter (OTC) medications are used to help relieve pain from L4-L5. Typically, non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first. For more severe pain, opioids, tramadol, and/or corticosteroids may be used. Physical therapy.
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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 does a herniated L4 L5 feel like?

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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How do I know if I have L4 or L5?

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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How long does it take for L4 L5 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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What are the symptoms of L4 L5 stenosis?

Symptoms may include:
  • Pain in the back.
  • Burning pain going into the buttocks and down into the legs (sciatica)
  • Numbness, tingling, cramping, or weakness in the legs.
  • Loss of sensation in the feet.
  • A weakness in a foot that causes the foot to slap down when walking ("foot drop")
  • Loss of sexual ability.
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Where do you feel pain from the L3 L4?

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. This refers to the disc that is situated between Lumbar bone 4 and 5.
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What does the L4 nerve root effect?

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

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 L4 L5 s1 bulging disc?

3 Telltale Signs of a L4-L5 Slipped Disc
  • Chronic Lower Back Pain. Pain in the lumbar region can mean many things. ...
  • Leg Pain and or Weakness. The leg pain that is often felt with an L4-L5 disc problem in conjunction with or separate from lower back pain is often categorized as sciatica. ...
  • Tingling and Numbness.
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Can L4 l5 cause pain in the buttocks?

As a clinical finding, gluteal pain is related to low lumbar disc hernia. The L4/5 level is the main level responsible for gluteal pain in lumbar disc hernia.
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What should you not do with a L4 l5 disc bulge?

Avoid the following exercises:
  • Sit-Ups. Sit-ups are difficult to perform correctly and are not recommended for those with a herniated disc due to the pressure that is put on the lower back. ...
  • Squats. ...
  • Cycling. ...
  • Standing Hamstring Stretch. ...
  • Deadlifts. ...
  • High Impact Aerobic Activity. ...
  • Leg Press. ...
  • Straight Leg Raises.
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Is walking good for l4 l5 pain?

The simple movement of walking is one of the best things we can do for chronic lower back pain. Ten to fifteen minutes of walking twice a day will help ease lower back pain. Substitute this activity for a more vigorous type of exercise if you prefer and/or are able.
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Is it better to sit or lay down with lower back pain?

If you're experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.
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Is walking good for l4 l5 disc bulge?

Generally speaking—as long as they're performed correctly—core and back exercises are beneficial for bulging discs, as are activities like walking, elliptical exercise, swimming, and riding a stationary or regular bike.
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Does L4 cause sciatica?

Most sciatica is caused by problems that affect the L4, L5, or S1 nerve roots. The nerve may be compressed or irritated, usually because it's being rubbed by a disc, bone, joint, or ligament. The resulting inflammation makes the tissues and the nerves more sensitive and the pain feel worse.
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What causes L4 pain?

Spinal stenosis, a common cause for disability and pain, is very common. The L4-L5 area is the most common location for spinal canal stenosis at the lower back. Spinal stenosis can be caused by premature wear of the spinal joints, muscles, ligaments and discs.
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Can L4 L5 cause groin pain?

Conclusions: Elderly patients with L4-L5 protruding herniation of the anulus fibrosus were most likely to experience groin pain. The sinuvertebral nerve that innervates the posterior anulus fibrosus, the posterior longitudinal ligament, and the dura was indicated as the afferent nerve of groin pain.
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