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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. Lumbar decompression surgery may also be considered if you experience serious side effects when taking medications that affect your ability to work.
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Cauda Equina Syndrome, emergency disc | Cincinnati, OH Mayfield Brain & Spine
Sometimes, back pain and incontinence can co-occur as two symptoms of the same condition, such as cauda equina syndrome CES. At other times, they may develop at the same time but be due to other, unrelated conditions. Incontinence is a condition wherein a person cannot control how or when their body passes stool fecal incontinence or urine urinary incontinence. If back pain and incontinence appear suddenly at the same time, it usually indicates a serious problem. For this reason, a person should seek immediate medical attention to uncover the likely cause and receive appropriate treatment. In this article, we cover some of the conditions that can cause both symptoms to occur at the same time.
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Cauda Equina Syndrome Symptoms
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.
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. If a compressed spinal nerve causes you to lose the sensation that signals the need to urinate, your bladder can become distended.