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Symptoms and Signs of Lumbar Disc Herniation

Protruding Disc L3-4 L4-5 L5, S1
Affected Nerve L4 Nerve Root L5 Nerve Root S1 Nerve Root
Pain Location Sacroiliac region, hip, anterior inner thigh, anterior leg Sacroiliac region, hip, posterior outer thigh and leg Sacroiliac region, hip, thigh, leg, heel, and outer foot
Numbness Location Anterior inner leg Outer leg or dorsum of foot, including big toe Outer leg and foot, including the outer three toes
Muscle Strength Change Weak knee extension Weak big toe dorsiflexion Weak foot plantar flexion and big toe flexion
Reflex Change Knee reflex decreased or absent No change Ankle reflex decreased or absent
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