Injury of cauda equina digital illustration

Injury of cauda equina Save


ICD-10 code: S34.3

Chapter: Injury, poisoning and certain other consequences of external causes

Injury of Cauda Equina: Symptoms, Causes, and Treatment

When the bundle of nerves located at the lower end of the spinal cord is damaged, it leads to a condition known as Cauda Equina Syndrome (CES). This condition can result in severe pain and loss of function in the lower part of the body, including the legs, bladder, and bowel. It can also lead to sexual dysfunction in both men and women.

There are several causes of cauda equina injury, including herniated discs, spinal tumors, infections, and trauma. Symptoms of CES include lower back pain, leg pain, numbness or tingling in the legs or feet, difficulty walking, and loss of bladder or bowel control.

If you experience any of these symptoms, it is essential to seek medical attention immediately. A doctor will perform a physical exam, review your medical history, and may perform additional tests such as an MRI or CT scan to confirm the diagnosis.

Once a diagnosis of CES is confirmed, treatment may include surgery to relieve pressure on the nerves, medication to manage pain and inflammation, and physical therapy to help regain muscle strength and mobility. In some cases, patients may require long-term care and support to manage ongoing symptoms and complications.

  1. Surgery: Surgery is often the first line of treatment for CES, particularly if the symptoms are severe or if there is a risk of permanent nerve damage. During surgery, the damaged or compressed nerves are relieved of pressure, allowing them to heal and restore function.
  2. Medication: Pain relievers and anti-inflammatory drugs may be prescribed to manage pain and reduce inflammation in the affected area. In some cases, muscle relaxants may also be used to help relieve muscle spasms.
  3. Physical Therapy: Physical therapy can help patients regain muscle strength and mobility after surgery or injury. A physical therapist will work with patients to develop a personalized exercise program aimed at improving strength, flexibility, and range of motion.

If left untreated, cauda equina injury can lead to permanent nerve damage and loss of function. Therefore, it is essential to seek medical attention immediately if you experience any symptoms associated with CES. With prompt diagnosis and treatment, most patients can achieve a full recovery and return to their normal activities.