Question

A 41-year-old presents with severe back pain radiating to both legs, saddle anaesthesia and urinary retention. Which is the most appropriate action according to NICE back pain guidance?

Accepted Answer

Urgent MRI within 24 hours and neurosurgical referral

Answer

Start naproxen and review in 2 weeks

Answer

Physiotherapy within 4 weeks

Answer

Lumbar X-ray today

Answer

Oral diazepam and rest

Practice question

A 41-year-old presents with severe back pain radiating to both legs, saddle anaesthesia and urinary retention. Which is the most appropriate action according to NICE back pain guidance?