AhhhhH!!! I've consulted half a dozen resources and had spoken to several classmates, but this video was the missing link! I THINK I understand the difference between Dermatome and Cutaneous innervation now! Thank you so much, NeuroDocUniverse!!!!!!
Hi Surbhihere, An example would be this: Your patient complains of numbness along the side of their lower leg. This area is innervated by the nerve root L5 and the peripheral nerve superficial peroneal. In order to diagnose which of the 2 is causing the problem you would perform the motor, reflex and sensory evaluation for both. (continued...)
the toe extensors and hip abductors), the reflex is the medial hamstring, and the dermatome is the side of the lower leg and the top of the foot. Any problems in these areas would suggest an L5 lesion. The differential diagnosis is important because is dictates the area that needs to be addressed in the treatment plan. Please let me know if you require any further explanation. I hope this helps!
Hi Shyquietcare, I'm so sorry, but it's not possible for me to diagnose and recommend treat for your problem over this webpage. As a general observation, I would recommend a another opinion. If you have only tried the medical route, consider examination by a good chiropractor as chiropractic looks for functional problems and would not consider lack of radiographic findings to be the absence of a functional problem. Best to you and hoping for your treatment success...
For the superficial peroneal nerve the motor evaluation is only the peroneus longis and brevis muscle, there is no relfex and the sensory evaluation is the pure patch of the side of the lower leg. If the peroneus lobgis and brevis is weak (added to the complaint of numbness over the side of the lower leg, it would suggest a superficial peroneal nerve lesion. For L5 the motor evaluation is the extensor hallicus longis and brevis (there are secondary muscles which include (continued....)
Hello Dr . i have herniated L5 S1 on the left the pain from buttock Run down to the heel . Got cortisone injection but the heel pain still . How to treat the nerves with S1
Hi.i have some kind of tingling at a patch at side of left and right legs as you said at sup. Pero. Nerve. What is the cause of tingling at Sup. Pero. Nerve ?
the toe extensors and hip abductors), the reflex is the medial hamstring, and the dermatome is the side of the lower leg and the top of the foot. Any problems in these areas would suggest an L5 lesion. The differential diagnosis is important because is dictates the area that needs to be addressed in the treatment plan. Please let me know if you require any further explanation. I hope this helps!
For the superficial peroneal nerve the motor evaluation is only the peroneus longis and brevis muscle, there is no relfex and the sensory evaluation is the pure patch of the side of the lower leg. If the peroneus lobgis and brevis is weak (added to the complaint of numbness over the side of the lower leg, it would suggest a superficial peroneal nerve lesion. For L5 the motor evaluation is the extensor hallicus longis and brevis (there are secondary muscles which include (continued....)
Hi Surbhihere, An example would be this: Your patient complains of numbness along the side of their lower leg. This area is innervated by the nerve root L5 and the peripheral nerve superficial peroneal. In order to diagnose which of the 2 is causing the problem you would perform the motor, reflex and sensory evaluation for both. (continued...)
