Copyright 2020 Dr. Kevin Pauza All right reserved. If you are experiencing pain in the lower back, sides, or groin and think it may be related to your kidneys, it is important to speak with a medical professional to determine the cause and get appropriate treatment. During her time there, she served as Chief Resident and was involved in several research projects. This is also related to pressure on the nerves surrounding the vertebrae. Dr. Foxx has been in private practice since 2004. Learn more about us. He has been at the forefront of his field for years and offers the most advanced, cutting-edge interventional treatments in the field of pain management. This is especially important if you recently had spine surgery. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeths Medical Center, where she was also the Director of the Pain Management Fellowship program.After graduating from Harvard College with an A.B. In some cases, a more serious underlying condition, such as a tumor or cancer, may be the cause of the pain and should be checked out if any symptoms persist. Some people also may experience pain in the groin when standing or stretching. Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). If a herniated disk presses on any of the nerves that lead to the groin, the individual may feel pain in the groin as a result of a disc problem in their back.1 In fact, in this study, Oikawa, et al confirmed the source of some individuals groin pain as being in the back, even though they felt no back pain! Herniated discs can place tremendous pressure on the nerves surrounding the spine. People who experience symptoms of nerve damage for four weeks or longer should see a doctor for a diagnosis and treatment. Consider using a standing desk or posture corrector to reduce pressure on your hips and groin and prevent nerve pinching. PainDoctor.com WebCan herniated disc in lower back cause groin pain? Privacy Policy His regenerative approach to solving spine problems enhances the bodys natural ability to heal itself. Obtain Long Term Pain Relief. Back Pain While Driving: Causes and Treatment, Your Rights & Protection Against Surprise Medical BIlls, Right to Receive a Good Faith Estimate of Expected Charges. In these cases, there are no structural causes at all and any which have been identified are purely coincidental to the pain suffered. Weekly updates on conditions, treatments, and pain medicine news. If you have groin pain you may not have associated it with a problem in your back. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. A herniated or bulging disc may press on the nerves to the groin. Herniated Disc Causes His true passion is to treat his patients like his family and friends. Disclaimer :Disclaimer: All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. WebPain. In these circumstances, genital pain may be enacted by lumbar pathologies virtually anywhere in the lumbar region. Dr. Janet Pearl has been in practice since 1999 and is the Medical Director ofThe Boston Stem Cell Center. Pain is generally superficial and localized, and is often associated with numbness or tingling. Herniated Disc>Herniated Disc Pain>Herniated Disc Groin Pain, What is a Herniated Disc? WebCan a herniated disc cause hip and groin pain? Dr. Foxx continues to practice OR anesthesiology in addition to his active pain management practice. If you experience this symptom, head to the emergency room. Thus, it is possible that patients feel referred Many patients are troubled by numbness they experience as a result of herniated discs. Yes, groin pain can be a symptom of spinal stenosis. Groin stretch. When herniating laterally, or to the side, the thoracic herniated 2012 Jan 15;37(2):114-8. doi: 10.1097/BRS. Jogging Seems to Bother My Lower Back Should I stop? This is because herniated discs can press on nerves in the These include: In all regions of the spine, intervertebral discs are between each vertebrae. He completed his undergraduate education at Kansas University in Lawrence, with degrees in chemistry and biochemistry. Throwing up undigested food a few hours after a meal. Lower back pain costs the U.S. an estimated $100 billion dollars annually in both direct medical costs and indirect costs (e.g., lost wages and productivity). 625 9th Street NSuite303Naples Fl 34102. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. Learn more about the FDA status of our research, Safety & Efficacy of Fibrin for Chronic Low Back Pain. He is the founder and owner of Champlain Spine and Pain Management and of Surgical Pain Center of the Adirondacks. Degenerative disc disease occurs when discs in the spine become damaged or wear down with age. WebA herniated disc in the lower back can cause groin pain. He completed a Physical Medicine & Rehabilitation residency at The Ohio State University (96) after graduating from Georgetown Medical School (92). Weakness and numbness in the feet and toes. The groin is innervated by the genitofemoral and ilioinguinal nerves; degeneration of the spinal canal can cause referred pain to the Dr. Tolman has an extensive background in Sports Medicine, Physical Medicine, and Rehabilitation (PM&R/Physiatry), Musculoskeletal/Regenerative Medicine and Interventional Spine. The most common levels for a herniated disc are L4-5 and L5-S1. Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[580,400],'remodelormove_com-medrectangle-3','ezslot_2',155,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-medrectangle-3-0');Yes, L5-S1 can cause lower back pain that extends into the groin. The nerves connecting the This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. To treat groin discomfort, it is necessary to first diagnose the problem. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute. Herniated disc causes include injuries that happen in an instant and degeneration over time. If you are experiencing lower back pain that is radiating to your pelvic area, it is important to see your doctor to receive an accurate diagnosis, as there are a variety of treatments available. Loss of sensation in the lower legs and feet may also occur as a result of nerve damage. fc alliance soccer club knoxville You should see a healthcare provider immediately if you have symptoms. Herniated Disc Facts. A herniated disk occurs when some of the softer material inside the disk pushes out through a crack in the tougher outside of the disk. 1 In fact, in this study, Some patients with herniated disc experience this as a major symptom. How can you tell if your bearded dragon is too hot? If groin pain is accompanied by pain in the middle or lower back, it could be due to a herniated disc, pinched nerves, arthritis, spinal stenosis, or pinched nerves. Background: Groin pain can be induced by high-level (L1-L2 or L2-L3) lumbar disc herniation. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. If the disc herniates into the spinal cord area, the thoracic herniated disk may also present with myelopathy (spinal cord dysfunction). The symptoms of L5-S1 nerve damage can vary depending on the severity of the damage. The pain may be sharp or burning, and may also worsen when standing or walking. When these nerves are affected by a bulging spinal disc or an injury to the spine, groin pain can result. If a significant herniation does exist at T12/L1 or L1/L2, it is possible for the offending disc matter to be impinging on the nerve roots which serve this region. This also explains why so few groin conditions are successfully diagnosed and treated using the structural model of pain. Pain in the lumbar region can mean many things. The majority of people who experience groin pain attributed to an L4 L5 S1 spinal issue tend to report pain that radiates from their lower lumbar spine, down their buttocks, and into their groin area. Other symptoms can include difficulty standing or walking, difficulty lifting the leg to the side, and an altered sensation in the hips and legs. She has a special interest in sports medicine, pain and spine. explore the world through the prism of knowledge. In the back, a pinched nerve can create numbness or tingling in the buttocks, legs, groin, and feet. The nerves which send signals to your groin travel to your spinal column and then to the brain. There are many treatment options, and only after a diagnosis can an effective plan of action be made. Laminectomy Laminectomy can be used in some cases. 250., Naples, Florida 34102, 2490 W. 26th Ave. Suite A-10., Denver, Colorado 80211, @Mile-High-Sports-and-Rehabilitation-Medicine, 51 N. 5th Ave, Suite 301., Arcadia, California 91006, 13575 W. Indian School Road, Litchfield Park, AZ 85340, Active Life Physical Medicine & Pain Center, 1-1-35 Nishiawaji, Higashiyodogawa-ku, saka-shi, saka-fu 533-0031, 145 Inverness Dr E Suite 250 Englewood, CO 80112, 1390 S. Potomac St. Suite 100 Aurora, CO 80012, 4126 Southwest Freeway Suite# 1300 Houston, TX 770275, 9913 N 95th St., Scottsdale, Arizona 85258, Abstract: Safety and Efficacy of Fibrin for Chronic Low Back Pain, Intra-annular Fibrin to Diagnose and Treat Disc Pathology Excerpt, Watch Dr Pearl give an introduction to The Boston Stem Cell Center, Fellowship: Interventional Spine, University of Pennsylvania, Residency: PM&R, University of Pennsylvania, Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons, Medical Doctorate: Pennsylvania State University College of Medicine, Bachelor of Arts: Biology, Lehigh University, Bachelor of Arts: Psychology, Lehigh University, New York State Medical and Surgical License, Florida State Medical and Surgical License, Lehigh University Four-year Academic Scholarship, Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni), North American Spine Society, Outstanding Paper of the Year, 2003, President-Elect, International Spine Intervention Society, Founding Partner, Texas Spine and Joint Hospital, Commencement Speaker: Penn State University College of Medicine, Founding Chairman, Standards Committee, International Spine Intervention Society, Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation, Appointed Spine Advisor, Japanese Prime Minister, Appointed Spine Advisor, Allied Royal Families, Founding Partner & Principal, Texas Spine & Joint Hospital. In most cases, however, there are a few symptoms they experience. When a disc herniates, small pieces of the disc may irritate a nerve root and cause pain that radiates to the groin. Your symptoms, physical examinations and test results can help your doctor determine if your back is to blame for your groin discomfort. He has extensive experience with intradiscal therapies and is honored to be selected as one of the few physicians in the country trained in the Discseel Procedure. Heres what your symptoms could mean. WebLoss of bladder or bowel control, a rare herniated disc symptom that may indicate a more serious problem called cauda equina syndrome (when something is pressing against the Sometimes the pain can radiate into the thighs, and if it