The course will cover the assessment, diagnosis and management of Cauda Equina Syndrome (CES) in the primary care setting, exploring the evidence base, current guidelines and challenges in managing this complex and highly litigious condition. We will also explore other common red flags, with a particular focus on spinal fracture, metastatic disease and infection, again covering evidence – based assessment and management of these conditions. We will work through specific case studies and integrate the use of appropriate imaging into these cases and presentations.
Osteopathic Practice Standards and other CPD elements covered
A) Communication and patient partnership A1, A2, A3, A4, A5
B) Knowledge, skills and performance B1, B2
C) Safety and quality in practice C1, C2, C6
D) Professionalism D10
Learning outcomes
- Be able to appropriately identify Cauda Equina Syndrome (CES)
- To understand the differential diagnoses for CES
- To understand the assessment and management of CES
- To understand the differential diagnoses for spinal fractures
- To understand the role of imaging in the management of lumbar spine red flags
- To explore through case studies the management of some red flag conditions
Timetable
09:15 - 09:30 Registration
09:30 - 11:00 Cauda equina syndrome
11:00 - 11:30 Coffee
11:30 - 12:30 Spinal fracture differential diagnosis
12:30 - 13:30 Lunch
13:30 - 15:00 Case studies - breakout sessions
15:00 - 15:30 Coffee
15:30 - 16:30 Lumbar Spinal imaging
16:30 - 17:30 Case studies and reflection on 4 themes of osteopathic practice standards
Recommended listening pre-course
- Physio Matters podcast on Cauda Equina Syndrome with Chris Mercer 2019
- MACP podcast on osteosarcoma with Laura Finucane 2020
- MACP Podcast on Cauda Equina Syndrome 2019 with Chris Mercer, Janene Holway, Sue Greenhalgh and Laura Finucane
- Physio Matters podcast on Red Flags with Laura Finucane 2019
Course suitability
The course is suitable for osteopaths, physiotherapists and chiropractors plus GP’s working in the musculoskeletal field or with an interest in the area.