A member asked:

Can bilateral l5 nerve root compression from grade 2 spondylolisthesis cause consistent muscle twitches/fasciculations in calves, top of foot, arch of foot, and the tibialis anterior muscle?

4 doctors weighed in across 2 answers

The simple answer to your question is yes. The L5 nerve root is part of the sciatic nerve innervating the lower extremities. I would want to ask you why such a young person has such pathology to the lower back? Nerve conduction studies can diagnose the problem. A neurologist can help diagnose the problem. A neurosurgeon or orthopedic surgeon would have to be considered for any type of procedures

Answered 6/22/2021

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Yes, if the nerve roots are substantially compressed, the muscles innervated would demonstrate secondary issues. But you do mention involvement in some muscles in the S-1 distribution, so, an EMG would be instructive. Perhaps a question of surgery would be salient if significant denervation were noted on electrodiagnostic testing.

Answered 6/22/2021

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