Lumbar spondylolisthesis caudal recurrent neuralgia can be treated with rest, physical therapy, medications, and surgery. Lumbar spondylolisthesis can cause narrowing of the effective diameter of the spinal canal and compression of the spinal cord nerve roots, which can lead to pain and numbness in the sacrococcygeal area and lower extremities. Conservative treatment can be chosen when the symptoms are mild, such as paying attention to proper rest, avoiding heavy physical labor, wearing a lumbar immobilization belt to reduce the pressure on the lumbar spine to alleviate the symptoms. You can choose lumbar hot compresses, massage, electric grill, massage and other physical therapy to promote local blood circulation to relieve symptoms. Oral anti-inflammatory and analgesic drugs such as nimesulide and diclofenac sodium can also be taken for anti-inflammatory and pain relief, as well as neurotrophic drugs such as methylcobalamin and adenosylcobalamin. For those whose symptoms seriously affect daily life and the effect of repeated conservative treatment is unsatisfactory, surgical treatment can be chosen, such as open surgical decompression of the spinal canal and bone graft fusion and internal fixation. If the symptoms of lumbar spondylolisthesis neuralgia appear, it is recommended that patients go to the hospital to improve the examination and receive regular treatment.