Question

A 45-year-old man presents with severe low back pain radiating down both legs, urinary retention and saddle anaesthesia. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent MRI of the lumbar spine and refer to spinal surgery

Answer

Prescribe NSAIDs and review in 2 weeks

Answer

Refer to physiotherapy for core-strengthening exercises

Answer

Request plain lumbar spine X-ray first

Answer

Offer chiropractic manipulation

Practice question

A 45-year-old man presents with severe low back pain radiating down both legs, urinary retention and saddle anaesthesia. What is the most appropriate next step in management?