If cauda equina syndrome is not surgically treated before the compression of the nerves becomes established, the patient may be left with life-long disabling symptoms.
How does cauda equina syndrome progress?
Cauda equina syndrome is a condition caused by the compression of the cauda equina nerves at the base of the spinal cord. As these nerves become squashed, they lose their ability to function. This can happen gradually or quickly, which makes the timing of treatment crucial.
If the nerves are decompressed whilst the patient’s loss of function is still only partial, there is the greatest chance of recovery of sensation and function. At the very least, further deterioration should be avoided.
If, however, the patient is experiencing severe loss of function by the time surgery is carried out, there is a decreased chance of any recovery.
Long-term Symptoms
Bladder Symptoms
The patient may find that they can no longer sense when they need to urinate. It may be necessary to self-catheterise in order to avoid accidents. Alternatively, the patient may be left finding urination difficult and needing to strain.
Bowel Symptoms
The patient may find that they have lost sensation around the anus. They may suffer faecal leakage and may have very little warning of when they need to go to the toilet. This can make travel, work and socialising extremely difficult.
Wind Incontinence
Loss of control of the bowels can also mean that the patient cannot predict or prevent the passing of wind. Socially this can be extremely embarrassing and limit the type of work someone can do. It can also cause sufferers to choose to stay at home more, becoming socially isolated.
Sexual Function
One symptom of cauda equina syndrome is the loss of sensation and function around the genitals. For a man, this may mean that he can no longer achieve an erection or ejaculate. Sexual sensation may be lost. This can put considerable strain on relationships.
Lower Limb Sensation
Loss of motor function and sensation in the legs can lead to mobility problems. Some cauda equina syndrome sufferers find that they need adapted or single-storey accommodation. Others may be restricted in how far they can walk or rely on a wheelchair.
Medical Negligence
For those unfortunate patients whose cauda equina syndrome developed suddenly, the possibility of recovery may only ever have been slim. If, however, your symptoms developed gradually but were not spotted by your medical practitioner until severe nerve dysfunction was established, you may have been the victim of medical negligence.
Contact Glynns Solicitors to speak with an experienced solicitor. We are a specialist practice with a particular expertise in cauda equina syndrome claims.