Prof. (Dr) Raja Singla, Dr. Shubhi Sharma, Prof. (Dr) Shital. S.Mahadik
Vol. 20, Issue 1, Jul-Dec 2025
Abstract:
Cauda Equina Syndrome (CES) is a rare neurological emergency caused by compression or damage to the cauda equina nerve roots (L2-Co), with a prevalence of 0.3 to 7.0 per 100,000 individuals. Clinically, it presents with lower back pain radiating to the legs, sensory disturbances such as saddle anesthesia, motor weakness, urinary retention or incontinence, fecal incontinence, sexual dysfunction, and gait abnormalities. Etiologies include trauma, herniated discs, tumors, abscesses, hematomas, and other space-occupying lesions. Diagnosis is based on clinical evaluation, neurological examination showing sensory loss and diminished reflexes, and MRI, the gold standard for confirming compression. In Ayurveda, CES does not have a direct counterpart but may be correlated with Urustambha, a condition caused by aggravated Vata and Kapha doshas. Symptoms such as numbness in the thighs and calves (Janghaurugalani), leg pain (Padam Vyatha), and a diminished sense of touch (Sheet Sparsha Na Veti) are similar in nature. It is important to note that CES/Urustambha is one of the rare conditions for which Panchakarma therapy is not recommended initially. In the later phase of treatment, local panchakarma therapy can be given.
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