Cauda Equina Syndrome in Nagpur: Warning Signs That Need Emergency Spine Evaluation Severe back pain or sciatica is common, but when it is associated with difficulty passing urine, loss of bladder or bowel control, saddle numbness or progressive weakness in the legs, it may indicate Cauda Equina Syndrome. Cauda Equina Syndrome is caused by severe compression of the nerve roots at the lower end of the spinal canal. Causes can include a large lumbar slip disc or disc herniation, severe lumbar spinal stenosis, spinal trauma, infection or tumour. Early recognition is important because prolonged nerve compression can result in significant neurological dysfunction. Patients with suspected Cauda Equina Syndrome generally require urgent neurological assessment and appropriate imaging, commonly MRI. If severe compression is confirmed, urgent surgical decompression may be required based on the patient’s clinical and radiological findings. At Vertex Orthopaedics and Spine Care in Dhantoli, Nagpur, Dr. Devank Lohiya provides comprehensive evaluation and treatment for lumbar spine conditions including slip disc, sciatica, lumbar disc herniation, spinal stenosis and nerve compression, with minimally invasive and endoscopic spine surgery used in appropriately selected cases. Emergency warning signs: new urinary retention or bladder dysfunction, loss of bowel control, numbness around the saddle region, or rapidly progressive leg weakness require immediate emergency medical evaluation. Dr. Devank Lohiya MBBS, MS Orthopaedics Fellowship in Minimally Invasive and Endoscopic Spine Surgery Vertex Orthopaedics and Spine Care, Dhantoli, Nagpur Phone 08048060802