The L4 and L5 are the two lowest vertebrae of the lumbar spine. Together with the intervertebral disc, joints, nerves, and soft tissues, the L4-L5 spinal motion segment provides a variety of functions, including supporting the upper body and allowing trunk motion in multiple directions.
An injury to the cauda equina may cause severe pain, weakness, numbness, tingling, or paralysis in both legs. There may also be a reduction or complete loss of bowel and/or bladder control. This condition, called cauda equina syndrome, is a medical emergency and requires urgent treatment to preserve leg function and restore bowel and/or bladder function.
See Cauda Equina Syndrome
Nonsurgical treatments are often tried first for symptoms that stem from L4-L5. In rare cases, surgery may be considered.
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