Tag: corda equina

Lower Back Pain: Red & Yellow Flags

Each year 1:15 of the adult population will seek medical help for Lower Back Pain, that is 2.6 million patients in the UK. Most Lower Back Pain is not serious and will revolve within 8 weeks, with analgesia and self physio.

However, this is not the case for some. This may be due to serious underlying pathology ‘RED Flags‘, or psychological factors that indicate chronicity ‘Yellow Flags‘.

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Suspected Cauda Equina Syndrome

CDU at HRI has closed therefore the pathway for the management of patients requiring MRI for suspected CES has changed.

  • In hours
    • ED will arrange the MRI scan and review the results and refer to Neurosurgery as required.
  • Out of hours
    • Patient requires referral to Neurosurgeons stating we are unable to MRI OOH do they recommend transfer to LGI for MRI?
    • If Neurosurgeons do not accept for immediate transfer needs referral to Orthopaedics on call
    • Patient requires admission: then this is under the orthopaedic team.

 

The full pathway is  Suspected Cauda Equina Syndrome 2019

MRI Safety Questionnaire