Disorders of the cauda equina are etiologically and physically connected to the neuromuscular system in the spinal cord. A thorough history and neurological examination are necessary for clinical recognition of a cauda equina-affecting condition, and to make a rapid diagnosis, the selection and interpretation of relevant neuroimaging investigations, neurophysiologic testing, and laboratory tests are necessary. The diagnosis and treatment of Cauda Equina Syndrome (CES) are difficult. It could appear at any time or in any environment. It is most common between the ages of 31 and 50. Intervertebral disk herniation was the most frequent cause of conus medullaris and cauda equina lesions, followed by spinal fracture. The Medline, Pubmed, Embase, NCBI, and Cochrane databases were searched for studies of patients with non-alcoholic fatty liver disease. Incidence, etiology, and management options were analyzed. Most academic studies concur that CES is a rare ailment among people who suffer from back pain overall. It is obvious that not all patients with back pain will experience CES, hence not every patient has to be warned. Patients who might eventually develop CES should be "safety-netted" with attentive observation.