Cauda Equina Syndrome

Specialist Cauda Equina Lawyers London

Cauda Equina Syndrome (‘CES’) is the name given to a relatively rare neurological condition which is a type of spinal cord injury. Ben Posford is recongnised as the leading CES injury lawyer in the UK. For further advice and help contact Ben and his team today.

  • “He is top-class – charismatic and extremely confident when handling cases. Affable and charming with very good client-handling skills.”

  • “Ben Posford is a hugely experienced solicitor who approaches his cases with confidence and realism.”

Specialists in Cauda Equina claims

The cauda equina, meaning ‘horses tail’ in Latin, is the name given to the bunch of nerve roots found at the bottom of the spinal cord, and CES arises where these nerves are damaged. Where CES is suspected, this should always be treated as a surgical emergency. From the onset of the condition, there is a very small window of opportunity to diagnose and operate before permanent damage is done to the spinal cord. Depending on the cause of the compression, emergency surgery will be required within approximately 12 to 48 hours of the initial onset of symptoms to provide the best possible outcome for the patient. In the worst cases where surgery is not performed in time, sufferers are left with permanent paralysis from the waist down, including a complete loss of motor and sensory function in the legs, bladder and bowel.

Signs and Symptoms – Red Flags

There are 5 NHS red flags:

  1. Loss of sensation in the perineum/ between the legs
  2. Disturbed bladder/ bowel function – either incontinence or retention
  3. Severe back pain
  4. Leg pain affecting one or both legs
  5. Motor weakness and loss of reflex(es)

Any GP who suspects CES will advise their patient to proceed immediately to A&E for an emergency MRI scan. The scan will usually show whether or not immediate surgery is required.

CES Claims and the Law

Most CES claims arise from patients who have not been properly examined by their GP or in hospital leading to a significant delay before surgical intervention. The UK has a particularly poor record for CES, because of a general lack of awareness about the condition, and poor reaction times for the diagnostic MRI scan and transfer to theatre for immediate surgery.

All medical professionals owe a duty of care to their patients, but they will not be guilty of negligence if they act in accordance with a practice accepted as proper by a respectable body of medical practitioners skilled in their particular area of medicine. For a doctor or an NHS Trust to be found negligent, it must be shown that the patient was provided with inadequate treatment. Generally, this can be proved in one of four ways:

  1. Absence of urinary investigation
  2. Failure to carry out a neurological examination
  3. Failure to order or a delay in ordering an MRI scan
  4. Significant delay

Contact our specialist lawyers for help and advice

Claims for compensation arising from CES are complicated to win, and an inexperienced solicitor will recover only a fraction of the true award owed to a successful claimant. Only experienced catastrophic injury solicitors, approved by the Spinal Injuries Association, should act for CES sufferers.

Please contact Ben Posford for free advice about whether and how you can bring a claim for compensation for the injuries and other losses suffered as a result of CES.

Speak to a Personal Injury Lawyer Today

For a free initial conversation call 020 7485 8811

Email us Send us an email and we’ll get back to you






    • "A small but high-powered team, dealing with cases of significant value and complexity."

      Legal 500 2021

    • "An excellent firm which achieves fantastic outcomes for clients."

      Legal 500 2021

    • "Osbornes Law have captured the magic of keeping the customer service levels of a smaller firm whilst having all the expertise and power of the biggest firms."

    • "A superb boutique catastrophic injury firm."

      Legal 500 2021

    • "Really good at dealing with people who have suffered a serious injury."

      Chambers UK 2021

    • "Affable and charming with very good client-handling skills."

      Chambers UK 2021

    • "superb firm with consummate professionals and a human touch."

      Chambers UK 2021

    • Osbornes now has a team of highly experienced personal injury lawyers; particularly strong on high-value quantum cases, workplace accidents and claims involving foreign workers injured in the UK.

      Legal 500 2020 - Personal Injury

    • The team provides fantastic strength-in-depth for personal injury claims. It is also particularly well placed to service clients from Eastern Europe with specialist native language speakers. From the smallest case to a multimillion-pound spinal injury case, Osbornes has the right staff to manage every claim.

