I’ve had surgery for a disc herniation at L45. But now I’m having some strange new symptoms I’ve never had before. Besides back pain, there’s thigh pain, and I’m having trouble getting up and down stairs. Come to think of it, I have a little trouble getting out of a chair after sitting too long. Could this be from a disc?

Lumbar spine herniation usually cause back and leg pain. But the exact location of the symptoms and accompanying neurologic deficits may change depending on which lumbar level is affected.

For example, sciatica (pain down the back of the leg to the foot) is more likely the result of a lower disc level such as L5 and S1. Anterior (front of the) thigh pain is more common with upper lumbar disc herniations (L2-L3).

You’ll probably need a medical evaluation to help sort out your symptoms. The doctor will take your personal and familly history. This information along with your clinical presentation (signs and symptoms) and results of clinical tests will determine the need for further tests and measures.

When there is a question of disc problems, the physician will carry out some specific neurologic tests. This will likely include reflex testing, muscle testing, and sensory testing to identify the level involved. Lab values, X-rays, and more advanced imaging may be ordered as well.

An early diagnosis can help prevent complications and problems that can occur when treatment or intervention is delayed. If you’ve had your symptoms for awhile and/or if they are getting worse, an appointment with your primary care physician is advised.