does then it could indicate involvement of the nerves. Muscle weakness may also occur as a result of avoiding use of your leg or arm, even unconsciously. The onset of symptoms is characterized by a sharp, burning, stabbing pain radiating down the posterior or lateral aspect of the leg, to below the knee. In 2003, he established a fellowship and has been teaching other physicians for over fifteen years. Summary of background data: Patients feel low back pain originating from discogenic disease. Boris Terebuh, MD is delighted to be a Discseel provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[728,90],'remodelormove_com-box-3','ezslot_3',173,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-box-3-0');This radiating pain is usually caused by nerve compression in the lower back, which can happen due to a herniated disc or narrowing of the spinal canal. Issues in the lower portion of the spinal column can refer pain to the groin and legs in the same manner. In cases of severe central spinal stenosis or canal narrowing issues in the sacral spine, there can be serious health risks which may manifest themselves in the genitals and groin. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. The spinal column not only supports the body, but also protects many nerves which travel from the brain to other parts of the body. The nerves connecting the groin to the brain travel to and through the spine. Herniated Disc FAQ This website is provided as a gift by The Cure Back Pain Network. It is important to speak with a healthcare professional to determine which option is best for you. Make an appointment with your doctor if you experience groin and lower back pain. She is also the Medical Director ofComplete Spine and Pain Care an interventional integrated Pain Management practice,both located in Framingham, Massachusetts. The spinal columns not only support the body, but protect many nerves that run from the brain into the rest of our bodies. Continuing to use this site will imply acceptance of our privacy policy. Immediately, the pain began resolving, and she was pain free and off her medications within several weeks. Any other number of spine problems may result in low back pain with referred pain in the groin.3 Referred pain is when the brain interprets pain in one part of the body when it actually comes from another part. He is the founder and medical director of Southwest Spine & Sports (99). Specific strength training exercises that work the core of the body can help support a strong, healthy back. These pressured nerves then become irritated and send pain signals to other body parts, including the groin. When a disc bulges, it puts pressure on the nerves that control the gastrointestinal system, leading to symptoms like frequent bowel A native of France, he obtained his bachelors degree and his Doctor of Medicine Diploma from the University of Vermont. For this reason, it may be more susceptible to injury or the consequences of deterioration than other, more flexible parts of the spine. It is also possible that you will notice your herniated disc from unconscious behaviors. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.Watch Dr Pearl give an introduction to The Boston Stem Cell CenterDr. Steroid injections can provide temporary relief and reduce inflammation. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. A quick MRI to look at the soft tissues and ligaments of the hips might just reveal a herniated disc. Groin pain can be induced by L1 or L2 radiculopathy according to the dermatome [5] that results from upper lumbar disc herniation (LDH). As a previous low back patient suffering from debilitating pain, he understands the importance of minimally invasive procedures that help restore the lumbar and thoracic spine. The most common symptom of L3 L4 pain is sciatica, a condition where the sciatic nerve, which runs from the lower back through the hips and buttocks, becomes irritated. If you continue to use this site we will assume that you are happy with it. SI joints, located in the lower back, can feel the pain, but it may also radiate to the groin and upper thighs. Osteochondral Bar. Dr. Tolman was also selected and trained as one of 15 physicians nationwide to offer the Discseel Procedure. Sciatic symptoms You can unsubscribe at any time. He is passionate about functional medicine which focuses on restoring patients lives through healing using regenerative medicine procedures. As a result of growth and opportunity, Dr. Foxx partnered to create Midwest Orthopedic Network Kansas and surgery center in Overland Park, KS. These nerves can be affected by a bulging spine disc or injury to the spinal column, which can lead to groin pain. If a herniated nerve presses on the nerves that run to the groin and causes pain, some people feel groin pain. He suffered a herniated lumbar disc, which inspired his professional direction towards the non-surgical treatment of discogenic low back pain with biologics. Surgery for L5-S1 can involve a spinal fusion, laminectomy, laminoplasty, or microdiscectomy. This article will detail why groin pain may or may not be linked to lumbar disc concerns, such as bulges or ruptures. This can cause irritation or inflammation of the nerves and pain that travels to the groin. SI joints, which are located in the lower back, may feel like pain. Herniated Disc If a herniated disk presses on any of the nerves that lead to the groin, the individual may feel pain in the groin as a