Symptoms of lumbar 4-5 disc herniation with spinal stenosis include low back pain, cauda equina syndrome, sciatica, neurogenic intermittent claudication and other symptoms.
1. Lumbar pain: commonly caused by lumbar disc herniation that stimulates the sinusoidal nerve around the vertebral body, causing the patient to experience lumbar pain.
2. Cauda equina syndrome: due to spinal stenosis, serious patients with cauda equina nerve compression, some patients may experience perineal sensory impairment, dysuria and sexual dysfunction and other symptoms.
3. Sciatica: As lumbar 4-5 is the tissue component of sciatic nerve, patients may develop sciatica, including numbness and radiating pain in lower limbs, such as buttocks, thighs, popliteal fossa, calves and even feet.
4. Neurogenic intermittent claudication: It is mainly manifested as weakness of the thighs after walking for a certain distance, which can be relieved after resting, and then walking again with repeated discomfort, which is called intermittent claudication.
Lumbar 4-5 intervertebral disc herniation with spinal stenosis may also have other symptoms, it is recommended that the patient go to the hospital in time to improve the relevant examination and take further treatment.