Our Service For You


Diagnosing CES – Why Is A Rectal Examination Needed?

A digital rectal examination will be needed to assist the diagnosis of cauda equina syndrome.

What is cauda equina syndrome (CES)?

The cauda equina is formed by nerve roots below the level of the lower end of the spinal cord. Cauda equina syndrome can be defined as:

Cauda equina syndrome may result from any lesion that compresses the cauda equina nerve roots. They are particularly susceptible to injury. They tend to recover poorly from injury.

History of CES

A patient with CES will usually present with the following history:

With regards to sensory loss, the toilet paper may feel different when wiping. This can be confirmed on examination if saddle anaesthesia is suspected. Bladder dysfunction may present as incontinence but often presents earlier as difficulty starting or stopping a stream of urine.

Changes around the anus

As well as the physical signs associated with sciatica, the most important physical signs are loss of sensation/altered sensation, around the anus and changes in anal tone. That is why a digital rectal examination is needed, as it is the best way to establish whether these clinical symptoms are present.

A digital rectal examination involves a medical practitioner inserting a finger into the patient’s anus. The patient may be asked to squeeze so that the clinician can test the level of anal tone. The patient may also be asked to say whether there is normal sensation and what can be felt.

Failure to perform rectal examination

When a patient presents with the symptoms associated with cauda equina syndrome, a neurological examination must follow. This should involve testing the sensation around the saddle area, mobility and sensation in the legs, and a digital rectal examination.

Without a digital rectal examination, the clinician may not appreciate the patient’s symptoms in their entirely, causing a diagnosis to be missed. If such medical errors do happen and a patient’s treatment is delayed as a result, there may be grounds for a compdensation claim.

Cauda equina solicitors

To talk to a solicitor about making a medical compensation claim for cauda equina syndrome, please contact us today for more information.

Make A Free Enquiry

Please call us free on 0800 234 3300, from a mobile click to call 01275 334030 or complete our Free Online Enquiry for a no cost, no obligation opinion.

Share Article With:

Free Cauda Equina Enquiry

Call us free on
0800 234 3300

or enter your details below and we will be pleased to answer your questions and advise you of your options.

     

    All enquiries are completely free of charge and without obligation. We are here to help you, so if you have any questions please do get in touch with us.


    What Clients Say

    I would like to take the opportunity to thank you for taking on J’s case, for the comprehensive advice and also for keeping us regularly updated with regard to the progress. I would not hesitate to recommend you or the firm to anyone in the future.

    Mr B

    Julie and everyone at Glynns is amazing, they have been more like friends than solicitors and have helped me no end throughout my ordeal. I have had lots of medical advice from specialists which I am eternally grateful for which was all thanks to Glynns. I have to say I will actually miss my contact with Glynns when my case is over and would not hesitate to recommend them to other people who have been through a similar thing to me.

    Ms M

    Absolutely amazing, always available to talk, always kept informed every step of the way. Very supportive, efficient and knowledgeable. Thank you.

    Ms S

    Highly recommend Glynns Solicitors. Very sensitive on personal injuries. Explained everything.

    Ms B

    The service I have received from Chris has been absolutely outstanding. He has made a traumatic and painful situation more bearable through his constant support, advice and friendliness. Thank you

    Ms A

    Lucy, thank you so much for everything over the last five and a half years, I really appreciate everything you, John, Carolynne and Abdul have done to support me and make this as painless as possible and to help me secure a fair settlement.

    Mrs M

    A wonderful, helpful service. Great advice and lots of patience, I definitely made the right decision.

    Ms D

    I would like to take the opportunity to thank you for taking on J’s case, for the comprehensive advice and also for keeping us regularly updated with regard to the progress. I would not hesitate to recommend you or the firm to anyone in the future.

    Mr B

    Absolutely amazing, always available to talk, always kept informed every step of the way. Very supportive, efficient and knowledgeable. Thank you.

    Ms S

    Why Choose Us?

    Over 1,000 Cauda Equina Claim enquiries handled to date

    All initial enquiries are completely free of charge and without obligation

    Specialists in Cauda Equina Claims

    We have a range of funding options for you

    Part of Glynns Solicitors - specialist medical negligence claims solicitors serving England & Wales

    Our Expertise

    Law Society Accredited

    England & Wales

    We have specialist Cauda Equina Claim Solicitors ready and waiting to help you now, wherever you are located in England or Wales.

    Map of England and Wales