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Doctor insights on: Medicine For Cauda Equina Syndrome

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What is cauda equina syndrome?

What is cauda equina syndrome?

Nerve compression: A cauda equina syndrome involves the lumbar spine below the tip of the spinal cord, which usually ends at the l1-2 disc space. The syndrome involves compression of all of the nerves within the spinal canal and is an acute emergency. There are a variety of problems that can compromise the spinal canal such as massive disc ruptures, abcess, hematoma, and tumors. Bladder dysfunction is common. ...Read more

Dr. Behnam Myers
124 Doctors shared insights

Cauda Equina (Definition)

Spinal cord ends at upper lumbar spine (l1-2 level) and become a bundle of nerve roots, which look like horse tail. It passes bony tube inside the lumbar vertebrae while sending out nerve roots at each spine levels. You can easily visualize the anatomy on-line if ...Read more


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What is cauda equina syndrome?

What is cauda equina syndrome?

Pressure on nerves: This syndrome occurs due to pressure on the nerves in the lumbar spinal canal. After the spinal cord ends, the nerves going down to the legs and bladder form a collection of stringlike structures called the "horse tail" or cauda equina in latin. Severe pressure on this group of nerves can cause profound leg weakness, and loss of bladder/bowel control. This usually occurs due to large disc bulges. ...Read more

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What is cauda equina syndrome?

Compression: Cauda equina is the cluster of nerve roots distal to the end of the spinal cord in the lumbosacral cistern, at the lower back. Compression due to disc rupture, tumor, or narrowing can cause leg weakness, and/or numbness, inability to initiate urination, constipation or diarrhea, and various expressions of pain. Can be lumber stenosis, which is gradual. All of the above need evaluation, ? Op. ...Read more

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What is "cauda equina syndrome"?

What is "cauda equina syndrome"?

Compression: Cauda equina is the cluster of nerve roots distal to the end of the spinal cord in the lumbosacral cistern, at the lower back. Compression due to disc rupture, tumor, or narrowing can cause leg weakness, and/or numbness, inability to initiate urination, constipation or diarrhea, and various expressions of pain. Can be lumber stenosis, which is gradual. All of the above need evaluation, ? Op. ...Read more

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Can you explain cauda equina syndrome?

Neurological: It is a serious neurologic condition in which there is acute loss of function of the nerve roots of the spinal canal below the termination of the spinal cord. Compression, trauma or other damage to this region of the spinal cord can result in cauda equina syndrome. ...Read more

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What exactly is cauda equina syndrome?

What exactly is cauda equina syndrome?

Severe nerve pinch: There is a bundle of nerves in the lumbar spine that hang down from the spinal cord. This is the cauda equina or the horse's tail. The syndrome is caused by severe compression or injury of the entire bundle. It results in bilateral leg weakness, bowel and bladder incontinence. It's commonly caused by a large herniated disc, but also by tumor, trauma or hemorrhage. ...Read more

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What are symptoms of cauda equina syndrome?

Many: The nerve compression can be initially intermittent such as neurogenic claudication, with weakness, and numbness on exercise or walking. Later, perhaps, trouble with bladder and bowel, leg weakness, perhaps atrophy, numbness and pain. ...Read more

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Can you tell me about cauda equina syndrome?

Can you tell me about cauda equina syndrome?

Compression at base: Of spinal cord and early nerve roots in spinal cnal, which can be a serious emergency and would need surgical intervention. This syndrome includes not only pain, but loss of control of bladder and/or bowel (loss of continence or retention), numbness on the insides of your thighs and groin area, occasionally weakness in legs. If suspected, see physician immediately. ...Read more

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What are the tests for cauda equina syndrome?

What are the tests for cauda equina syndrome?

History, exam, image: Trouble emptying the bladder, new and attended by numbness in the private area (and other symptoms) prompt a rectal exam. Urgent imaging (usually mri) of the low back confirms the diagnosis. Decompression as soon as possible seems to improve the outcome. ...Read more

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What sort of disease is cauda equina syndrome?

What sort of disease is cauda equina syndrome?

SERIOUS: This literally means 'horses tail'' referring to the summation of nerves in the low back. The seriousness comes from the syndrome of all the nerves being compressed by a large lumbar (low back) disc (or tumor) causing weakness in legs and bladder & bowel changes. Immediate surgery is best treatment or permanent damage may result. ...Read more

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What are the symptoms of cauda equina syndrome?

Saddle anesthesia: Cauda equine syndrome is caused by compression of nerves arising from the end of the spinal cord. Symptoms can include pain, weakness and numbness in legs there can be problems with urinary function as well. Numbness in the region of the genitals and anus (saddle anesthesia) is one of the classic findings associated with this disorder that differentiate it from a less severe lumbar pinched nerve. ...Read more

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What can you expect from cauda equina syndrome?

Weakness: The term refers to disease affecting the terminal area below the spinal cord, and can cause bilateral leg weakness, numbness, inability to urinate, but early on may cause a neurogenic claudication, where walking or exercise creates transient numbness and weakness. ...Read more

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How do I avoid developing cauda equina syndrome?

How do I avoid developing cauda equina syndrome?

Doctor: If you have a history of lumbar disc herniation or spinal stenosis, check with your doctor to see if the compression seen on imaging studies warrants concern. If you have no history of lumbar issues, then your risk is extremely low of ever developing this condition in one's lifetime. There is no screening for this pathology for prevention. ...Read more

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What happens once you have cauda equina syndrome?

Depends on cause.: The prognosis of such a syndrome all depends on what is causing the issues. It may need surgical intervention, medication management, all depending on the physiologic etiology of the syndrome in question. ...Read more

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Is cauda equina syndrome a permanent disabillity?

