Most back pain is managed through GP and Physiotherapy out with the hospital setting. GP and or Physiotherapists refer those people in whom they suspect cauda equina for further assessment.
Our role in these cases is to attempt to book the MRI scan for those arriving within the hours of 0900-1600. Perform a basic examination to allow you to check for the physical signs of cauda equina: urinary retention, loss of anal tone and perianal sensory loss. Request the MRI on Trakcare then phone the Radiologist. Refer the patient to ortho once the MRI is booked or for them to take over the care of the patient if MRI slots are unavailable.