In Focus: Cauda Equina Syndrome- A Spinal Emergency

Cauda equina syndrome is a rare but serious condition that occurs when pressure is placed on the nerves at the bottom of the spine. This can lead to a variety of symptoms, including pain, numbness, and weakness in the legs, bowel and bladder problems, and sexual dysfunction.

The cauda equina is a bundle of nerves that originate at the spine and control the bladder, bowel, and sexual function, as well as sensation and movement in the legs.

Cauda equina syndrome can be caused by a number of things, including:

A spinal cord injury
A herniated disc
A tumor
An infection
A narrowing of the spinal canal (spinal stenosis)

If you experience any of the symptoms of cauda equina syndrome, it is important to seek medical attention immediately. Early diagnosis and treatment is essential to prevent permanent damage.

The symptoms of cauda equina syndrome can vary depending on the severity of the compression. Some common symptoms include:

Loss of feeling / pins and needles between your inner thighs or genitals
Numbness in and around your back passage or buttocks
Altered feeling when using toilet paper to wipe yourself
Increasing difficulty when you try to urinate
Increasing difficulty when your try to stop or control your flow of urine
Loss of sensation when you pass urine
Leaking urine, or a recent need to use pads
Not knowing when your bladder is either full or empty
Inability to stop bowel movement or leaking
Loss of sensation when you pass a bowel motion
Change in ability to achieve and erection or ejaculate
Loss of sensation in genitals during sexual intercourse

If you experience any of these symptoms, it is important to see a doctor right away. Cauda equina syndrome is a medical emergency and can lead to permanent damage if not treated promptly.

The treatment for cauda equina syndrome depends on the underlying cause. In some cases, surgery may be necessary to relieve the pressure on the nerves.

The prognosis for cauda equina syndrome depends on the severity of the compression and the speed of diagnosis and treatment. With prompt treatment, most people make a full recovery. However, some people may have permanent damage, such as weakness or numbness in the legs.