Possibly: Depending on your function of bowel, bladder and legs. If it was caused by anatomical pressure on cauda equina, which then surgically fixed, you might still experience slow improvement. ...Read more

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What to do if I'm suffering from cauda equina syndrome?

See your doctor.: If you truly have cauda equina syndrome, you may need surgery to prevent permanent damage to your nerves. In its simplest form, the surgery involves taking the pressure off of the nerves in your lower back. ...Read more

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What are the different types of cauda equina syndrome in adults?

What are the different types of cauda equina syndrome in adults?

Cauda Equina: Cauda equina i.E "horses tail" is composed of nerves that sprout off of the spinal cord that ends in the lower thoracic upper lumbar area. In the lumbar spine typically there is only nerve roots. Therefore when there is severe squeezing of the cauda equina the patient will feel sensations of bowel and bladder incontinence, or "loss"
of urinary control urgency or being unable to urinate. ...Read more

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What is the definition or description of: cauda equina syndrome?

Lower back: The cauda equina is the "horses tail" of the nerves at the tail end of the spinal cord below the waist level. These nerves subserve the bladder, bowel, and legs. If the area is compressed (lumbar stenosis) or a tumor is present, the nerves can be damaged, which may cause initial neurogenic claudication (with activity) or leg weakness/numbness, and bladder/bowel issues. ...Read more

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Can you tell me how could I treat cauda equina syndrome naturally?

Can you tell me how could I treat cauda equina syndrome naturally?

Not an option: If you have a true cauda equina syndrome, it is a surgically emergency as progression or prolonged compression of the nerves can lead to permanent paralysis. There is no natural treatment. Some people confuse spinal canal stenosis, which can respond to pt as a non-surgical treatment, but true cauda equina syndrome needs neurosurgical assessment. ...Read more

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Can you please discuss cauda equina syndrome and how will it effect me?

Can you please discuss cauda equina syndrome and how will it effect me?

Lower nerves: Syndrome due to dysfunction of the nerve roots emanating from the bottom of the spinal cord. May consist of lower extremity weakness, sensation changes of the saddle and genital areas, bladder dysfunction, bowel dysfunction, sexual dysfunction and pain. ...Read more

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I think I have cauda equina syndrome but I haven't been diagnosed. How woul di know?

Perhaps: You may experience neurogenic claudication, where, while walking one or both legs go numb or weak, typically without pain. Or you may experience problems starting a urinary stream, or perhaps you have low back pain with certain positions. If you have leg weakness, numbness, tingling, bladder or bowel problems, see your doctor and get diagnosed. ...Read more

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Please let me know if there is any possible cure right now for cauda equina syndrome?

Please let me know if there is any possible cure right now for cauda equina syndrome?

Surgery or: Extremely constrictive, long term bracing in very specific circumstances are the only options. This deals with pressure on specific nerves as they start to divide after the base of the spinal cord and continued compression can lead to paralysis. Surgery is usually recommended. ...Read more

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Went to lunch with my family. Noticed things that were worrisome. What are the symptoms of cauda equina syndrome and who can get it?

Went to lunch with my family. Noticed things that were worrisome. What are the symptoms of cauda equina syndrome and who can get it?

Neurosurg emergency: This a neurosurgery emergency found in people who have severe compression of the lower spinal canal sac of nerves. They usually come on very quickly and cause profound weakness and bowel/bladder control loss. Usually caused by an acute herniated disk. If you noticed disturbing things at lunch, remember the possibility of myelopathy with weakness of the extremities and clumsiness. ...Read more

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Does the entire bundle of nerve roots need to be compressed for it to be cauda equina syndrome or can a person have same symptoms with one nerve?

Does the entire bundle of nerve roots need to be compressed for it to be cauda equina syndrome or can a person have same symptoms with one nerve?

Usually not: Typically the diagnosis of caudal equina syndrome is made when multiple nerves going to the pelvic and leg regions are pinched/compressed. If only one nerve is pinched the diagnostic term used is different. ...Read more

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Is there a cure for cauda equina syndrome?

Surgery: Cauda equina is a syndrome that causes numbness and weakness to the lower extremities from a severe compression of the nerve roots in the lumbar spine. In addition it can cause urinary or bowel problems. This is a surgical emergency and requires a decompressive procedure so to not be left with permanent nerve damage. ...Read more

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What sort of MRI detects cauda equina syndrome?

What sort of MRI detects cauda equina syndrome?

CES imaging modality: MRI: T1 and high on T2 sequences.
CT myelogram, only if MRI is not available. ...Read more

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What is the treatment for cauda equina syndrome?

Depends: Cauda equina is often caused by a very larger herniated disc. This can be treated with urgent surgery. Other causes would be tumors, hemorrhages and penetrating trauma, such as a gunshot wound. The outcomes from treatment are highly variable, and depend on the mechanism, degree of deficit and the timing of the intervention. ...Read more

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Which sort of MRI to detect cauda equina syndrome?

Lumbar: A lumbar spine MRI would cover the bottom of the spinal (i.e. The conus medullaris) the the nerve roots coursing out of the conus (cauda equina). ...Read more

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How to treat cauda equina syndrome naturally?

Cauda equina syndrom: Cauda equina syndrome is a very serious matter and needs to be treated most commonly by surgery - I am not aware of any naturopathic treatments that will correct this problem. ...Read more

Dr. Behnam Myers
138 Doctors shared insights

Cauda Equina Syndrome (Definition)

A serious neurologic condition in which damage to the cauda equina causes loss of function of the lumbar plexus (nerve roots) of the spinal canal below the termination (conus medullaris) ...Read more