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Recognition of Cauda Equine Syndrome is often delayed as it presents with bladder, bowel and sexual problems which are common complaints and can have a variety of causes. Also, patients may not mention some of these symptoms because they are embarrassed about them. For clinicians it is important to document the nature and timing of bladder, bowel and sexual symptoms particularly if they are new and especially in those with a history of back pain and associated leg pain and to make a timely referral for proper investigation and expert treatment.
While it remains unclear exactly how excess weight influences OA, it most likely can be explained by the load it places on the joints. Each 1-pound increase in weight translates to a 2- to 3-pound increase in the overall force on the knee. 4 This increases the stress on the joints and can accelerate the breakdown of cartilage.
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