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Dermatomes/Myotomes/Reflexes

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Term
Definition
L1: Muscle Weakness   None  
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L1: Affected Reflex   None  
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L1: Paresthesias   Groin; After holding posture, which causes pain  
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L2: Dermatome   Back, front of thigh to knee  
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L2: Muscle Weakness   Psoas, hip adductors  
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L2: Affected Reflex   None  
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L2: Paresthesias   Occasionally anterior thigh  
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L3: Dermatome   Back, upper buttock, anterior thigh and knee, medial lower leg  
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L3: Muscle Weakness   Psoas, quadriceps, thigh atrophy  
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L3: Affected Reflex   Knee jerk sluggish, PKB positive, pain on full SLR  
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L3: Paresthesias   Medial knee, anterior lower leg  
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L4: Dermatome   Medial buttock, lateral thigh, medial leg, dorsum of foot, big toe.  
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L4: Muscle Weakness   Tibialis anterior, extensor hallucis  
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L4: Affected Reflex   SLR limited, neck flexion pain, weak or absent knee jerk, side flexion limited  
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L4: Paresthesias   Medial aspect of calf and ankle  
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L5: Dermatome   Buttock, posterior and lateral thigh, lateral aspect of leg, dorsum of foot, medial half of sole, and toes 1-3  
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L5: Muscle Weakness   Extensor hallucis, peroneals, gluteus medius, dorsiflexors, hamstrings and calf atrophy  
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L5: Affected Reflex   SLR limited one side, neck flexion painful, ankle decreased, crossed-leg raising pain  
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L5: Paresthesias   Lateral aspect of leg, medial 3 toes  
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S1: Dermatome   Lateral and plantar aspect of foot  
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S1: Muscle Weakness   Calf and hamstrings, wasting of gluteals, peroneals, plantar flexors  
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S1: Affected Reflex   SLR limited, Achilles reflex weak or absent  
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S1: Paresthesias   Lateral 2 toes, lateral foot, lateral leg to knee, plantar aspect of foot.  
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S2: Dermatome   Buttock, thigh, and posterior leg  
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S2: Muscle Weakness   Same as S1 excepts peroneals  
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S2: Affected Reflex   Same as S1  
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S2: Paresthesias   Lateral leg, knee, and heal  
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S3: Dermatome   Groin, posteromedial thigh to knee  
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S3: Muscle Weakness   None  
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S3: Affected Reflex   None  
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S3: Paresthesias   None  
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S4: Dermatome   Perineum, genitals, lower sacrum  
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S4: Muscle Weakness   Bladder, Rectum  
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S4: Affected Reflex   None  
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S4: Paresthesias   Saddle area, genitals, anus, impotence, massive posterior, herniation  
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L1: Dermatome   Back, over trochanter and groin  
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