L4 Nerve Root Compression Evaluation with Paul Marquis PT
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- čas přidán 23. 09. 2018
- In today's video I break down the evaluation for an L4 nerve root compression. I talk about the common signs and symptoms and pearls from experience.
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Nailed it, my mri confirmed a large protrusion and now I just need to know how long approx with therapy and exercise before it settles back down?
"Contact on the exiting right L4 nerve root in the foramen." Can this be causing leg weakness on both sides? Thanks.
I am in the same situation. It has not improved in a year after seeing the doctor. Hands and feet become useless, there is nausea in the stomach, sometimes it seems that I am immobilized, please help.
Hello, I don't understand why you even mention the Lassègue's test, why not using the Léri's/inverse Lassègue test?
I thought leg raises were to test for Sciatica
I have a pinched disc that compressed L4 and caused inflammation and stiffness for 5 days. Following these 5 days the pain disappeared with stretching but a major weakness appeared: foot drop similar to this cast. My strength in dorsi-flexion is 1/5 (10 days since the injury). With physio can I get back to a level to 4/5 or 5/5? if so, how long? I am an athlete. If you ever had positive rehab with patient please share :). Thanks!
@OrthoEvalPal ... I have a pinched disc that compressed L4 and caused inflammation and stiffness for 5 days. Following these 5 days the pain disappeared with stretching but a major weakness appeared: foot drop similar to this cast. My strength in dorsi-flexion is 1/5 (10 days since the injury). With physio can I get back to a level to 4/5 or 5/5? if so, how long? I am an athlete. If you ever had positive rehab with patient please share :). Thanks!
This is a classic presentation of nerve root compression. Keep retesting your strength. If not improving, seek medical attention. Can take a long time to get stronger.
MRI didn't show it, but thats my symptoms. 10% quad strength, poor leg raise strength, numb over shin muscle and inside ankle. Additionally a bit of sciatic pain in but and a little hamstring. Sucks to identify it, but cant see it so no fix.
Weakness is the bigger concern. Keep getting it checked. Best of luck!
@@OrthoEvalPal i am in the stage of drop foot right now. is it still possible to recover it through therapy or must be by surgery. Neuroscientist in my country gave final decision to do surgery. need your advice
why do you need a test.. my pain is just there and wont ever go away..
to confirm the severity and need for surgery.
Who is the model patient in the video?
me
Excursive repetitions