Cauda equina nerve is damaged, what are the sequelae?

Q: My cauda equina nerve was compressed by a herniated disc (two sections) for 3 days. It's been 3 months since the operation, but you still don't feel in the saddle area?

Numbness on the outside of the right leg, poor sensation, weakness in the front of the feet (toes), and inability to tiptoe. Won't defecate. I'm in a hurry, what should I do?

How long does it take for a nerve to recover? Is acupuncture** effective? What am I going to do??

Patient gender: Female.

Patient age: 22

Answer: This disease is a primary cauda equina nerve injury nerve function paralysis, although the surgical decompression ** restored the diameter of the spinal canal, but the nerve of compression paralysis shock is still out of the paralyzed state, ** in addition to the use of neurotrophic drugs, it is necessary to excite and activate the nerve cells of paralysis shock after compression in order to restore its various functions.

The cause of this disease is cauda equina syndrome caused by spinal arachnoiditis caused by nerve invasion by edema secondary to surgery, and the cause is the lack of effective prophylaxis after spinal surgery.

In addition to neurotrophic drugs, traditional Chinese medicine can be used to enhance the blood supply of the spinal cord, to promote nerve softening, adhesion scars, and to activate the nerve cells that paralyze shock after injury with spinal nerve regeneration pill, and improve the conduction between cells to obtain the best recovery of limb function. Contact again if you need help.

Good luck soon**!

Don't think about the after-effects, be positive**.

Many patients with cauda equina syndrome do not know what the development trend of symptoms after cauda equina nerve damage is different, and the initial manifestations of each person are different, so how should they know these harms? Today, I will give you a popular science.

For example, if the lower limb sensory impairment is in the early stage, the patient may only have weakness in the lower limb caused by the compression of the lumbar spine nerve, and intermittent claudication when walking. Over time, pain and numbness may appear asymmetrically released, radiating below the compression horizon. Because of the disease, the patient may not be able to continue to exercise and exercise, so the elasticity of the muscles will gradually manifest, and the muscles and skin are not nourished, so there will be muscle atrophy.

Long-term musculodermal dystrophy will lead to chills and coldness in the lower limbs, and there may be other sensory disorders such as suffocation and tightness.

If the patient has problems with sphincter innervation, the vaginal area is usually numb or insensitive, which will affect the peristalsis of the rectum and the contraction of the bladder. Therefore, patients with cauda equina syndrome will have abnormal bowel and bowel function, but due to the different areas and degrees of nerve damage, some patients may only have a single fecal dysfunction or urinary dysfunction, which is generally dominated by abnormal conditions of different degrees of urine and urine, and male patients will have decreased or lost sexual function due to the degree of nerve damage.

The influence of sphincter innervation on cauda equina syndrome is still relatively large, take urine as an example, if the patient is always difficult to defecate, then it is necessary to indwell catheterization for urination, if the catheter continues, the sphincter may gradually make the sphincter too dependent, resulting in muscle atrophy of the bladder sphincter, and there is no innervation; If the patient is able to urinate but has urinary retention, then if the abdominal pressure is not correct or the residual urine volume is excessive, there may be serious harm such as urinary reflux or hydronephrosis; If the patient is in the intermittent catheterization phase, there may be other complications such as inflammation due to repeated catheterization. There are also many difficult complications of stool, such as a feeling of fullness due to the feeling of not being able to pass a bowel movement, constipation, stool, incontinence, etc.

Some patients may have difficulty falling asleep and unable to sleep at night due to paresthesias or fecal dysfunction. Disrupting the normal rest time, and even causing mental complications, anxiety, depression, etc., not only brings great suffering to the patient himself, but also may affect the harmonious coexistence of the family. Of course, the specific trend of cauda equina syndrome involves many factors, including bedsores, hemorrhoids, and infectious diseases in patients who have been bedridden for a long time.

Cauda equina syndrome is complex, if it is found, it must be recovered as soon as possible, and early patients should not take it seriously.

Hazard 1: For patients with early cauda equina nerve injury, the symptoms are generally not obvious, and they are often not taken seriously. Cauda equina syndrome is not terrible, the worry is that the patient because of the illness caused by some psychological gap, life and work will be more or less affected, serious patients may not be able to take care of themselves, long-term bedridden, unable to walk, around at any time to take care of daily life, the quality of life is greatly reduced, not only their own suffering, to bring a burden to the family, but also many patients **not timely, **can not see hope, **cost for some ordinary families is a lot of money, It is also financially burdensome.

