The mnemonic
L5 big toe, S1 ankle jerk
What each word stands for
- L5Weak great toe dorsiflexion, numbness over dorsum of foot
- S1Lost ankle jerk, weak plantar flexion, lateral foot numbness
Why it matters clinically
Distinguishes the two commonest sciatica levels from L4-L5 and L5-S1 disc prolapse.
Where it stops being reliable
Ignores L4 (knee jerk) and higher roots.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.