There are several conditions in which a herniated disc must be operated on as soon as possible, one of which is the presence of “cauda equina syndrome”. Cauda equina syndrome is a condition in which multiple nerve roots are damaged by compression of the cauda equina nerve in the lumbar spinal canal for various reasons. In the lumbar region, many nerves come together and wrap around the dural sac, forming a bundle like the tail of a horse. If spinal stenosis or severe disc herniation compresses this delicate “cauda equina” and neurological symptoms occur, it is called “cauda equina syndrome”, which was first reported clinically by Verbiest in 1949 and named cauda equina syndrome ( Caudaequina syndrome (CES). The most common and severe symptoms are: urinary and fecal disorders, perianal numbness, and sexual dysfunction. The most common and serious symptoms are: urinary and faecal disorders, perianal numbness and sexual dysfunction. Although it is rare to see such patients clinically, when it occurs, it is catastrophic. Since it is a severe compression of multiple nerves, it often leads to very serious consequences. Clinically, it is usually required to perform surgical decompression as soon as possible within 24 hours to release the mechanical compression of the cauda equina nerve, and even emergency surgery if necessary. A large number of clinical practices have demonstrated that once the serious consequences of cauda equina syndrome occur, such as urinary incontinence, then surgical decompression is performed, the recovery of nerve function is often unsatisfactory. One researcher reported that only 41 of 47 patients (87%) who underwent surgery within 24 hours recovered normal bladder function. 46 patients who underwent surgery after 24 hours recovered normal bladder function in only 20 cases (43%). Therefore, once the condition of cauda equina syndrome has developed, it is important to seek medical attention and proper treatment as soon as possible. Seeking a conservative approach will only delay the condition and have irreversible consequences. This is something that should be avoided by doctors who perform professional rehabilitation, in addition to the patient.