How to tell the difference between cauda equina syndrome and lower limb weakness?

Most of this disease is caused by various fractures and injuries caused by trauma caused by accidents, and one of the more common manifestations is numbness and pain from the perineal area to the soles of the feet, pain, incontinence, difficulty, etc. In fact, I would like to remind you that there are many causes of cauda equina nerve damage.

Weakness in the lower limbs, numbness in the soles of the feet, and tingling are all symptoms of cauda equina syndrome, and cauda equina nerve damage does cause these symptoms, but simple lower limb weakness is not necessarily cauda equina nerve damage. If you have been diagnosed with cauda equina nerve injury, please seek medical attention in time**, if you do not do it**, it will cause serious permanent damage, so do it as soon as possible**, as soon as possible**!

Symptoms of cauda equina syndrome.

Cauda equina syndrome has the potential to develop over a long period of time. And over time, the symptoms can become more severe. Without proper **, the syndrome tends to become more and more severe over time.

In addition, because cauda equina syndrome shares many common symptoms with other diseases, it is easy to misdiagnose the condition.

Generally, if a person suffers from cauda equina syndrome, the first areas in his or her body that are affected are the legs and bladder. That said, people with this condition may have trouble urinating, feel pain, and not feel the upper part of their legs.

People with cauda equina syndrome may have a number of other symptoms, including:

Severe low back pain, fatigue, numbness, and weakness, loss of sensation in one or both legs, loss of reflexes in both legs and feet, and feeling nothing in the saddle area.

If you have any of the above symptoms, see your doctor and check if you are healthy.

Diagnosis of cauda equina syndrome.

When a person who may have cauda equina syndrome goes to the hospital, the doctor may first do a physical exam and ask about his or her symptoms.

Then, in many cases, patients need to have MRIs and X-rays so that doctors can make a diagnosis based on detailed images of the spinal cord, nerve roots, and surrounding areas.

Given that cauda equina syndrome is considered a medical emergency, a consultant neurosurgeon or spine surgeon should be notified immediately.

When the cauda equina nerve is damaged, paresthesias such as burning, tingling, numbness, hypoesthesia or loss of sensation occur asymmetrically in the perianal area, perineal area, and lower extremities. In severe cases, it can cause bowel and defecation disorders, which will have a great impact on the patient's life.

When the cauda equina nerve is affected, the main manifestation is the appearance of various symptoms of nerve damage from the position below the waist 2.

In complete cauda equina nerve injury, the demarcation of sensory impairment is relatively clear, with the upper boundary being the groin in front and the horizontal line of the upper iliac bone behind. Below this position, paresthesias appear in all of the buttocks, perineum, and lower extremities, which may be accompanied by electrical pain, loss of sensation, and radiation to the lower extremities. Some patients also have dysesthesia.

For example, after pinching it for a while, it will feel pain. The height of the cauda equina nerve at the time of injury determines the severity of the disease, and the manifestations of the upper and lower borders are also very different.

At present, surgery is mainly used for cauda equina nerve injury, and the purpose of surgery for cauda equina nerve is mainly to solve the compression or adhesion caused by various factors to the cauda equina nerve. After surgery, the symptoms are not necessarily much less than before, of course, if the surgery is done in time, the nerve necrosis caused by prolonged nerve compression can be avoided. After the operation, it is usually necessary to cooperate with the first department physiotherapy, and then combine the physiotherapy process with Chinese and Western medicine to target the conditioning.

At present, the cauda equina nerve is still a medical problem in the world, but as long as it is a disease, there is hope for recovery. If you don't let it go, it will do more harm than good to both the patient and the patient himself. Not only may the symptoms become more and more painful, but life may become more and more difficult.

Once the cauda equina nerve is damaged, recovery is slower and often incomplete, which is common to all patients. The cauda equina nerve belongs to the same peripheral nerve, but the difference is that the cauda equina nerve recovers more slowly than other nerves after injury, and a large part of the reason is that the spinal nerve root and dorsal root ganglia obtain blood from the arteries of the **spinal nerve and **the blood vessels of the **spinal cord that enter the intervertebral foramina from the side.

The spinal nerve roots in the cauda equina nerve do not have local or segmental arteries**.

At present, the specific pathogenesis is still relatively complex, such as bone structure variation compression factors, soft tissue compression factors, firearm injury, bleeding, tube anesthesia, chemical substances, surgical factors, etc.

The reasons why cauda equina nerve injury is not easy to treat are as follows:

Direct cause: Cauda equina nerve injury is usually a symptom of early insidiousness, and it cannot be detected in time under the systematic examination of general hospitals, which can easily lead to decreased nerve activity, gradual necrosis, and inability to regenerate, resulting in a failure mode for the innervation between other nerve fiber tissues.

