The spinal cord extends from the brain down into the spinal canal inside the vertebral column. Nerves that section off of the spinal cord is also denominated nerve roots and are an expansion of the spinal cord.

They are accountable for transmitting signals to and from the muscles and other forms everywhere in the body. These signs allow the brain to evaluate information from the body including pain, feel, and sense of space. Outgoing signals allow the brain to control the actions of the organs and muscle movements.
The spinal cord ends near the first lumbar vertebra in the lower back, developing the conus medullaris. The fibrous extension of the spinal cord is the filum terminal and the bundle of nerve roots below the conus medullaris is described as the cauda equina.

Compression or inflammation of the tissue roots can cause signs of pain, modified reflexes, reduced strength, and decreased awareness. Although these symptoms can become severe, and in some cases damaging, most are self-limiting and react to traditional care.

What Leads To Cauda Equina Syndrome?

Cauda equina syndrome is created by notable contraction of the spinal canal that reduces the nerve roots below the level of the spinal cord. Various other conditions of cauda equina syndrome have been described, including traumatic injury, disk herniation, spinal stenosis, spinal tumors (neoplasms), such as metastatic tumors, meningiomas, schwannomas, and ependymomas, provocative conditions, infectious ailments, and unexpected events by medical intervention.

Traumatic Condition

These disorders can be managed and symptoms could be handled with specific types of therapy along with medication. Trauma ailments are mental health situations that are caused by a traumatic action. Traumatic experiences heading to fracture or partial disorder of the low back or lumbar spine resulting in compression of the cauda equina. A collection of blood encompassing the nerves following trauma like epidural hematoma in the still back area can point to compression of the cauda equina.

Sensing injury gunshot or stab wounds can induce damage or compression of the cauda equina. A rare complexity of spinal administration is partial dislocation (subluxation) of the low back (lumbar spine) that can cause cauda equina syndrome.

Symptoms Associated With Cauda Equina Syndrome

Some of the signs of cauda equina syndrome comprise the following like the low back pain, pain in one leg or both legs bilateral that commences in the buttocks and progresses down the back of the thighs and legs. Dullness in the groin or area of contact if sitting on a perineal or saddle paresthesia, bowel, and bladder irregularities, lower limb muscle weakness and loss of emotions, decreased or absent lower extremity reflexes.

Back Pain And Bladder Disorder Associated With Cauda Equina

These moderate back pain can be classified into local and radicular pain. The local pain is usually a deep, aching pain emerging from soft tissue and vertebral body stress. Talking about the leg associated radicular pain, it is usually a sharp, piercing pain emerging from compression of the nerve roots. Radicular pain plans accompanying the specific areas measured by the compressed nerve is known as a dermatomal distribution. Bladder disorder associated with cauda equina symptoms includes the following like inability to urinate difficulty initiating urination (urinary hesitancy), the decreased feeling when urinating and failure to stop or control urination.

Reference

Cauda Equina is a surgical emergency and should seek immediate medical care. Dr Abhishek Mishra, the best Orthopedic Surgeon in Delhi can help you fight this medical emergency with his expertise.

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