All Patients of Dr. Burke Orthopedics: Due to an unexpected medical issue, Dr. Burke will not be in the office treating patients until August 29th, 2022. All surgeries will be postponed until September 27th, 2022. Our staff will continue seeing patients in our offices and taking care of any needs outside of Dr. Burke’s care in his absence. We do apologize for this inconvenience and urge you to reach out to our staff if you have any questions or concerns. If you have been scheduled for surgery within this timeframe and feel you cannot wait for treatment, please, contact our office as soon as possible so we can assist you in obtaining a new surgeon capable of completing your treatment. We look forward to continuing to provide our patients with exceptional orthopedic care until Dr. Burke’s return.
Our Pearland office will reopen tomorrow, 2/19/2021, for normal business hours 8:30am to 5pm.

What is Cauda Equina Syndrome?

Cauda equina syndrome is a medical emergency. The fluid that surrounds your spinal cord is called cerebrospinal fluid. This is what is extracted in a spinal tap – that can then be tested for infection, etc. Your spinal cord goes down to your second lumbar vertebrae, then it stops. But you have a bunch of nerves that keep going down further. This bunch of nerves is called the cauda equina. Cauda equina means horse’s tail. This bunch of nerves looks like a horse’s tail. This is where they do a spinal tap because there’s no spinal cord there.

When dealing back pain or other spinal issues, if the cauda equina has a problem, you need to treat this as a medical emergency. It’s called Cauda Equina Syndrome. Patients who have low back pain will always be asked “are you having any problems urinating, defecating, any numbness when you wipe after you use the bathroom?” The cauda equina controls those things and if it is pressure is placed on this bundle of nerves by a disc or something else. Again, this is an emergency surgery situation.

What Causes Cauda Equina Syndrome

The cause of Cauda Equina Syndrome is generally a severely herniated disc that is placing pressure on this bunch of nerves. There may also be an obstruction within the spinal column unrelated to a herniated disc that may be causing Cauda Equina Syndrome. Some causes may be:

  • Tumors
  • Spinal lesions, infection, or inflammation
  • Developmental abnormalities present from birth
  • Traumatic injuries to the low back
  • Complications after low back surgery
  • Spinal stenosis
  • Spinal hemorrhages
Back, pain, painful.

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Cauda Equina Syndrome Symptoms

The symptoms of Cauda Equina Syndrome may be similar to other diagnoses and an immediate consultation with a doctor is mandatory. Cauda equina symptoms may be any or all of the following:

  • Severe low back pain
  • Trouble beginning urination
  • Losing control of bowel or bladder
  • “saddle anesthesia” meaning a loss of sensation to the area of your body that would be in contact with a saddle when riding a horse
  • Sexual dysfunction
  • Weakness and sensation loss in the legs
If You Are Experiencing Symptoms, Schedule an Appointment Dr. Burke Orthopedics Immediately.

Treatments for CES

Cauda equina is a medical emergency requiring immediate decompressive surgery on whatever obstruction is placing pressure on the Cauda Equina in order to prevent the chance of permanent damage. If left untreated, cauda equina syndrome may progress to a level of permanent loss of bowel or bladder control leading to incontinence. If you experience any of the warning signs mentioned above, you must consult with a surgeon immediately. It is generally accepted that there is up to a 48-hour window from the onset of these symptoms that if the pressure on the nerves is reversed within that time, a high likelihood of full recovery is possible. Even after the 48-hour window though, significant improvements in function are still likely. The surgery commonly chosen to treat this condition is called a Lumbar Laminectomy. A Lumbar microdiscectomy may also be performed. The amount and extent of recovery that a patient will experience after surgery varies from patient to patient. With prompt medical attention, your chances of permanent damage decrease significantly.

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Disclaimer: Please note all medical information contained within this website should never be interpreted as a diagnosis or recommendation of treatment. If a diagnosis is needed, contact Dr. Burke Orthopedics for a personalized consultation. Information shared in testimonials and reviews are specific to that particular patient and may not be representative of the experience of others.