Question

A 47-year-old man presents with severe low back pain radiating to both legs, saddle anaesthesia and new urinary retention. What is the most appropriate next step?

Accepted Answer

Arrange emergency MRI spine and urgent spinal surgical review

Answer

Prescribe NSAIDs and review in 2 weeks

Answer

Refer to physiotherapy as an outpatient

Answer

Request lumbar X-ray and discharge

Answer

Advise bed rest at home

Practice question

A 47-year-old man presents with severe low back pain radiating to both legs, saddle anaesthesia and new urinary retention. What is the most appropriate next step?