Lumbar spinal stenosis: Like lumbar spinal stenosis, as the name implies, the spinal canal containing cauda equina nerve narrows, which leads to cauda equina syndrome after compressing the spinal canal for various reasons.
Ankylosing spondylitis (AS): It is a kind of spinal joint disease mainly involving axial joints, and it is a chronic disease. It will involve the fibrosis and ossification of sacroiliac joint, fibrous ring and its adjacent connective tissue, and the inflammation caused by this disease will also lead to the injury of cauda equina. Ankylosing spondylitis is an inflammatory rheumatic disease, which may lead to cauda equina nerve injury.
Abscess infection: Abscess-like spinal canal infection occurs outside the lumbar dura mater, such as osteomyelitis, and then may be potentially compressed into the spinal canal, causing neurological symptoms and developing into cauda equina syndrome.
Tumors: Tumors near the spine may compress the spinal canal, and tumors may also originate from the spine. However, common cancers (referring to malignant tumors) in the body will spread around the spine, which will easily cause compression damage to the cauda equina nerve roots and cause cauda equina nerve damage.
Trauma: generally, such as lumbar injury, such as accidental car accident, fall, penetrating injury (gunshot wound or knife injury), etc. , may directly damage the ponytail, leading to complications, and even more serious consequences because of the large area.
Sequela: It is a common complication after various lumbar surgery. Many patients report that cauda equina syndrome will appear after surgical treatment of lumbar disc herniation, and cauda equina syndrome is caused by severe surgery or unskilled or inevitable operation, resulting in different degrees of nerve damage.
The operation of cauda equina nerve injury only restores the caliber and creates more favorable conditions for nerve recovery, but it can't restore the nerve. In addition to self-repair, the recovery of injured and paralyzed nerves needs the promotion of drugs and the cooperation of exercise to obtain the best recovery state. However, if the nerve can't get the best recovery within the effective treatment period, it may be atrophy, softening, even degeneration or necrosis of the nerve due to too long ischemia time. But if the best treatment period is passed, the recovery speed will be slow, but it is not irreversible. If left untreated for a long time, the nerves will gradually become necrotic and weak in the later stage, and severe cases will require amputation.
After cauda equina nerve injury, it is not necessary to stop the operation because of the problems that are easy to occur during the operation, but to avoid these risk problems as much as possible before the operation. The first is the choice of operation method, and what operation is very important. Another situation is to try to find a doctor with rich experience in this disease. Skilled doctors will try their best to reduce the damage to nerves and minimize the damage.
Chinese medicine treatment of cauda equina syndrome is mainly from internal conditioning, that is, drinking Chinese medicine. To treat cauda equina syndrome, we should start with its pathogenesis, comprehensively prescribe the right medicine according to the situation of patients with different syndromes, and adjust the symptoms. The medicine first nourishes liver and kidney, strengthens spleen and regulates stomach, so as to restore constipation. Warming kidney and strengthening spleen, nourishing kidney and replenishing essence, and restoring dysuria and sexual function; Relaxing tendons and dredging collaterals, benefiting qi and nourishing blood will make the meridians comfortable, nourish the muscles and skin gradually, slow down and improve the symptoms of meridians and limbs, promote the circulation of qi and blood, restore muscle strength and gradually eliminate sensory disorders.
Traditional Chinese medicine has the characteristics of relatively reliable curative effect and no obvious toxic and side effects. However, the treatment process of traditional Chinese medicine is relatively long, and it is impossible to achieve immediate results like western medicine. It is suggested that patients must have enough patience to treat.
Remember, the drug for treating cauda equina syndrome is not the best, but the most suitable. Traditional Chinese medicine treatment chooses corresponding drugs according to different symptoms and characteristics of different patients. Be sure to take medicine according to the doctor's arrangement, and don't take any medicine you think is good. At present, there is no specific medicine for cauda equina syndrome, only the one that suits you best and is targeted as much as possible.