Hazard 2: Leads to mental complications. For long-term ** results are not ideal, psychological acceptance is poor, and the gap between life and work caused by physical diseases cannot be accepted, some mental diseases will appear.

For example: anxiety, depression, neurasthenia, low self-esteem, etc., and even some patients have the psychology of resistance due to long-term treatment, and the symptoms themselves belong to the serious category, and then resist **, breaking the can and falling leads to a more serious condition, the body is more difficult to recover, brings troubles to the family, and increases the pain and suffering to themselves.

Patients will also enter the dead cycle of self-limitation, thinking that when the pain can not be understood by relatives, the temper will become extremely weird, sometimes this negative emotions accumulate to a certain limit, because they cannot be vented and understood, there will be love anger, mania, temper short, etc.

Hazard 3: According to incomplete statistics, patients with cauda equina nerve injury are increasing year by year, lumbar disc herniation patients in cauda equina nerve injury patients, it seems that the probability of cauda equina nerve injury is very small, but with the development of society, the rise of employment pressure, more and more lumbar disc herniation patients, and gradually younger, of course, patients with cauda equina nerve damage are also accumulating, plus many patients do not know the disease at the beginning, it is easier to delay the best time, resulting in aggravation.

Cauda equina nerve injury may only affect walking or some limb sensory perception impairment in the early stage, and in the middle stage, it will seriously affect the quality of life, unable to work, difficulty in urinating and urinating, sexual dysfunction, numbness and tingling sensation entangle the patient, making the patient and his family very painful. As a result, due to various mobility difficulties, he gradually closed his emotions and stayed away from the original familiar life and work circle. Stay at home all day long or ** department.

As the disease progresses, the condition worsens, and the mood becomes extremely bad, and many patients with cauda equina nerve injury have varying degrees of depression, anxiety, and panic symptoms. There are also patients who are inconvenient to stand and have muscle atrophy, and are prone to falling, and some even need wheelchairs for a long time.

Cauda equina nerve injury can lead to bladder weakness, loss of motor reflexes, and paralysis and incontinence in severe cases.

In the early stage, the impact on people is not large, most patients will think that it is caused by labor fatigue, and in the middle stage, it will affect normal life, there will be more symptoms, and the original symptoms will be aggravated, and in the late stage, patients may lose the ability to take care of themselves, coupled with long-term suffering, the attitude towards life may change.

Fracture dislocation below the 2nd lumbar vertebra can cause cauda equina injury. Complete rupture of the cauda equina is rare and can result in loss of sensorimotor reflexes below the level of injury and bladder weakness. If the cauda equina is completely broken, or sutures are performed after the fracture, complete or partial function can be restored through nerve regeneration.

1.Radicular pain is severe.

2.Sciatica.

3.2. Difficulty in defecation.

4.Sexual dysfunction.

5.Localized tightness.

6.Motor dysfunction.

7.Sensory dysfunction.

8.Psychiatric symptoms.

9.Sleep problems.

10.Muscle atrophy.

11.Gastrointestinal disorders.

Sensory deficits in all lower limbs.

This trauma has been going on for five years, and now the injury is basically finalized, and the use of neurotrophic drugs is no longer very effective. It is recommended to focus on function ** and carry out daily training.

Hello, cauda equina nerve injury will cause loss of pain, warmth, and tactile function below the level of injury, which is mainly manifested as decreased or absent sensation on the back of the thigh, back of the calf, saddle area and feet, and urinary incontinence; Below the level of injury, there is flaccid paralysis, knee, ankle, and foot dysfunction, loss of dorsal foot extension and plantar flexion function, and urination disorders. In incomplete cauda equina injury, the undamaged cauda equina nerve can still function normally in sensory and motor functions.

Symptoms of cauda equina nerve injury include bladder, bowel, sexual function, pain, numbness, suffocation, foot drop, burning pain and even mental effects such as anxiety and depression. There are many causes of cauda equina nerve injury, such as lumbar disc herniation, disc fragmentation, lumbar muscle strain, spinal stenosis, sports injury, accident, fall, spinal fracture, muscle tear, tumor compression, infection or bleeding. If cauda equina nerve injury is to be ruled out, a history and physical examination are required, and perianal sensory loss is an obvious finding.

