Why is Cauda Equina Syndrome so often Mis Diagnosed?

For many people with Cauda Equina Syndrome who have suffered CES through mis diagnosis this, im sure will have been questioned.
We now know that Cauda Equina is not quite as rare as we are led to believe. Healthcare practitioners are made very aware of the condition so lack of awareness and and information is no excuse.

So why is this very serious condition still missed?

I have a personal opinion on this..as an example..you have visited the doctor and are presenting with some or all or the Red Flag Signals for Cauda Equina Syndrome.
The doctor fails in his care of duty because he decides..in his superior wisdom that you in fact do NOT have Cauda Equina Syndrome and send you home with painkillers and if you are exceptionally fortunate, a physio assessment.

There we have the problem....right there

General pracitioners/doctors cannot diagnose CES but they are certainly trained to recognise it. So if they cannot diagnose it..then they cannot say you dont have it either. 

If your doctor suspects it...or recognises any Red Flag Signals (which is their duty to do) all they have to do is refer you for a scan...

Thats it..job done..responsibility taken and then pass it on for the hospital to say yes or no. This is, in my opinion, what they are not understanding.

It would take some amazing doctor with supernatural talent to be able to say you have in fact got Cauda Equine Syndrome or not.

It is not even their place to attempt diagnosis..they are not qualified to do so...but what they do have to do...is remember their training and remember that if they suspect or are visited by a patient who presents some or all of the red flag signals then this is a medical emergency and they MUST send the patient for a scan.

At that point their job is done and duty of care carried out.

In the UK if you call an out of hours medical service the operator is given a checklist of questions and as part of this checklist they ask if you are suffering any numbness, bladder and bowel probs...difficulty walking.

Ignorance is NOT an excuse..its a fail..simply.

Thoughts are welcome