Cauda Equina

Question 1

What is cauda equina?

Answer 1

Caused by depression of the cauda equina (the nerves that leave the lower portion of the spinal cord to reach lower parts of the body - eg bladder and legs).

Question 2

Signs and symptoms of cauda equina

Answer 2

Back pain with associated weakness, numbness and loss of power or control
Bladder and bowel incontinence (with or without realising)
Sciatica and leg weakness
Saddle numbness
Sexual problems

Question 3

Management of cauda equina

Answer 3

MRI
Surgery within 24/48 hours of onset depending on severity
Pain relief from us
No need to immobilise unless trauma present

Question 4

Causes of cauda equina

Answer 4

Vertebral disc herniation, lower back surgery, or tumours in lumbar spine