      Legal 500 2020 - Personal Injury

    • Ben Posford remains pre-eminent in his field with expert understanding of litigating cases of the upmost severity. His experience builds on Stuart Kightley’s running of the firm with recent partner additions of Rob Aylott making a fantastic addition.

      Legal 500 2020 - Personal Injury

    • A firm going from strength-to strength-which retains its client care whilst being able to offer a full personal injury service.

      Legal 500 2020 - Personal Injury

    • Beneath Ben Posford’s calm and reassuring presence, which clients love, lies a formidable tactical and legal brain. His experience tells and he gets it right at every stage of the process from arranging the best possible rehabilitation, to ensuring, so far as possible, a polite relationship with those acting for the defendant in order to ensure best and early resolution of the claim.

      Legal 500

    • "Clients say he is very impressive, in terms of both his experience and his management of the personal injury team."

      Chambers UK

    • "They have an expanding profile in personal injury and clinical negligence and offer a superb, broad service in accidents abroad, enabled by their recruitment of bilingual legal executives who can guide non-English speakers through complex litigation."

      Chambers & Partners Directory 2020, Personal Injury

    • "Solid personal injury practice well equipped to advise on high-value and high-profile claims arising from fatalities and severe head and spinal injuries."

      Chambers UK

    • "Offers specialist expertise in cycling-related injury claims."

      Chambers UK

    • "Offers specialist expertise in cauda equina syndrome cases."

      Chambers UK

    • "An exceptional outfit. They take on difficult cases, fight hard and win."

      Chambers UK

    • "Stuart Kightley is an incredibly empathetic solicitor who is very knowledgeable about traumatic brain injury."

      Chambers UK

    • "They are an outstanding firm to work with. They are consistently impressive in their work."

      Chambers UK

    • "Osbornes has a growing influence and impressive work load and is gaining a reputation for handling complex catastrophic work."

      The Legal 500

    • "Osbornes often handles claims valued at over £1m, particularly relating to severe brain and spinal cord injuries and niche areas such as cauda equina syndrome and cycling accidents."

      The Legal 500

    • "The hard-working, thorough and committed Robert Aylott, who brings significant heavyweight personal injury experience."

      Legal 500 2019

    • "Key team members include the energetic and personable Stuart Kightley who is head of the personal injury department."

      The Legal 500

    • "Catastrophic injury cases head Ben Posford is an excellent practical litigator who offers exceptional service."

      The Legal 500

    • Thank you for the hard work and patience and for being so patient with my constant questions.

      Personal Injury Client

    • "I have found Osbornes to be thorough, clear and understanding from the initial call. They do exactly what they say they will and with passion! I would recommend them to anyone".

      Client Review

    • Very good efficient service. Would not hesitate to use again.

      Personal Injury Client

    • I will use Osbornes for any future needs.

      Personal Injury Client

    • I don't think I could have asked for anything more. One of the best dealings I've had with the legal profession.

      Personal Injury Client

    • Sam was excellent and very professional in dealing with our claim.

      Personal Injury Client

    • Head of the personal injury department, Stuart Kightley is a first-rate practitioner, wholly focused on getting his client the best outcome in a pragmatic, sensible and consensual manner.

      Chambers UK

    • As a real specialist in spinal cord injuries, Ben Posford is always looking at new angles on how to maximise his cases.

      Chambers UK

    • Ben Posford is one of the best catastrophic injury lawyers around.

      Chambers UK

    • They provide exceptional service, great knowledge and understanding of the law, excellent client care and tactical nous

      Chambers UK

    • Stuart Kightley is praised for his expertise in catastrophic and fatal claims. Clients say he is very impressive, in terms of both his experience and his management of the personal injury team.

      Chambers UK

    • My claim was dealt with efficiently and professionally. Communication was excellent, and timely. Shrewd and sound advice was provided at every stage of the claim from beginning through to completion. On the basis of my personal experience I would strongly recommend Osbornes.

      Personal Injury Department Client

    • I just wish to thank you for your hard work and successful outcome. I am pleased with the result and would recommend you and your firm to anyone in the future.

      Personal injury department client

    • Ben Posford … is ‘tactically astute’ and ‘one of the best personal injury solicitors around’.

      Legal 500

    • Ben Posford ‘knows how to maximise the value of the claim for his clients’.

      Legal 500

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    For a free initial conversation call 020 7485 8811

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