This case involves a woman who presented to her chiropractor with severe lower back pain and numbness in her bilateral lower extremities. The chiropractor performed a manipulation on the woman and sent her home. The woman continued to experience pain for a few days before deciding to visit the hospital. She was ultimately diagnosed with cauda equina syndrome and as a result, she suffers from permanent difficulty walking. A chiropractor was sought to opine on the standard of care for patients who present with these symptoms.