Most back pain and symptoms arising from the back do not require a visit to Accident and Emergency. Suspected cauda equina syndrome is different and is one occasion when a prompt visit to Accident and Emergency is sensible.

Cauda equina syndrome is a rare condition, but it is one to be aware of. Cauda equina means horse’s tail and is the name given to a collection of nerves that pass through the lower part of the spine. If these nerves become compressed a person can experience weakness and/or numbness in both legs, loss of bladder and/or bowel control, and saddle numbness (loss of sensation over the area where the saddle would touch when sitting on a horse).

Suspected cauda equina syndrome needs immediate investigation. Anyone experiencing new symptoms as described above should go straight to their nearest Accident and Emergency. Emergency surgery may be required to decompress the affected nerves. The longer cauda equina syndrome is left untreated the greater the risk of permanent paralysis and incontinence. Please don’t wait and see with this one.