result of a disc problem in their back. If you want to interview abdominal pain erectile dysfunction something about the pharmaceutical factory, of course there is no reason to refuse. Your email address will not be published. Degenerative disc disease can occur when the discs between the vertebrae thin and become less able to cushion the vertebrae and absorb shocks, leading to compression of the nerves of the spine and radiating pain. Other causes of pain at L5-S1 include a herniated disc, spinal infection, fractures, or tumors. The treatment for L5-S1 is typically determined according to the severity of symptoms and the underlying cause. In some cases, these pressed nerves can even cause sciatica, which causes pain to radiate down the leg and can reach the groin area. This can also be a sign of nerve damage due to herniated discs. The person may feel weakness, numbness, and/or tingling in the affected area, which can also range from mild to severe. Cauda equina syndrome is a very rare, but serious condition which can truly have dire effects if not treated expeditiously. The pain may be caused by the narrowing of the lumbar spine, which can compress the nerve roots in the lower back and cause pain in the abdomen, groin, and leg. This numbness may persist even after the herniated disc is addressed. Problems with the L5 spinal nerve root can cause pain, tingling, numbness and/or weakness in any or all areas served, creating a usual sciatic nerve pain pattern. Last, well discuss options to reduce back or groin pain. In 2004, he completed his residency in anesthesiology. The groin is served by the nerve roots from T12, L1 and L2 in most people, although the genitals are served by the lower sacral nerve roots. Microdiscectomy Microdiscectomy is the most common type of surgery for patients suffering from bulging disc l4/l5. Do daily stretches to relieve pressure on your groin nerves. This may be evident by sensory disturbances (such as numbness) below the level of compression, difficulty with balance and walking, lower extremity weakness, or bowel or bladder dysfunction. If your pain isnt related to pain in a single or small group of nerves, nerve blocks may not be right for you. Thoracic back pain may be exacerbated when coughing or sneezing. Some of these nerves are sent to the groin. The same thing can happen with the lower spinal column. The pain can range from mild to Some of these nerves go to the groin. SI joint pain can result from stiffening of the ligaments, misalignment, and cartilage breakdown. Patients will sometimes visit their doctor for another condition and see a herniated disc on their MRI. Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts. We are the worlds largest and most respected patient education and advocacy organization in the dorsalgia sector of medicine. If youre experiencing back or groin pain, your physician may examine the spine to determine if there are any injuries or conditions. WebHowever, groin pain that presents with pain in the mid or low back, could be caused by a spinal condition like a herniated disc, pinched nerve. Do Changes In The Weather Really Cause Our Bones To Ache? It is important to seek medical care if you have back pain that extends into the groin, as this can be an indication of a serious condition. Some of these nerves travel to the groin. Webcan herniated disc cause pain, groin area. Dr Bonnabesse has also trained multiple physicians since 2005 through his pain fellowship. The sciatic nerve is the longest nerve in the body, running from the lumbar spine, across the back of the buttocks and hips, and down the leg to the top of the foot. -Swelling or tenderness in the area where the herniation occurs. This produces the pain known as sciatica, which can be felt in the hip. This is because the pain is typically located in the lower back and can radiate to the groin and buttock which is also common with hip problems, sciatica or even a pinched nerve. WebMost of the time arthritis in the spine is mild and emergency evaluation and treatment is not needed. The sinuvertebral nerve that innervates the posterior anulus fibrosus, the posterior longitudinal ligament, and the dura was indicated as the afferent nerve of groin pain. TCM for Herniated Discs Problems in the lower section of the spinal column may cause pain in the groin or legs. Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. In this article we will talk about back pain as well as groin problems. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine. What is Greenpeace Philippines organization? We're hard at work and will be revealing our new ADA compliant website soon. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the departments Excellence in Teaching award during her year as Chief Resident. