Ponytail syndrome

Ponytail syndrome's disease overview

Horse -tail syndrome is a rare disorder that is often an emergency surgery. The ponytail syndrome is caused by a pinched root of the spinal nerves. Fast handling is necessary to prevent long -term damage leading to loss of urination control and permanent leg paralysis.

This syndrome affects a bund of nerve roots called ponytail . These nerves are at the end of the spinal cord in the lumbar spine. They send and receive signals to and from the legs, feet and pelvic organs.

Horse -tailed syndrome is a complex nerve emergency. If not detected and treated promptly, the patient will paralyze with sensory disorders, nutrition in one or two legs and anal genital area, bladder round muscle disorders. The symptoms of the ponytail syndrome appear quickly and often coordinate with each other at many levels: pain in the hip, lower limb, sensory disorders, movement ...

Causes of Ponytail syndrome's disease

Causes of tail syndrome A include the following reasons:

Lumbar herniated disc: is the main cause of ponytail compression. The disease usually appears at working age (35 - 55 years old), men have more diseases than women. The disease often happens suddenly, sometimes painless, sometimes in combination with intense sciatica. The common symptoms on one side (half of the ponytail syndrome). The cause of herniated disc may be due to spinal injury; Heavy or wrong posture; Old age and a number of congenital or congenital spinal diseases such as double spines, degeneration, scoliosis are also favorable factors that cause disc herniation. IRM captures allows assessment of position, quantity, level of hernia and compression level. Depending on the degree of herniated disc more or less, one floor or multi -layered, it is possible to apply pure medical treatment (using paracetamol analgesics or anti -inflammatory analgesics without corticosteroids; muscle relaxants; vitamins; rehabilitation; Acupuncture ...) or in combination with surgical treatment (open surgery or discounting of laser discs).

Spinal stenosis: About 15% of hip -root pain cases are associated with spinal stenosis. Normally, the front and back size of the waist tube is about 13 - 15mm, if the front and back size is less than 13mm, the spinal stenosis. The patient felt pain or paresthesia (limp) appeared after a few hundred meters walking (must stop) or in a long standing position or bladder round muscle disorders. Causes include congenital spinal stenosis due to degenerative and herniated disc; broken or spine; vertebrae; Excessive gold ligament ... The treatment method includes medical in combination with the removal of the gold ligament of the lumbar spinal tube.

Nervous ponytail nerves: This is the cause of the horsetail syndrome or encounter. Most cases of ponytail nerves have good results when removing tumors early.

Has the ponytal tube tumor: is a common type of tumor, born from the end of the spinal cord and increasing lesions, occupying the entire bag and waist to make the surgery difficult. >

Symptoms of Ponytail syndrome's disease

Symptoms of ponytail syndrome are like other conditions. Its symptoms may change in intensity and progress slowly over time. Manifested by a strip of variation of symptoms with severity depending on the level of compression and specific nerve roots are being pinched. In addition to herniated disc, diseases with similar symptoms of ponytail syndrome include: peripheral neuropathy, medullis cones, medullary medulla, and post -stimulation or compression of the following nerves When they go out of the spine and go into the pelvis. Also known as the same lumbar puppet.

Patients with back pain should be alert with the following 'red flag' symptoms that can be suggested:

severe back pain. The body sits on the saddle.

Sensory disorders in the bladder or rectum. Li>

Related history:

Recent back injury.

Recent lumbar surgery. Recently.

People at risk for Ponytail syndrome's disease

Horse -tail syndrome encountered both men and women. This syndrome is common in the elderly, who are often injured and falls to affect the ponytail.

Prevention of Ponytail syndrome's disease

If permanent damage occurs, surgery may not always be successful. Ponytail syndrome is a chronic disease. Need to learn how to adapt to changes in the activity of the body. The physical and mental support is essential.

Try to get the help of the family in caring. Many experts can also provide support. Depending on your limitations, you can seek help from: physiotherapy and occupation, social staff, an expert consulting urination control, a specialist of sexual specialist

Like many other conditions, nothing more useful than the advice from people who really understand what is going through. Therefore, joining a ponytail support group can be a good idea.

If the bladder or intestinal function loses, the following tips may be helpful: Use a catheter to empty the bladder, 3-4 times a day. Take a lot of fluid and good personal hygiene to prevent urinary tract infections. Check the waste and clean the intestine with gloves. If necessary, use glycerin or indented solution. Wear pads in pants to avoid leakage. Also, ask your doctor about painkillers, as well as bladder and intestinal problems.

Diagnostic measures for Ponytail syndrome's disease

Here are essentials to determine diagnosis:

Based on the symptoms that the patient provides to the medical staff, in which answers to health questions, symptoms and activity. Sound to assess strength, reflexes, sensations, balance, coordination and motion. The direction of the body structure by using magnetic fields and computer technology. MRI gives images of spinal cord, nerve roots, and surrounding areas. It can be shown that the spinal cord or nerves in the spinal tube are pushed by a hernia, bone spines, tumors, ...

blood tests may also be necessary.

Ponytail syndrome's disease treatments

If there is a ponytail syndrome, it is necessary to treat promptly to reduce the pressure on the nerves. Surgery should be performed quickly to prevent permanent damage, such as paralysis of legs, loss of bladder and intestines, sexual function or other problems. Best treatment within 48 hours after symptoms. Depending on the cause of the syndrome, it may also need high doses of corticosteroids. This drug helps reduce edema. If diagnosed with infection, antibiotics may need. If the cause is caused by a tumor, radiation or chemotherapy, it may be necessary after surgery.

Despite being treated, you may not regain the entire function. The recovery depends on the level of damage. If the surgery is successful, the recovery of bladder and intestinal function can last for a few years.

Medicine: laxative, neurological analgesic, ...

Treatment of nerve pain: psychotherapy, music therapy

Sexual rehabilitation: The basic thing about finding satisfaction and sexual desire is to learn how to face defects, face the past loss, learn to reassess the parts. The body is defective, how to exercise that the defect becomes a tool to help maintain the physiological state and libido. Means and drugs support erections.

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