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Abnormal sensations, such as a feeling of pins-and-needles and/or tingling.

Weakness while moving the thigh and/or knee in different directions.

Numbness in the thigh and/or inner part of the leg.

Sharp pain, typically felt as a shooting and/or burning feeling that may occur in the thigh and/or inner part of the leg.

When the е…ѓ spinal nerve is involved, the following symptoms may occur: The е…ѓ-L4 motion segment may cause muscle pain, discogenic pain, radicular (nerve root) pain, and/or radiculopathy (neurologic deficit) that typically affects the lower back and/or the legs. Rarely, tumors and infections may affect the е…ѓ-L4 motion segment. When subject to acute trauma, the е…ѓ-L4 motion segment may rarely undergo facet joint dislocation, fracture, and/or damage to the cauda equina. See Lumbar Herniated Disc: What You Should Know The е…ѓ-L4 disc may degenerate or herniate due to age-related changes or from trauma. Age-related changes in the facet joints may result in the forward slippage of the е…ѓ vertebra over L4. The е…ѓ-L4 facets are typically subject to recurrent rotational strain, which may cause osteoarthritis to develop in these joints, resulting in facet joint pain. Potential problems that may occur at the е…ѓ-L4 motion segment are: See Lumbar Spine Anatomy and Pain In This Article: The е…ѓ-L4 motion segment provides a bony enclosure to protect the cauda equina and other delicate structures.

The е…ѓ myotome is a group of muscles controlled by the е…ѓ spinal nerve and includes parts of specific muscles in the hip, thigh, and leg.

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The е…ѓ dermatome is an area of skin that receives sensations through the е…ѓ spinal nerve and includes the front part of the thigh and inner part of the leg.

The е…ѓ nerve innervates specific areas of skin and muscles in the lower limbs. The е…ѓ spinal nerve roots exit the cauda equina through small bony openings (intervertebral foramina) on the left and right sides of the spinal canal. This disc provides cushioning and shock-absorbing functions to protect the vertebrae from grinding against each other during spinal movements. A disc made of a soft, gelatinous core (nucleus pulposus) surrounded by tough layers of fibrous tissue (annulus fibrosus) is situated between the vertebral bodies of е…ѓ and L4.

The е…ѓ and L4 vertebrae are connected at the back by a pair of facet joints (zygapophyseal joints), which are covered by articulating cartilage to provide smooth movements between the joint surfaces.

The region between the transverse process and the vertebral body is called the pedicle.

The region between the spinous process and the transverse process is called the lamina.

е…ѓ has the longest spinous process in the lumbar region.

The vertebral arch has 3 bony protrusions: a prominent spinous process in the middle and two transverse processes on either side.

The height of the vertebral body of е…ѓ is equal in the front and back L4 is taller in front compared to the back.

Each vertebra consists of a vertebral body in front and a vertebral arch at the back with the following characteristics: The е…ѓ-L4 motion segment includes the following structures: Anatomy of the е…ѓ-L4 Spinal Motion Segment

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