Lumbar Disc Herniation
Signs & Symptoms
Symptoms of L4-5 disc herniation (article) are:
- motor deficit of the extensor hallucis longus
- Sensory deficit of the lateral thigh
- Reflex compromise of the medial hamstrings, anterolateral leg, and mid posterior (dorsal) foot
- Pain in the sacroiliac area, lower buttock, lateral thigh and leg, inner three toes, and medial sole of the foot
- Positive unilateral SLR and neck flexion
- Lateral deviation during flexion
- Weakness of peroneal, extensor hallucis, and hip abductor muscles
- Hypoesthesia of outer leg, and inner three toes and medial sole
- Diminished fibularis (peroneus) longus, Achilles, and externor hallucis reflexes. (click for more info)
Special Tests
- Valsalva
- SLR
- Quadrant Test
- Slump Test
- Prone Instability Test
- Repeated Movement Testing