Nerve injuries often manifest as ethmoid fractures or frontal brain contusions, such as cerebrospinal fluid leaks and fractures, and nerve injuries include traumatic brain injuries. Nerve injuries often manifest as ethmoid fractures or frontal brain contusions, such as cerebrospinal fluid leaks and fractures, and nerve injuries include traumatic brain injuries. The manifestations of nerve damage in the fingers include local pain, numbness, and muscle weakness and limited activity.

Symptoms of cauda equina syndrome.

1.Numbness, weakness, or pain in the legs, which may cause difficulty moving the legs2Severe low back pain.

3.Sensation changes or loss in the legs, back of the legs, buttocks, feet, and inner thighs that get worse over time. Whole body saddle anesthesia experience.

4.Sudden onset of sexual dysfunction.

5.Problems with bladder or bowel function, and affected individuals may have difficulty retaining or eliminating stool and urine.

1.Sudden or gradual incontinence or changes in bowel and bladder function control (eg, urinary retention, urinary incontinence, and sexual dysfunction).

2.Sudden or gradual weakness, pain, or twitching (such as burning, tingling, and numbness) in the legs.

3.Intermittent or persistent pain in the back, clinical suspicion of ankylosing spondylitis.

There are spinal nerve bundles from waist to tail, like cauda equina, so it's called cauda equina, and most of them are caused by various congenital or acquired reasons.

Symptoms include severe low back pain. Other symptoms include paresthesias in the legs, pain or numbness in the legs, bladder control problems, and sexual dysfunction.

You can search the list of symptoms of cauda equina nerve injury, and the symptoms are the most complete.

1. Low back pain: most patients present with persistent dull pain in the lower back, which occurs when sitting and standing for a long time, and is relieved when lying down; The other is sudden and severe pain in the lower back cramps, which requires bed rest, and this condition is mostly a rupture of the fibrous annulus of the lumbar intervertebral disc.

2. Radiating pain in the lower limbs: patients often have sciatica, or the pain starts from the buttocks and spreads to the lower limbs, and when the abdominal muscles are forced, the radiating pain of the lower limbs will be aggravated. In addition, leg pain that is heavier than low back pain is also the main manifestation of lumbar disc herniation.

3. Muscle numbness and atrophy: due to long-term compression of nerves, resulting in insufficient blood supply, hypoxia, lack of nutrition, and muscle weakening, it will seriously cause intermittent claudication and affect our normal life and work. After clearly understanding the symptoms of the disease, the next key is to choose a scientific and effective method as soon as possible, and the most prominent method for cauda equina nerve injury is the nerve repair of the Chinese Institute of Bone and Joint.

The main sequelae of cauda equina nerve damage are bowel and bowel dysfunction, as well as sexual dysfunction, such as erectile dysfunction and urinary or fecal incontinence. It can be decided mainly according to the severity of the specific injury, such as conservative drug nutrition for nerves, or surgical treatment.

Abnormalities in the perineal area, paresthesias in the lower extremities, accompanied by spontaneous pain, abnormal urine and bowel movements, etc.

Difficulty urinating and bowel and bowel Bedsores can occur if you stay in bed for a long time.

**Improper can lead to permanent fecal incontinence, muscle atrophy, and incomplete paraplegia. Grab the right time to have the hope of recovery, **plan: 1. Use traditional Chinese medicine to enhance and improve spinal cord blood circulation, so that the damaged nerves can get sufficient blood supply.

2. The combination of traditional Chinese and Western medicine to nutrition nerve prevention of impaired ischemia and degeneration necrosis can not be recovered. 3. At the same time, the paralyzed and incomplete nerves can be regenerated and repaired by stimulating and activating the damaged nerves to innervate the second stool, exercise and other functions to obtain the best recovery. 4. Adopt our autonomous passive exercise scaffold specially designed for patients to carry out functional exercises, so that patients can first achieve passive self-reliance.

5. If the patient has foot drop, it is necessary to protect the ankle joint from bone wear and deformity with professionally designed school shoes. You need help to send a pre- and post-operative magnetic resonance** to guide you.