Cauda Equina Syndrome

Cauda Equina Syndrome (CES) is a serious condition that affects the lower lumbar spinal nerve roots. The actual spinal cord ends in the lower thoracic or upper lumbar spine. After this point, the various spinal nerves branch off, forming the cauda equina (horse�s tail). These spinal nerve roots serve the neurological needs of the pelvis and the lower limbs.

cauda equina syndrome

Sometimes, due to an injury, these nerve roots are compressed. If this compression is serious, it can affect the bladder, bowel, or sexual functions. This condition is considered a medical emergency, since damage to these nerves may be permanent. Even if treatment is given immediately, the function of these organs may still suffer some lasting effects.

Causes of CES

An injury to the lower spinal nerve roots can be caused by any type of severe trauma, infection, or tumor. One of the most common causes is from a herniated disc that compresses the spinal nerves. Auto accidents and falls are the 2 biggest reasons for cauda equina syndrome to occur.

Symptoms of Cauda Equina Syndrome

Symptoms may be immediate, or may evolve and worsen over time.

* Bladder or Bowel Problems. Symptom may be inability to prevent eliminating waste (incontinence), or the inability to eliminate at all (constipation).

* Numbness in the legs, buttocks, anus, or sexual organs.

* Lower Back Pain tingling or numbness.

Diagnosis of CES

Diagnosis is made through a physical exam. Muscle and neurological tests will be performed. X-rays might be ordered. If there is suspicion of cauda equina syndrome, then an MRI or CT scan will be done.

Treatment of CES

Most treatment is done by immediate surgical correction, to relieve nerve compression. The process can be minimally invasive, since only a small area is treated. Even with successful treatment, permanent damage may have been done to the nerves. This can leave a patient with permanent bowel, bladder or sexual dysfunction.

Recommendation for Cauda Equina Syndrome

If you have injured your lower back or show any symptoms of CES, seek immediate medical attention. This is a very serious condition that can leave lifelong effects that can drastically reduce your quality of life. Time is precious in this situation, so do not delay. Get to a hospital immediately!

Cauda Equina Syndrome to Back Pain Home page 6/10/06 Revised 5/9/08