Our Service For You


What are CESI and CESR?

What are CESI and CESR?Understanding the development of cauda equina syndrome and acting with urgency at the appropriate moment is vital if the patient is to avoid a lifetime of disability.

Cauda equina syndrome development

In some patients, cauda equina syndrome can develop suddenly and acutely and it is possible that surgery may make little difference to the long-term outcome.

In many patients, however, there is a development of the condition over a longer period of time and, in these circumstances, a diagnosis of the condition before it deteriorates from CESI to CESR is vital.

CESI (incomplete cauda equina syndrome)

Some of the key symptoms of cauda equina syndrome are lower back pain, and pain and tingling or numbness in one or both legs. Loss of sensation between the legs is also a key indicator that a patient might be developing this dreadful condition.

In terms of assessing the best moment for surgery, however, it is widely felt that the functioning of the bladder is a key sign of what might be the long-term outcome for the patient.

Changes to and loss of control of the bladder is a fundamental element of cauda equina syndrome. The patient might initially notice that they are experiencing alterations in their bladder function. The flow may change, they may have to strain to urinate and they may have difficulty in emptying their bladder.

The key thing is that the patient still has awareness of the need to urinate and still has some control over that process. This is when the condition is described as ‘incomplete’ or CESI.

It is at this point that surgery is considered to be an emergency and has the greatest chance of leading to a recovery of function by the patient.

CESR (cauda equina syndrome with retention)

If the patient loses awareness and control of the bladder, meaning that they no longer realise that they need to urinate and may be incontinent of urine, it seems that the best moment for surgery may have passed. Decompression of the cauda equina nerves is still likely to be required but there may be a smaller chance of recovery of any lost function – urinary, bowel and sexual.

Medical negligence

If the patient presents to their medical practitioner with the red flag symptoms of CESI but there is a failure to recognise these symptoms and a failure to refer for emergency investigation and treatment, thereby allowing the patient to deteriorate to CESR, the medical practitioner may be considered to have acted negligently.

In this instance, the patient may be able to make a successful claim for compensation for their subsequent pain and suffering.

Legal Advice

If you are suffering with the appalling long-term effects of cauda equina syndrome due to a failure to recognise your early symptoms, contact us to discuss your experience.

We are a specialist medical negligence practice, with years of experience of cauda equina syndrome compensation claims and will be very happy to advise you.

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

    Free Cauda Equina Guide

    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