Ep 180 - Cauda Equina:"I Have a Client Who . . ."Pathology Conversations with Ruth Werner

A client was involved in a motor vehicle accident three years ago. Since then, she’s had numbness and weakness in her legs, and she struggles with incontinence, balance, and fatigue. Oh, and she had a baby, and hopes to have another.

What is going on, and what are the safety parameters for massage therapy?

Resources:  

Pocket Pathology: abmp.com/abmp-pocket-pathology-app

Image of Cauda Equina

Image of Saddle Anesthesia

Cauda Equina Syndrome - OrthoInfo - AAOS (no date). Available at: www.orthoinfo.org/en/diseases--conditions/cauda-equina-syndrome/ (Accessed: 1 December 2021).

Cauda Equina Syndrome – Symptoms, Causes, Diagnosis and Treatments (no date). Available at: www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cauda-Equina-Syndrome (Accessed: 1 December 2021).

Stuart, A. (no date) Cauda Equina Syndrome: Symptoms, Treatment, Surgery, and More, WebMD. Available at: www.webmd.com/back-pain/guide/cauda-equina-syndrome-overview (Accessed: 30 November 2021).

Yang, S.-D., Chen, Q. and Ding, W.-Y. (2018) ‘Cauda Equina Syndrome Due to Vigorous Back Massage With Spinal Manipulation in a Patient With Pre-Existing Lumbar Disc Herniation: A Case Report and Literature Review’, American Journal of Physical Medicine & Rehabilitation, 97(4), pp. e23–e26. https://doi.org/10.1097/PHM.0000000000000809.