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[580,400],'remodelormove_com-banner-1','ezslot_8',157,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-banner-1-0'); Sacroiliac joint dysfunction is caused when movements of the sacroiliac joint (located at the lower back/top of the pelvis) are impaired. I mean there are days without pain, but some days there is mild to moderate pain that comes and goes. Herniated Disc Exercises, Editorial Board A herniated disc occurs most frequently in the lumbar spine, specifically between the L4 and L5 vertebrae. This stress can lead to pain in other areas of the body, such as the hip. According to This motivated him to seek better ways to help patients, by thinking outside the box. It is generally characterized by pain, numbness, tingling, and weakness in the hips and legs. It usually results from compression of the nerve roots as they exit the spine, which is caused when jelly-like cushions between vertebrae herniate, said Kawchuk. We have all felt discomfort after a day of vigorous activity, but the symptoms of a herniated disc continue and possibly worsen over days, weeks, and months. WebGroin Pain from a Herniated Disc If a significant herniation does exist at T12/L1 or L1/L2, it is possible for the offending disc matter to be impinging on the nerve 2020 Discseel Procedure. As they break down they can press on the nerves and cause pain that radiates downwards and outwards, into the groin. One example of referred painis the pain that radiates down the left arm when someone is having a heart attack. It is responsible for providing innervation to the hip and leg muscles, as well as providing sensory feedback to the lower extremities. Spine (Phila Pa 1976). All rights reserved. Apply a cold pack to reduce swelling or a hot pack to relax muscles. Summary of background data: Patients feel low back pain originating from discogenic The feeling of pins and needles is similar to the prickly feeling you might experience when a limb falls asleep and begins to wake up, only this prickly feeling lasts longer. Please Note: Information on this site or any recommended sites should not be used as a substitute for talking with your doctor. This move stretches the thigh adductors and groin. Since the pain tends to radiate, it can be felt in a number of places, from the lower back to the buttocks, groin and down the back or front of the leg. An intervertebral disc consists of two layers: an inner, jelly-like layer called the nucleus pulposus and an outer, fibrous layer called the annulus fibrosis. Tingling anywhere along the low back, leg, hip, or arm can occur with or without pain. This produces the pain Additionally, some other symptoms may be present such as numbness, tingling, and weakness in the affected areas. Nerves of the lumbar spine L1 spinal nerve provides sensation to your groin and genital area and helps move your hip muscles. When the jelly-like inner layer leaks out through the outer layer, there is no cushion between the vertebrae. The sacroiliac joint (SIJ) is a commonly underdiagnosed cause of both acute and chronic back pain. Common Symptoms and Signs Stemming from L5-S1Pain, generally felt as a sharp, shooting, and/or searing feeling in the buttock, thigh, leg, foot, and/or toes.Numbness in the foot and/or toes.Weakness in the leg and/or foot muscles and an inability to lift the foot off the floor (foot drop). In many cases, numbness and dysfunction are manifest in the groin and anus and it is usual for patients to lose control of the bladder or bowels. These can range from mild to severe. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. Most lower spine problems are caused by a herniated disk that presses on nerves in the spinal column. A herniated disc occurs when some or all of the inner layer of the intervertebral disc ruptures through a weakened point in the outer layer. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015, Chiropractic Treatment for a Thoracic Disc Herniation, Upper Back Pain from a Thoracic Herniated Disc. Degenerative Disc Disease Your doctor can advise you as to whether this treatment is appropriate for you. The treatment options that are available for a spinal issue like a pinched nervous system, including pain injections and physical therapy, can be extensive. Other symptoms of L3 L4 pain include hip and leg muscle weakness, as well as difficulty standing up straight or walking due to instability. Referred pain can also be felt radiating down the arm in the event of a heart attack. Somewhere between five and 10% of patients experience disc reherniation. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine. Here are the 12 most common herniated disc symptoms: The hallmark of herniated disc pain and other symptoms is that they persist. Dr. Wolff is highly motivated to help his patients for personal reasons as well. Central herniated discs which cause canal stenosis affecting the entire cauda equina structure might compress some or all of the lower sacral nerves at a higher level, before they exit the spine. 130 Tamiami Trail North, Suite 210 Naples, FL 34102, 6500 W.143rd St., Overland Park, Kansas 66223, 3443 Dickerson Pike Suite 590 Nashville, TN 37207, 6860 Perimeter Drive, Suite A., Dublin, Ohio 43016, 294 Tom Miller Rd, Plattsburgh, New York 12901, 62 E 88th Street, New York, New York 10128, 600 Worcester Rd, Ste 301, Boston, Massachusetts 01702, 5750 Coventry Lane, Suite 101, Fort Wayne, Indiana 46804, 831 Coral Ridge Drive, Coral Springs, Florida 33071, 130 Tamiami Trail North, Ste. Chronic Disc Pain WebIf a herniated disk presses on any of the nerves that lead to the groin, the individual may feel pain in the groin as a result of a disc problem in their back. These include a bulging disc in the lower back or narrowing of the spinal canal (called stenosis).One of the most common nerve conditions that causes groin pain is meralgia paresthetica.This issue arises when a nerve called the lateral femoral cutaneous nerve (which provides sensation to the front and side The most common levels for a herniated disc are L4-5 and L5-S1. Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); Your email address will not be published.