The L4 dermatome is an area of skin that receives sensations through the L4 spinal nerve and includes parts of the thigh, knee, leg, and foot. The L4 myotome is a group of muscles controlled by the L4 spinal nerve and includes parts of several muscles in the back, pelvis, thigh, leg, and foot. See Lumbar Spine Anatomy and Pain. Some of the more common injuries and disorders that may occur at the L4-L5 motion segment include:. Watch Lumbar Spondylolysis Video.
See Degenerative Spondylolisthesis. See Lumbar Spinal Stenosis. Rarely, tumors and infections may affect the L4-L5 vertebrae and spinal segment. 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. Common symptoms and signs include:. It is also possible for a stabbing pain or ache to be isolated to any of these dermatomal areas. Worth Arlington Decatur Southlake Frisco. Free MRI Review. Surgery Guide. Back Stories. Schedule An Appointment. Call us Surgery may also be advised in cases of tumors or infections. See Microdiscectomy Microdecompression Spine Surgery. See Lumbar Spinal Fusion Surgery. Surgeons may perform more than one procedure at a time.
For example, a laminectomy procedure may be done along with a foraminotomy, and the surgery is called a laminoforaminotomy. Any reduction of the spinal canal is a cause for concern, especially if the reduction is at the L4-L5 level. They concern us because it leads to weakness or paralysis of lower limbs, impotence, infertility, and loss of bowel and bladder control— Common sites of spinal canal stenosis.
Canal stenosis refers to shrinkage of the spinal canal housing of the spinal cord. Foraminal stenosis refers to the narrowing of the opening between spinal segments. The opening foramina shrinks with spinal disc degeneration, joint degeneration facet hypertrophy , ligamentous issues ligamentum flavum hypertrophy , or bone spurs arthritis. Foraminal stenosis at L4-L5 is the leading cause of back pain, sciatica, leg pain, numbness, and weakness in the legs.
Most patients may experience lower back pain that radiates to one side of the lower limb or even both sides. Tingling, numbness pins and needles , and an aching or burning sensation in the leg and on top of the foot are widespread. In severe cases, an L4-L5 slipped disc leads to weakness in the legs or feet. Some may even have an inability to walk, leading to an inability to stand. Patients with footdrop frequently present with a high steppage gait where they exaggeratedly raise the thigh while walking as if they are climbing the stairs.
They also have a slapping gate, where the foot strikes the ground as they walk. A drop foot is a severe condition resulting in damage or degenerative changes in the nerves that control leg and foot movements. The degree of injury is relative to the severity of a slipped disc. Therefore, those with a slipped disc should do their utmost best to obtain the needed non-surgical care as soon as possible.
While surgeons recommend surgery for foot drop, we recommend our conservative treatment through collaborative chiropractic and physical therapy physiotherapy. Of course, the best option is a non-surgical route. Acute lower back pain or chronic lower back pain treatment is always better with nonsurgical treatments as provided by our comprehensive methods. The best targeted, extensive measures for lumbar discs of acute or chronic nature are integrative chiropractic, physical therapy, and physiotherapy.
Our physio-zone provides focused L4-L5 physiotherapy through manual or highly specialized machines. The care you will get from our chiro-zone will include spinal adjustments and flexion-distraction therapy. Therapy devices such as spinal decompression therapy , shockwave therapy , high-intensity laser therapy are among some of what you will get at our physio-zone.
Chiropractic treatment of the L4-L5 or L5-S1 consists of the realigning of malpositioning spinal segments, stabilizing joints, and depressurizations of spinal discs. The best and most effective treatment for L4-L5 slipped disc is through a non-rotatory method of chiropractic. Rotatory chiropractic adjustments such as Gonstead or Diversified can further damage a slipped disc. As such, our chiropractors provide treatments through an Activator. The Activator is the best and most targeted chiropractic treatment for acute lower back pain or chronic lower back pain.
Our methodology and technology for the L4-L5 segments enable our clinical teams to provide you efficacious non-invasive therapies that fix and repair the actual cause of an L4-L5 problem. Best of all, the care you get is holistic and natural without any side effects. Physical therapy physiotherapy involves manual procedures provided by physical therapists or physiotherapists.
Manual methods such as joint mobilizations, soft tissue mobilizations, and strengthening programs are integral to physical therapy treatment at our physio-zone. Physiotherapy is the process of providing treatments through therapeutic devices specific to the spine. In our centers, our patients receive both physical therapy and physiotherapy.
We provide targeted spinal rehabilitation at our physio and chiro-zones in addition to physiotherapy and physical therapy treatments. The L4-L5 Lumbar disc often places varying degrees of pressure on the nerves when they bulge, herniate or protrude. In other words, a slipped disc or slip-disc can impinge or put significant amounts of pressure on the nerves that exit the spine. Spine surgeons often attempt either destroying the nerve through a Radiofrequency Ablation RFA or RF Neurotomy or other forms of spine surgery to alleviate the pressure on the nerves.
However, surgical interventions have not proven well in the long term. Sufferers who sought surgical interventions for an L4-L5 disc often return for additional surgeries.
Pressure on the nerves from herniated, bulging, or extruded lumbar discs are best treated without surgery. In our center, our primary goal is to take away the pressure on the nerves by correcting issues that led to nerve impingements or nerve pressure pinched nerves.
Our non-surgical treatments for the L4-L5 are not patches that spine surgeons offer. They fix the damaged joints, muscles, ligaments, and lumbar discs through our nonsurgical treatments. L4-L5 lumbar fusion or minimally invasive spine surgery is not as effective as some would have you believe.
Spine surgery is just that: surgery! In other words, it is a play-on-words. Ye, it is not as intense as fusion surgery lumbar fusion , bone graft, discectomy, foraminotomy, or laminectomy, but invasive. Even the most minimally invasive spine surgery carries risks and, as such, is better avoided, especially when effective conservative measures are available right here in town.
It is just that simple! We are even opposed to an l4-L5 spinal injection, such as steroidal injections at the L4-L5. Steroidal injections or any other type of injection into the spine have complications.
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