Cauda Equina | Syndrome, Treatments, Diagnosis & Symptoms

What is Cauda Equina?

The word cauda equina is a descriptive Latin term. Cauda equina is a collection of spinal nerves having rootlets, cauda equina consist of fifth lumbar nerve pairs, the first through fifth sacral nerve pairs and the coccygeal nerve in, all of which arise from the cauda equina’slumbar enlargement and cauda equina conus medullar is of the spinal cord.

Cauda Equina
what is Cauda Equina?

Causes of Cauda Equina Syndrome

Cauda equina syndrome is a very rare disorder that usually is a surgical emergency. The patients with cauda equina syndrome, something in a few cases compresses on the spinal nerve roots. You may need fast treatment to prevent lasting damage leading to the lack to voluntary control over urination or defecation and possibly permanent paralysis of the legs. Although a common leg pain goes away after a while without the need for surgery, However, On the other hand the cauda equina syndrome, a rare disorder affecting the bundle of nerve roots (cauda equina) at the lower (lumbar) end of the spinal cord, is a surgical emergency which if left un observed or untreated might cause the permanent loss of the legs. The word “Syndrome” means a group of symptoms which consistently occur together and bring about a change, or a condition characterized by a set of associated symptoms.

Causes of Cauda Equina Syndrome
Cauda Equina Syndrome

Trauma and Herniated Disk in Cauda Equina

Traumatic in cauda equina causes fracture of low back and results in compression of the cauda equina. Herniated disk in cauda equina can get improved by good treatment, including medications and rest of short periods etc.

Cauda Equina Appointment with Doctor

Often people go to see a doctor for cauda equina just in case that they don’t have the CES (Cauda Equina Syndrome) and as they go see their doctor, they’ll need to provide their personal medical history for example the doctor might ask about any past accidents the person had or any allergies He or She had to has, for cauda equina, the doctor might also take a blood sample to see if there are any disease or viruses within the blood. For cauda equine the doctor might also ask about the person’s parents or other close relatives have had back problems and will also want a detailed list of all the symptoms, including when they started and their severity. During cauda equina appointment, the doctor will do a physical examination. They’ll test the stability, strength, alignment, and reflexes of your legs and feet they might even check any other muscles of the body. The person will probably be asked to sit, stand, walk on your heels and toes, lift your legs while lying down and bend forward, backward, and to the side. Depending on your symptoms, your doctor may also check your anal muscles for tone and numbness. Since the loss of these muscles are a major symptom the CES (cauda equina syndrome). The doctor might also recommend different test such as MRI, or the doctor might recommend different drugs (we have already discussed the tests and drugs previously).

Herniated Disk inside Cauda Equina
Herniated Disk in Cauda Equina

Spinal Stenosis in Cauda Equina

Spinal stenosis in cauda equina spinal cord’s front end to back end narrowing. Spinal stenosis in cauda equina can be caused by abnormal     development of spinal cord.


Treatments Available for Cauda Equina?

With this, patient in cauda equina syndrome, need for surgery is very important. The target is to get fixed from the compressed nerves by doing a surgery and function of muscle to bladder etc. More cauda equina treatments can also be found on web. Surgery must be done as quickly as possible to prevent permanent damage, such as paralysis of the legs, loss of bladder and bowel control (loss in control over the urination and defecation), sexual function, or other countless problems that get worse without proper treatment. Depending on the cause of your CES (cauda equine syndrome), you may also need high doses of corticosteroids (Corticosteroids are a special class of steroid hormones that are produced in the adrenal cortex of vertebrates but not in invertebrates). These can reduce swelling. If you are diagnosed with an infection you may need an antibiotic therapy. If a tumor is responsible, radiation or chemotherapy may be needed after surgery to reduce the threat. Cauda equina infection conditions, if it get infected, can cause to nerve systems. It depends on how much damage has occurred. Cauda equina infection conditions can also get result in fast muscle weakness. If surgery is successful and done in the early stages and done by an expert doctor, you may continue to recover bladder and bowel function over a period of years. However, there is a great loss of other bodily functions such as the paralysis of the lags.

What are Treatments for Cauda Equina
Treatments for Cauda Equina

Tumors (Neoplasms) in Cauda Equina

Common symptom in individuals in cauda equina syndrome caused by a tumor and it does really bad leg and also in low back pain includes lower extremity weakness. In this tumors cauda equina a person can even loss the feelings of legs.

Cauda Equina Inflammatory Conditions

Spinal cord conditions that last long are very serious in cauda equina Inflammatory Conditions that includes Paget disease that can move to cauda equina syndrome because of thinning of the spinal cord.

Inflammatory Conditions of Cauda Equina
Cauda Equina Inflammatory Conditions

Cauda Equina Infectious Conditions

Cauda equina Accidental Medical Causes (Iatrogenic Causes)

In cauda equina if the screws are not tightened then it may be nerve injury.

Cauda Equina Conditions available
Cauda Equina Conditions

Cauda Equina People at Risk

People who are most likely at risk to develop CES (cauda equina syndrome) include those people who have a herniated disk, cauda equine syndrome include older adults or athletes in high-impact sports (sports that require vigorous exercises). If you have had a severe back injury, such as one caused by a car accident or a fall or due to some other accident, you’re also at higher risk for developing CES (cauda equina syndrome) and other possible risk factors for a herniated disk in cauda equina include:

  1. Being overweight or obese which is a problem that is increasing rapidly due to childhood obesity.
  2. Having a job that requires a lot of heavy lifting, in many underdeveloped countries, due to the insufficient construction equipment people are hired to do all the heavy lifting that that should be done by the machines.
  3. Twisting, pushing, and bending sideways of muscles.
  4. Having a genetic predisposition for a herniated disk that is sometimes passed on from the person’s family. This sometimes also happen due to the exposure of harmful rays coming from the sun such as, UV rays.
Risk for Cauda Equina
Cauda Equina Risk

Cauda Equina Syndrome Symptoms?

Cauda equina Syndrome causes Pain in both legs. Cauda equina Syndrome causes Numbness situations. Cauda equina Syndrome causes bladder pain. Cauda equina Syndrome muscles extreme weakness.

what are Cauda Equina Symptoms?
Cauda Equina Symptoms?

Cauda Equine Diagnosis

It may be hard to diagnose cauda equina syndrome which adds to the deadliness of this syndrome. Cauda equina Symptoms vary and may come on slowly. They also mimic other conditions. If you have any of these symptoms of cauda equina, it is advised that you see your doctor right away for your own health, the following symptoms are also known as the ‘red flag’ symptoms all over the world:

  1. Severe cauda equina pain in the lower back
  2. Severe cauda equina Pain, numbness, or even weakness in one or both legs that might causes you to stumble or have trouble getting up from a chair
  3. Loss of or altered sensations in your legs, buttocks, inner thighs, backs of your legs, or feet that is severe or gets worse and worse even after taking the common pain medicines such a Panadol; you may experience this as trouble feeling anything in the areas of your body that would sit in a saddle (called saddle anesthesia)
  4. Recent problem with bladder or bowel function, such as trouble eliminating urine or waste (retention) or trouble holding it (the ability to control the use of bladder and rectum for urination and defecation)
  5. Sexual dysfunction that has come on suddenly
  6. A physical exam, to assess your strength, reflexes, sensation, stability, alignment, and motion of muscles, bones and other parts of the body. You may also need blood tests in order to confirm that there are no harmful diseases or viruses living in your blood.
  7. Magnetic resonance imaging (MRI) scan, which uses the magnetic fields and computers to produce a three-dimensional images of your spine which might also come throughout the treatment.
  8. A computed tomography (CT) scan.

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