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This type of injury mainly affects the hip and the groin region and extends to the fourth and pinky toes, heel, and part of the calf. If you have an S1 spinal cord injury, you also experience ankle pain.
L2 is the lowest vertebral segment that contains spinal cord. After that point, nerve roots exit each of the remaining vertebral levels beyond the spinal cord. Damage to the spine at the sacrum levels affects the nerve roots as follows: S1 affects the hips and groin area.
There are three types of nerves: motor, sensory and mixed. Sensory nerves also referred to as afferent nerves, carry impulses from sensory receptors towards the brain. Example: These nerves carry the impulses from the sense organs to the brain or to the spinal cord as the optic nerve of the eye.
Hypoglossal nerve (CN XII): Controlling tongue movement, which plays a role in speaking, eating and swallowing.
S1 radiculopathy causes radiation of sacral or buttock pain into the posterior aspect of the patients leg, into the foot, or the perineum. On examination, there can be weakness in plantar flexion. There can also be a loss of sensation along the posterior leg and lateral aspect of the foot.
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Medical Necessity Criteria An adjunct in the treatment of acute post-operative pain in the first 30 days after surgery. An adjunct in the treatment of certain types of chronic, intractable pain not adequately responsive to other methods of treatment, as appropriate, physical therapy and pharmacotherapy.

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