Exact cause: There is no detailed explanation in medicine at present, but aging, internal attrition of the body, environmental factors, negative mentality, ** conditions, etc. may be the causes of neuronal degeneration and death.

In cauda equina nerve injury, traditional Chinese medicine has unique advantages, from the overall perspective of regulating constipation, insomnia, paralysis, pain and other symptoms, Chinese medicine can distinguish the treatment of cauda equina nerve injury, when the spleen and stomach disharmony, liver and kidney loss is the basic pathogenesis, and the medullary withering tendons, transmyeloid blockade and so on are its important pathological links, we must first take into account the health and prosperity of the spleen and stomach function, increase the diet, recover the stomach, the viscera qi and blood function will be vigorous, and the muscles and veins will be easier to nourish.

Then it is to nourish the liver and kidneys, nourish the meridians and tendons from the body, so as to promote the regeneration rate of neurofactors and accelerate recovery; Secondly, for the symptoms of numbness, pain and cold of the limbs, the method of warming yang and removing stasis is used to add and subtract drugs based on safflower, cinnamon branches, asaroxin, hyssop, astragalus, etc., and cooperate with the body's own exercise metabolism to restore the condition.

It is necessary to closely combine the treatment of symptoms and root causes, and apply them flexibly, so as to regulate the movement symptoms of patients. Integrating the holistic view of Chinese medicine, Chinese medicine focuses on the advantages of overall regulation, adapting measures to time conditions, and also improving the quality of life of patients.

1.Found late, did not get timely **.

2.The cauda equina nerve is highly damaged.

3.Symptoms are severe and stubborn.

4.Exercise is not consistent.

5.Secondary injuries occur during surgery**.

6.Lack of attention to eating and drinking, smoking and drinking.

7.Found early but didn't care about not taking it seriously, delayed**.

8.Patient ** does not cooperate due to psychological reasons.

The diagnosis of cauda equina syndrome is more common in lumbar spine diseases, and patients can be distributed in neurology, orthopedics, and urology due to the complex clinical manifestations. Diagnosis should be based on history, clinical findings, and ancillary features.

The main reason is that it is easy to not find ** in time in the early stage, miss the best ** cycle, lead to nerve entrapment for too long, or other problems.

There are bundles of spinal nerves from waist to tail, like cauda equina, so it is called cauda equina.

Cauda equina nerve damage is common in clinical practice, and most of them are due to various congenital or acquired reasons that cause absolute or relative stenosis of the lumbar spinal canal, compressing the cauda equina nerve and producing a series of nerve dysfunctions.

The best measure for cauda equina syndrome (CES) is surgery. The principle is early diagnosis, early surgery, and emergency surgery if necessary. The goal of surgery is to relieve compression and loosen adhesions.

Surgical methods: 1. Laminectomy decompression: its purpose is to enlarge the spinal canal to achieve decompression effect. Adapted to fractures or fracture dislocations. The range of decompression is sufficient to completely remove the compression at the site of compression, or the lamina, centered on the dislocated segment, and no more than one vertebral segment above and below it.

2. Anterior decompression or internal fixation: It is mainly used for the removal of compressors from the front of the spinal cord, which has a direct decompression effect, and can be given to different methods of internal fixation to enhance stability, and artificial vertebral bodies can also be applied to replace fractures or lesions of vertebral bodies to restore the original height.

That's not necessarily, it may be sciatica, it can also cause numbness in the lower limbs, it may be cauda equina syndrome, it may be sciatica, lumbar detachment and so on.

Why do many patients report numbness, pain, and even various symptoms such as heaviness, tightness, stiffness, or heat at the top and cold at the bottom? In severe cases, there may even be significant muscle atrophy.

Because after cauda equina nerve injury or compression, most of the meridian blocks occur in patients who operate due to long-term bed rest after surgery, coupled with trauma to the body during the operation. Before the operation, the patient was even more abnormal due to pressure, resulting in the obstruction of qi and blood in the meridians and the blockage of the meridians. If the meridians are blocked, it will cause muscle and skin dystrophy, and if the muscles and skin are not nourished for a long time, they will be numb, and if the meridians are not connected, it will be painful, and then there will be numbness, numbness, pain, tightness, stiffness, heaviness, coldness and other perceptual disorders.

If you are not nourished by blood circulation for a long time, your muscles will naturally atrophy gradually.

Pharmacology from the dredging of meridians, nourishing qi and nourishing blood as the criterion, first dredge the patient's long-term blocked meridians, so that the meridians can be penetrated, and then benefit the qi to clean up the garbage, nourish the fresh blood, with the dredging of qi gradually cause the circulation of nutrients in the blood, and the tendons that have not been nourished for a long time will gradually rise up after being nourished, and the power of qi and blood will gradually rise up, and when the qi and blood are restored, the blood circulation, the atrophied muscles, numbness and pain, and abnormal perception will naturally be relieved and gradually improved.