Table of Contents
What are the symptoms of L4 damage?
3 Telltale Signs of a L4-L5 Slipped Disc
- Chronic Lower Back Pain. Pain in the lumbar region can mean many things.
- Leg Pain and or Weakness. The leg pain that is often felt with an L4-L5 disc problem in conjunction with or separate from lower back pain is often categorized as sciatica.
- Tingling and Numbness.
Where do you get pain if you have a bulging disc on L3 and L4?
This is called the patellar reflex. Pain from an L3 or L4 impingement usually radiates to the quadriceps femoris muscle at the front of the thigh. This is different from sciatica, which runs along the back of the leg.
Can a herniated disc cause referred pain?

A Note on Referred Pain Caused by a Herniated Disc Referred pain means that you have pain in another part of your body as a result of the intervertebral disc problem. For example, if you have a bulging disc or a herniated disc in your low back (lumbar spine), you may have referred pain in your leg.
What are symptoms of L3 L4 disc herniation?
Disc level | Location of pain | Motor deficit |
---|---|---|
L3-4 | Pain in posterolateral thigh and anterior tibial area | Weakened quadriceps; diminished patellar reflex |
L4-5 | Pain in dorsum of foot | Extensor weakness of big toe and foot |
L5-S1 | Pain in lateral aspect of foot | Diminished or absent Achilles reflex |
Where does L4-L5 cause pain?
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. Depending on the type and severity of the underlying cause, the L4-L5 motion segment may cause lumbar radicular pain of the L4 and/or L5 spinal nerves, also called sciatica.
What does your L4 nerve control?
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.

Can L4 and L5 cause groin pain?
Conclusions: Elderly patients with L4-L5 protruding herniation of the anulus fibrosus were most likely to experience groin pain. The sinuvertebral nerve that innervates the posterior anulus fibrosus, the posterior longitudinal ligament, and the dura was indicated as the afferent nerve of groin pain.
What nerves does L4 affect?
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.