L3 l4 nerve root impingement
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Activities involving extension are painful, which is also consistent with nerve root impingement due to spinal joint narrowing. The examination should include range of motion, special tests, motor and sensory testing, and outcome measures to establish where the pain is originating.
The L2 Vertebra
Midlumbar Nerve Root Impingement (L2, L3, L4) Low Lumbar Nerve Root . Impingement (L5, S1) Physical Examination Test TP FP FN TN TP FP FN TN Provocative testing Straight Leg Raise (SLR) 4 20 21 9 20 4 9 21 Crossed Straight Leg Raise (CSLR) 1 2 24 27 2 …
[DOC File]Midlumbar Nerve Root Impingement
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L3-4. 7. 5. 5. 2. L4-5. 7. 7. 4. 2. L5-S1. 6. 6. 2. 2. Arthrokinematics. ... 3Facet impingement:restriction in extension, sidebending and rotation to the ... for the test to be a true indicator that the nerve root is the structure responsible for the reproduction of the symptoms, alteration of symptoms by adding/subtracting a distal component ...
[DOCX File]INTRO
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Moderate spinal stenosis at one or two levels from L1-L5, defined as 25-50% reduction in lateral/central foraminal diameter compared to adjacent levels, and radiographic evidence of thecal sac and/or cauda equina compression, nerve root impingement, and/or hypertrophic facets with canal encroachment
[DOCX File]23
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MRI scanning is helpful in defining and confirming nerve root impingement, disc bulging, ligamentum flavum hypertrophy, disc degeneration, and other soft tissue condition. Radiographic evidence of stenosis must be correlated with the patient's symptoms before diagnosis can be confirmed ... Case 2 - Lumbar stenosis L3-L4 and L4-L5 (central and ...
[DOCX File]CLINICAL STUDY REPORT
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Reverse leg raising test (femoral stretch test) : This test is for irritation of higher nerve roots (L4 and above). Neurological deficits : Depends upon the predominant nerve root involved. Unilateral disc herniation between L3 & L4 results in compression of L4 nerve root. L4 nerve root compression :
[DOC File]Treatment Of Lumbar Spinal Stenosis With Interspinous ...
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At L3-4, moderate desiccation and circumferential bulge was noted, with moderate bilateral facet arthropathy, moderate bilateral neural foraminal narrowing, a central annular tear, with combination of conditions to result in bilateral lateral recess stenosis (more severe on the right) with impingement of the right L4 nerve root and possible ...
[DOC File]6
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straight leg raise test +ve (sciatic nerve root compression), femoral nerve stretch test L4: diminished patellar reflex (L3, L4), no feet involvement L5: involves medial leg and
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