Restoring Function in Lumbar Spinal Stenosis: A Case of Symptomatic Relief After Caudal Neuroplasty

Degenerative lumbar spinal stenosis (LSS) is the narrowing of the spinal canal caused by degenerative changes in the vertebral joints, intervertebral disks, and ligaments, particularly the ligamentum flavum. When conservative management fails, minimally invasive epidural procedures such as caudal neuroplasty have shown promising results. A 50-year-old female with magnetic resonance imaging–confirmed multilevel lumbar stenosis experienced inadequate relief from medication and exercise. She underwent fluoroscopy-guided caudal neuroplasty using a Racz catheter with 20 mL of normal saline. At the 2-week follow-up, she reported ~80% improvement, complete resolution of left posterior thigh pain, and improved standing tolerance. Caudal neuroplasty is a safe and effective minimally invasive treatment option for symptomatic LSS unresponsive to conservative therapy.