What should be included in the neurologic exam for lumbosacral radiculopathy?

Updated: Jan 25, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

The neurologic examination should always include an evaluation of sensation, strength, and reflexes in the lower extremities. This portion of the examination allows the examiner to detect sensory or motor deficits that may be consistent with an associated radiculopathy or cauda equina syndrome. Often, an assessment of the L5 reflex (medial hamstrings) is helpful. Also, in L5 radiculopathy, the presence of weakness in foot invertors should raise the additional suspicion of a peroneal nerve palsy.


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