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Suggest Treatment For Cauda Equina Syndrome
Question: Cauda Equina Syndrome I've had it since my Spinal Cord Op.c 2013 terrible rectal pain. Loss of splincter in my butt. I'm 100% VA disabled
Currently see a doctor at VA hospital. No results
Anybody there?
Currently see a doctor at VA hospital. No results
Anybody there?
Brief Answer:
Please provide more information.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Cauda equina syndrome is related to compression and/or damage of the nerve roots at the terminal part of the lumbar spine after they leave the spinal cord.
Compression may result from mass effect of different conditions ( herniated disc disease, tumor, vertebral fracture etc.)
Bowel and bladder problems are part of this syndrome and very hard to treat.
One of the few things to do is to remove any compression surgically, so, it is necessary to upload any imaging studies of your lumbar spine after the operation,
It is also necessary to provide more information about the condition that led to operation, the type of the operation, etc. in order to understand better your condition and give you an appropriate answer.
Awaiting for more information.....,
Please provide more information.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Cauda equina syndrome is related to compression and/or damage of the nerve roots at the terminal part of the lumbar spine after they leave the spinal cord.
Compression may result from mass effect of different conditions ( herniated disc disease, tumor, vertebral fracture etc.)
Bowel and bladder problems are part of this syndrome and very hard to treat.
One of the few things to do is to remove any compression surgically, so, it is necessary to upload any imaging studies of your lumbar spine after the operation,
It is also necessary to provide more information about the condition that led to operation, the type of the operation, etc. in order to understand better your condition and give you an appropriate answer.
Awaiting for more information.....,
Above answer was peer-reviewed by :
Dr. Prasad
Spinal cord epidural abscess and surgery led to nerve damage. My doctor has me on hydrocodine since november 2013, recently got me belladonna/opium 60mg suppository.
Hard to control rectal pain, incontinence, have been on catheter since July 2013
My doctor is VA Dr XXXXXXX B. XXXXXXX Colon/Rectal
Don't know what Dr did surgery
Hard to control rectal pain, incontinence, have been on catheter since July 2013
My doctor is VA Dr XXXXXXX B. XXXXXXX Colon/Rectal
Don't know what Dr did surgery
Brief Answer:
Rehabilitation.
Detailed Answer:
Welcome back and thanks for the additional information.
Unfortunately, a little remains to do since all that time passed with bowel and bladder problems.
Rehabilitation is one of the few things to do and this includes physical therapy (strengthening exercises, sitting balance, transfer training, and tilt table as tolerated), counseling, occupational therapy.
These are treatment modalities that may improve bowel and bladder dysfunction and are performed in specialized centers.
OnabotulinumtoxinA (Botox) injection may be used to improve urinary incontinence.
If hydrocodone doesn't work other possibilities should be tried to control the pain ( Fentanyl transdermal patches for example).
All these issues should be discussed in details with your treating Doctor.
Hope I helped you. Please let me know if you have any further queries.
Take care.
Rehabilitation.
Detailed Answer:
Welcome back and thanks for the additional information.
Unfortunately, a little remains to do since all that time passed with bowel and bladder problems.
Rehabilitation is one of the few things to do and this includes physical therapy (strengthening exercises, sitting balance, transfer training, and tilt table as tolerated), counseling, occupational therapy.
These are treatment modalities that may improve bowel and bladder dysfunction and are performed in specialized centers.
OnabotulinumtoxinA (Botox) injection may be used to improve urinary incontinence.
If hydrocodone doesn't work other possibilities should be tried to control the pain ( Fentanyl transdermal patches for example).
All these issues should be discussed in details with your treating Doctor.
Hope I helped you. Please let me know if you have any further queries.
Take care.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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