Numbnees around anus and weak bladder back pain

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Back pain is a common complaint, but when it occurs suddenly and also includes sudden numbness in the genital area, difficulty urinating, and weakness in the legs — it is a medical emergency. Cauda equina syndrome is often caused by a large disc herniation in the lower back that compresses the nerve roots at the end of the spinal cord. These nerves send messages to and from the bladder, bowel, and legs. If they remain squeezed for too long, irreversible damage can occur. Prompt surgery to relieve the pressure may prevent permanent damage and restore bladder and bowel function. Cauda equina syndrome is a rare condition but has serious consequences if not treated promptly.
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Cauda Equina Syndrome Symptoms

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A Case Study of Cauda Equina Syndrome

Nerves in the bladder send messages to the brain telling it that your bladder is full. The brain then sends signals to your bladder instructing the muscles that control the release of urine to relax. Disruption of these signals can result in urinary incontinence, bladder pain, and lower abdominal pain. In some cases, abdominal pain from bladder or kidney infections caused by nerve compression can move into your lower back.
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A Case Study of Cauda Equina Syndrome

Back to Lumbar decompression surgery. Lumbar decompression surgery is usually only considered if non-surgical treatments for your lower spine haven't worked and symptoms are affecting your quality of life. Non-surgical treatments include painkillers, physiotherapy and spinal injection therapy. Spinal injection therapy is a course of spinal injections that can be used in combination with other therapies, such as physiotherapy. Local anaesthetic and steroids are injected to help reduce swelling and inflammation.
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Primary care and emergency care physicians frequently encounter patients with low back strain and sciatica and must be able to recognize the perilous signs of cauda equina syndrome CES , a condition usually caused by massive disk herniation. Patients with CES may have peripheral neurologic deficits as well as bowel and bladder dysfunction. Emergent magnetic resonance imaging is the study of choice to confirm the diagnosis. Surgical decompression is the only effective treatment for CES. The prognosis depends on initial signs and symptoms, progression of neurologic deterioration, and timeliness of surgical decompression.
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