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L2-L3: Slip-Disc (Slipped Disc) Diagnosis and Treatment Options

L2-L3

Have you Been Diagnosed with Slip-Disc at L2-L3?

Slip-disc at L2-L3 is descriptive of a spinal disc disorder of the upper lumbar spine. The L2-L3 disc is about 2 inches above the waist. Disorders at the L2-L3 segment of the lumbar spine commonly refer pain in the mid or lower portions of the spine. Some may even experience pain in the flanks or the inner parts of their thighs. However, if the L2-L3 slip-disc is severe enough, it can cause pain anywhere from the waist down to toes. In this article, we will provide a brief overview of slip-disc, in hopes of providing our patients with the needed information. Please feel free to share this page with friends and family members in need.

The lumbar spine consists of 5 spinal bones named lumbar vertebrae. They are labeled from L1 to L5 with L1 being the first vertebra of the lumbar spine and L5 being the bottom-most vertebra in the lumbar spine. The incidence of slip-disc in the lower lumbar segments such as L3, L4, and L5 are far more common than the upper lumbar segments. There are a few theories that explain the higher incidence of slip-disc in the lower lumbar spine. One of the arguments demonstrated that there is an increased shearing force at the lower segments of the lumbar spine is due to the lordotic curvature. Therefore, the spinal discs in the lower lumbar are more prone to injury when the weight of the upper body is placed on these segments.

 

How common is a Slip-Disc?

Slip-disc at L2/L3 level is less common as those at L3-L4, L4-L5, and L5-S1, but when it is present, it may have a misleading clinical picture that doesn’t fit into any of the categories. If the slip-disc at L2/L3 level is very severe, it may also compress the L4, L5, and S1 (first sacral segment or tailbone). Compression of the L4, L5, and S1 nerve may result in low back pain, buttock pain, thigh pain, leg pain, sensory changes that affect the lower limbs and weaknesses in the lower leg. However, the presenting symptoms may not follow any of the dermatomal or myotomal distribution patterns. The deep tendon reflex may be hypersensitive or less reactive which may be misleading when a healthcare practitioner is concluding the differential diagnosis.

Femoral nerve stretch test may be positive when a patient present with slip-disc at L2/L3 level. The primary nerve innervation for femoral nerve comes from L2, L3, and L4. Slip-disc at the L2/L3 level should be able to reproduce the pain, numbness or tingling sensation at the front and outer side of the thigh or in the inguinal region. Weakness or atrophy of the quadriceps muscles or tibialis anterior may be present too. MRI of the lumbar spine can show the severity of the slip-disc and the segments involved. It can also reveal if there is any compression of the nerve roots.

 

L2-L3What Should You Do If You Suspect a Slip-Disc?

If you suspect a lumbar disc herniation (slipped disc or slip-disc), visit one of our centers today. Chiropractic Specialty Center has the best non-surgical clinical teams for accurate diagnosis and holistic treatment of slip-discs. Our methods of care are superior to others, as we targeted every aspect of a spinal disc issue. In short, treatments you get from us will lead to faster and longer lasting improvements. In our center, only the best clinical physiotherapists and expert chiropractors will render care simultaneously, through advanced technology that others do not have in Malaysia.

NSD Therapy is the best and most sophisticated non-surgical treatment for slip-disc. It incorporates the best clinical practices of physiotherapy, chiropractic, and rehabilitation. Best of all, the care you receive is painless. Don’t settle for less, our proven methods of care for the L2-L3 slip-disc or a slipped disc at any other level of the spine is unmatched.

 

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