Metastatic Spinal Cord Compression (MSCC) occurs in approximately 5% of patients with advanced cancer, and is due to metastatic spread or direct extension of malignancy causing compression of the spinal cord or cauda equina by direct pressure and/or vertebral instability or collapse, and so threatening or causing neurological disability. It can occur in almost all malignancies but myeloma, lung, prostate and breast cancers are the most common types.

The purpose of this document is to identify the research and clinical evidence, expert opinion and professional consensus – in order to provide best available evidence based practice for Occupational Therapists and Physiotherapists in the assessment, treatment and rehabilitation of patients living with MSCC in the community sector.