Volume 26, Issue 124, June 2022

Cauda Equina syndrome rehabilitation strategies post decompression- Discectomy – A case report

Pranali Sunil Fokmare¹, Medhavi Vivek Joshi², Pratik Arun Phansopkar^3♦

¹Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
³Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor & HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India

ABSTRACT

Cauda equina syndrome (CES) is a unique clinical entity which leads to various neurological dysfunctions due to entrapment of lumbosacral nerve roots. It mainly occurs after a significant herniation, prolapse, or sequestration of the lower lumber disc. In the case of spinal stenosis, small prolapses may cause CES. In this case report we present a case of 60 years male patient having complaint of mild low back pain since1 year back which progressively got severe 1.5 month back. The pain was radiating bilaterally in both the lower limbs along with weakness and tingling sensation Loss of urination and bowel sensation. With this complaints patient came to AVBRH were investigations like X-ray and MRI was done and diagnosed with cauda equina syndrome with neurodeficit with bowel and bladder involvement. Next day patient got operated for decompression and discectomy at L4-L5 level. Post-operative physiotherapy treatment was started and it shows significant improvement and used to prevent secondary complications.

Keywords: Cauda equina syndrome (CES), decompression and discectomy, bowel bladder involvement, Rehabilitation, case report.

Medical Science, 2022, 26, ms230e2261

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DOI: https://doi.org/10.54905/disssi/v26i124/ms230e2261

Published: 18 June 2022