When debilitating back pain began to impact the 32-year old’s ability to walk, as well as bladder function, she sought the help of Travis McClain, DO, a Physical Medicine & Rehabilitation specialist with The Christ Hospital Health Network.
“I saw her walk into the room, and she could barely use her leg,” Dr. McClain says. “She’d even brought her mom along to help her get around, so I knew this was something more serious.”
He told her “This is Cauda Equina Syndrome. You’re not leaving here today without a plan for surgery. You don’t need an epidural or more medication; you need an intervention.”
Immediate access to comprehensive care
Dr. McClain immediately called his colleague with The Christ Hospital, Jared Crasto, MD, an orthopedic surgeon who specializes in minimally invasive surgery of the spine. Within half an hour, Kaitlin was sitting in Dr. Crasto’s office only a few miles away.
“It’s great that as a team we have these open lines of communication,” Dr. McClain says. “It allows us to make those decisions quickly and get the best outcomes for our patients.”
Dr. Crasto confirmed Kaitlin’s diagnosis of a large disc herniation at the L4-5 level that was making her issues worse because the swelling and compression on the nerves were indeed causing Cauda Equina Syndrome.
“This occurs when the severity of the herniation occludes the space for the nerves to travel down the legs,” he says. “When this happens, people can start to lose function of their legs, bowel, and bladder.”
Cauda Equina Syndrome can progress quickly to the point of permanent damage, including paralysis, so Dr. Crasto scheduled Kaitlin for emergency surgery the next day to remove the portion of the herniated disc in the lumbar region of the spine that was compressing her nerves.
The surgery was successful, and the experience was much easier than Kaitlin expected. More importantly, the relief was immediate. “It was not as scary and a lot less painful than I thought it was going to be,” she says. “It was quick, and the recovery was minimal. The difference in pain was night and day.”
When to see a doctor
Dr. Crasto says people who experience consistent minor back pain should be on the lookout for a gradual progression of symptoms. “If you have pain that wasn't so bad a week ago, but now it's getting worse and worse, you should seek medical attention,” he says. “Especially if out of nowhere you lose control of your bowel or bladder or have significant numbness in what we call the saddle region – which is where you would be seated on a horse.” He adds that you should also pay attention to symptoms such as pain shooting from your lower back down your legs, or sudden weakness in your legs.
Kaitlin agrees with Dr. Crasto’s advice and urges people to pay attention to their bodies if they feel their back pain is getting worse or progressing into other symptoms. “Don’t wait,” she says. “Don’t let it get to the point where it becomes a really severe, scary issue. If the pain is that bad, talk to a doctor.”