Relationship between the L5-S1 Vertebrae

 

 

 

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Relationship between the L5-S1 vertebrae

L5 and S1 are two nerves that are most pinched in the lower back. L5 is a nerve that supplies muscle nerves that raise the feet and the big toe. Therefore impingement of the nerve may lead to weakness of the muscles in the large gastrocnemius in the calf back. That might lead to difficulty when pushing the foot. The numbness of the S1 nerve runs on the outer part of the foot (Mesregah et al, 2020). The nerve root of S1 also supplies ankle jerk innervation and there is a loss of reflex which is a demonstration that S1 impingement does not lead to loss of function.

One of the most usual causes of pain that comes from the L5-S1 segment is disc herniation, isthmic spondylolisthesis, and degenerative disc disease. Disc herniation happens if the inner parts leak hinting at the proximate nerve root that results in pain radiating in the down leg and the lower back (Mesregah et al, 2020). Conceding of L5-S1 can result in the L5-S1 disc results to leg or lower back pain.

The presence of a small facet joint fracture may permit the L5 vertebra slip frontward over the S1 vertebra and that will impose the nerve root which would result in leg pain among other symptoms. Even in the most painful situations on the lumbar spine, there may be no permanent damage since it does not have a spinal cord (Rezazadeh et al, 2020). Therefore there may be no permanent damage or paralysis even in the most painful situation. The measures to be applied include weight control in the bid to prevent the injuries. Education is also key to the suitable body mechanism, having regular physical exercise and avoidance of lifting and carrying of heavy objects.

 

References

Mesregah, M. K., Lee, H., Roberts, S., Gardner, C., Shah, I., Buchanan, I. A., … & Wang, J. C. (2020). Evaluation of facet joints and segmental motion in patients with different grades of L5/S1 intervertebral disc degeneration: a kinematic MRI study. European Spine Journal, 1-10. https://doi.org/10.1007/s00586-020-06482-9

Rezazadeh, F., Taheri, N., Okhravi, S. M., & Hosseini, S. M. (2019). The relationship between the cross-sectional area of multifidus muscle and disability index in patients with chronic non-specific low back pain. Musculoskeletal Science and Practice42, 1-5. https://doi.org/10.1016/j.msksp.2019.03.005

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