Dermatomes, Myotomes, Reflexes, and Paresthetic Areas

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Nerve Root
Dermatome
Myotome
Reflexes Affected
Paresthesias
C1  Vertex of skull  None  None  None  
C2  Temple, forehead, occiput  Longus colli, sternocleidomastoid, rectus capitis  None  None  
C3  Entire neck, posterior cheek, temporal area, prolongation foreward under mandible  Trapezius, splenius capitis  None  Cheek, side of neck  
C4  Shoulder area, clavicular area, upper scapular area  Trapezius, levator scapulae  None  Horizontal band along clavicle and upper scapula  
C5  Deltoid area, anterior aspect of entire arm to base of thumb  Supraspinatus, infraspinatus, deltoid, biceps  Biceps, brachioradialis  None  
C6  Anterior arm, radial side of hand to thumb and index finger  Biceps, supinator, wrist extensors  Biceps, brachioradialis  Thumb and index finger  
C7  Lateral arm and forearm to index, long, and ring fingers  Triceps, wrist flexors (rarely, wrist extensors)  Triceps  Index, long, and ring fingers  
C8  Medial arm and forearm to long, ring, and little fingers  Ulnar deviators, thumb extensors, thumb adductors (rarely, triceps)  Triceps  little finger alone or with two adjacent fingers; not ring or long fingers, alone or together (C7)  
T1  Medial side of forearm to base of little finger  elbow flexion with arm horizontal, scapulae forward and backward on chest wall, neck flexion  None  None  
T2  Medial side of upper arm to medial elbow, pectoral and midscapular areas  Scapulae moving foreward and backward on chest wall, neck flexion  None  None  
T3-T12  T3-T6, upper thorax; T5-T7, costal margin; T8-T12, abdomen and lumbar region  None  None  None  
L1  Back, over trochanter and groin  None  None  Groin; after holding posture which causes pain  
L2  Back, front of thigh to knee  Psoas, hip adductors  None  Occasionally anterior thigh  
L3  Back, upper buttock, anterior thigh and knee, medial lower leg  Psoas, quadriceps, thigh atrophy  Knee jerk sluggish, prone knee bend positive, pain on full SLR  Medial knee, anterior lower leg  
L4  Medial buttock, lateral thigh, medial leg, dorsum of foot, big toe  Tibialis anterior, extensor hallucis  SLR limited, neck flexion pain, weak or absent knee jerk, side flexion limited  Medial aspect of calf and ankle  
L5  Buttock, posterior and lateral thigh, lateral aspect of leg, dorsum of foot, medial half of sole, first, second, and third toes  Extensor hallucis, peroneals, gluteus medius, dorsiflexors, hamstring and calf atrophy  SLR limited one side, neck flexion painful, ankle decreased, crossed-leg raising pain  Lateral aspect of leg, medial three toes  
S1  Buttock, thigh, and leg posterior  Calf and hamstring, wasting of gluteals, peroneals, plantar flexors  SLR limited, Achilles reflex weak or absent  Lateral two toes, lateral foot, lateral leg to knee, plantar aspect of foot  
S2  Buttock, thigh, and leg posterior  Calf and hamstring, wasting of gluteals, plantar flexors  SLR limited, Achilles reflex weak or absent  Lateral leg, knee, and heel  
S3  Groin, medial thigh to knee  None  None  None  
S4  Perineum, ganitals, lower sacrum  Bladder, rectum  None  Saddle area, genitals, anus impotence, massive posterior herniation  


   

 
 

 
 

 
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