Cauda equina syndrome
A rare type of spinal stenosis
The nerves in the low spine become severely compressed
What is cauda equina syndrome?
Need to know
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What are the symptoms of cauda equina syndrome? icon plus
Cauda equina syndrome symptoms vary according to the degree of nerve compression. For some patients, cauda equina syndrome develops suddenly while other people may experience symptoms slowly. Symptoms of cauda equina syndrome include:
- neurological symptoms such as weakness, tingling, or numbness in the legs and feet on one side
- numbness or tingling in the 'saddle region', including the groin, the buttocks and genitals, and thighs
- bladder or bowel incontinence; trouble passing urine and loss of rectal control
- sharp or stabbing pain in the legs (down to sciatic nerve pain
- lower back pain (usually a dull ache and stiffness)
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How is cauda equina syndrome diagnosed? icon plus
An MRI scan is the most effective way to diagnose cauda equina syndrome as it shows soft tissues. If you're displaying symptoms of back pain or sciatica, coupled with bladder, bowel or sexual problems, your consultant will recommend an MRI scan urgently.
In less severe cases, they'll discuss your medical history and carry out a physical exam to assess strength, reflexes, sensation, stability and range of motion. If you're unable to have an MRI scan, a CT scan or myelogram (where your spinal canal is injected with dye and an X-ray taken) may also be recommended. This helps your consultant locate pressure on the spinal canal.
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Potential treatment options icon plus
To prevent permanent damage, emergency treatment is required — usually within a few hours of displaying symptoms. Otherwise it could lead to permanent paralysis and incontinence. Surgical decompression is an effective way to treat the condition.
The aim of the surgery is to reduce or eliminate pressure on the impacted nerves in order to reduce damage and relieve pain. This is called a lumbar laminectomy. If permanent damage has occurred, symptoms can be relieved through physiotherapy and pain relief injections.
Our consultants
Our locations
From complex spinal surgery to diagnostic tests and scans, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.
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The Wellington Hospital
Wellington Place
St John's Wood
London NW8 9LE
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London Bridge Hospital
27 Tooley Street
London
SE1 2PR
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The Lister Hospital
Chelsea Bridge Road
London
SW1W 8RH
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The Princess Grace Hospital
42-52 Nottingham Place
London W1U 5NY
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The Portland Hospital
205 - 209 Great Portland Street
London W1W 5AH
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The Harley Street Clinic
35 Weymouth Street
London W1G 8BJ
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HCA UK at The Wilmslow Hospital
52-54 Alderley Road
Wilmslow
Cheshire SK9 1NY
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HCA UK at The Shard
The Shard
32 St Thomas Street
London SE1 9BS
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London Bridge Hospital
27 Tooley Street
London
SE1 2PR
Book an appointment
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Call us today
020 7079 4344