Groin Pain (non-traumatic)

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