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Patients with back pain due to irritation of the nerve roots of L5 may experience difficulty with dorsiflexion of the ankle and toes. Patients may also suffer from pain in the toes, especially when pulling the toes up. With this movement, the nasal muscles can actually spasm with the fingers in the extension.
The weakness of the toe extension will also create difficulties when raising the toes to the floor when walking on the heels.
The strength testing of the extensor hallucis longus is usually carried out to detect the presence of irritation of the L5 nerve root. The examiner tries to press the interphalangeal joint of the big toe, while the patient tries to resist this movement, drawing into the dorsiflexia.
Muscles that perform the dislocation of the toes:
- extensor digitorum longus (deep fibular nerve, L5, S1)
- extensionum hallucis longus (deep fibular nerve, L5, S1)
- extensor digitorum brevis. This musculature extends all the fingers on the metatarsopharyngeal joints, with the exception of the small finger. (deep fibular nerve, L5, S1)
Lower back pain | leg deflection
Patients with lower back pain, secondary to irritation of the nerve root, especially the nerve root S1, may have pain when turning the foot and ankle outward from the midline of the body (foot). Top removal is always accompanied by a chin and legs.
Tightness due to spasms in the muscles that cause loss of the foot leads to pain during this movement. You can feel the tendons of the longus and brevis tendons when they travel behind the lateral ankle (this bone is easily felt in the outer aspect of the ankle).
Muscles that perform the removal of the foot:
- peroneus longus (L5, S1 through the superior fibular nerve)
- peroneus brevis (L5, S1 through the superior fibular nerve)
- peroneus tertius (L5, S1 through the deep peroneal nerve)
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