Adult - Lumbar pathology

Question 1

quadriceps muscles weak or atrophic

Answer 1

L3 - L4

Question 2

pain/numbness radiating to medial aspect of knee and medial malleolus

Answer 2

L3 - L4

Question 3

diminished or absent patellar reflexes

Answer 3

L3 - L4

Question 4

+ exam if pain with or unable to squat and rise

Answer 4

L3 - L4

Question 5

weakened dorsiflexion of foot and great toe

Answer 5

L4 - L5

Question 6

pain/numbness radiating to lateral calf

Answer 6

L4 - L5

Question 7

numbness of dorsum of foot

Answer 7

L4 - L5

Question 8

+ exam if difficult or painful heel walking

Answer 8

L4 - L5

Question 9

weakened plantar flexion of foot and great toe

Answer 9

L5 - S1

Question 10

pain along buttocks, lateral leg, and lateral malleolus

Answer 10

L5 - S1

Question 11

numbness of lateral aspect of foot and in posterior calf

Answer 11

L5 - S1

Question 12

diminished or absent Achilles reflex

Answer 12

L5 - S1

Question 13

+ if unable or painful toe walking

Answer 13

L5 - S1

Question 14

L3 - L4

Answer 14

• quadriceps muscles weak or atrophic
• pain/numbness radiating to medial aspect of knee and medial malleolus
• diminished or absent patellar reflexes
• + exam if pain with or unable to squat and rise

Question 15

*L4 - L5 *

Answer 15

• weakened dorsiflexion of foot and great toe
• pain/numbness radiating to lateral calf
• numbness of dorsum of foot
• + exam if pain or inability to heel walk

Question 16

L5 - S1

Answer 16

• weakend PLANTAR flexion of foot and great toe
• _pain along buttocks, lateral leg, and lateral malleolus _
• _numbness of lateral aspect of foot and posterior calf _
• diminished Achilles tendon
• _+ if pain or inability to toe walk _