Severe Lower Back Pain Problems

Cauda Equina Syndrome

Severe lower back pain problems can be caused by compression of the cauda equina. Many people don’t realise that the spinal cord actually ends quite high up in the back – at about the level of the 1st lumbar vertebra in fact. This doesn't mean that there is nothing important below that however! The spinal cord separates off into strands which bundle together to form the cauda equina (Latin for horse tail - and it does in fact look like that).

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What is Cauda Equina Syndrome?

cauda equina syndrome
The cauda equina is the part of the spinal cord below the level of the first lumbar vertebra. It looks like a horses tail hence the name.

This important part of the spinal cord carries nerve impulses to and from structures like your bladder and bowel. Cauda equina syndrome is caused by a compression of this part of the spinal cord. One of the main worries with a severe disc bulge is that rarely it may compress this area.

severe lower back problems
Sometimes a severe spinal disc prolapse or bulge can cause a compression of the cauda equina.

 

Cauda Equina Syndrome Symptoms

Some of the symptoms of this serious syndrome are:

  • Changes in bladder or bowel function – in particular not being able to control your bladder or bowel, or trying to pass water and not being able to.

  • Numbness between the thighs in the saddle area of both legs

  • A feeling of loss of control in the legs that may sometimes interfere with your walking - your legs may feel as if they don't belong to you.

If you are in any doubt go to the emergency room or make an urgent appointment with your doctor straight away. Whilst rare, cauda equina syndrome is a serious problem and needs immediate attention if permanent problems are to be avoided.

Do you share one of the 7 most common lower back pain worries?

I often get letters from my readers asking exactly the same questions that my patients ask. Many others share the same worries as you. In this free 7 part e-course I take one question at a time and explain the answers in clear, straightforward language.  I hope knowing that you're not alone and having reliable information will help you manage your back pain.
You can sign up for the free lower back pain answers e-course at this page.

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21-Jan-2011

 

 

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