Leg Weakness / Sensory Loss



Common Examination Components:

(You are likely to be expected to examine the common components in each case)


Introduction for the patient e.g. ‘What you have told me suggests I need to examine your leg. Can you take your bottom layers off so I can see your leg clearly’ 

Inspection: (ensure the leg is exposed to the groin crease).

  • Tremor
  • Muscle Wasting
  • Bony Abnormality
  • Fasciculation

Tone for rigidity



  • L1,2 - hip flexion   - Pull your knee to your tummy


  • L1,2 - knee flexion   - Pull your heel to your bottom


  • L3,4 - knee extension - Push your heel to the end of the bed’


  • S1    - planter flexion - Push against my hand


  • L4,5 - dorsi flexion -  Push against my hand.



  • S1,2 (Ankle),


  • L3,4 (Knee)


Sensation:  Light Touch  

‘Please close your eyes and let me know when you can feel me touching your leg. Let me know if anywhere I touch you feels different.’
Touch once in the dermatomes L1,2,3,4,5, S1. Keep the timing of touches unpredictable to help prevent guesswork by the patient.


Physical Examination

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Additional Examination Components:

(Examine an additional component If the specified indication is present)


Indication: History or examination findings suggestive of sensory loss or conditions associated with dorsal column disease


Components: Proprioception and Vibration





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