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Radiculopathy; Although they are most frequently reported along sacral regions, they are rarely seen in other locations along the spine. [15] Women are more likely to exhibit symptoms [16] [17] They can also appear in clusters or bilaterally along the spine, thus symptoms can be unilateral, bilateral, or with symptoms more dominant on one side ...
The sciatic nerve comprises nerve roots L4, L5, S1, S2, and S3 in the spine. [26] These nerve roots merge in the pelvic cavity to form the sacral plexus and the sciatic nerve branches from that. Sciatica symptoms can occur when there is pathology anywhere along the course of these nerves.
Signs and Symptoms. Radiculopathy is a diagnosis commonly made by physicians in primary care specialties, orthopedics, physiatry, and neurology. The diagnosis may be suggested by symptoms of pain, numbness, paresthesia, and weakness in a pattern consistent with the distribution of a particular nerve root, such as sciatica.
S1 supplies many muscles, either directly or through nerves originating from S1. They are not innervated with S1 as single origin, but partly by S1 and partly by other spinal nerves. The muscles are: gluteus maximus muscle; gluteus medius muscle; gluteus minimus muscle; tensor fasciae latae; piriformis; obturator internus muscle; inferior gemellus
S2 supplies many muscles, either directly or through nerves originating from S2. They are not innervated with S2 as single origin, but partly by S2 and partly by other spinal nerves. They are most commonly known to govern the toes. The muscles are: sphincter urethrae membranaceae; gluteus maximus muscle; piriformis; obturator internus muscle
The cauda equina (from Latin tail of horse) is a bundle of spinal nerves and spinal nerve rootlets, consisting of the second through fifth lumbar nerve pairs, the first through fifth sacral nerve pairs, and the coccygeal nerve, all of which arise from the lumbar enlargement and the conus medullaris of the spinal cord.
The lumbosacral trunk from the L4 and L5 roots descends between the sacral promontory and ala, and the S1 to S3 roots emerge from the ventral sacral foramina. These nerve roots unite to form a single nerve in front of the piriformis muscle. The nerve passes beneath the piriformis and through the greater sciatic foramen, exiting the pelvis.
Symptoms occur with extension of spine and are relieved with spine flexion. Minimal to zero symptoms when seated or supine. [17] A human vertebral column. Radiculopathy (with or without radicular pain), [20] a neurologic condition in which nerve root dysfunction causes objective signs such as weakness, loss of sensation, and loss of reflex.