Learning from litigation: cauda equina syndrome (CES)

^{This video has been produced by a small team of consultant physiotherapists who specialise in the area of CES.}

Nerve compression

The cauda equina comprises the peripheral nerve roots that emerge from the spinal cord below L1.

These nerves control bladder, bowel and anal sphincter function, lower limb function, the pelvic organs and sexual function.

Cauda equina syndrome (CES) is a condition caused by compression of these nerve roots. Symptoms can include altered sensation in the saddle area, back and leg pain with neurological deficit and urinary retention or incontinence.

CES can result in permanent consequences of paralysis, bladder/bowel incontinence, and altered sexual function if not treated promptly.

Download the document at the top of the page to find out more.

• National Suspected Cauda Equina Syndrome (CES) Pathway and supporting detailed guidance