Question

A 67-year-old man presents with low back pain, bilateral sciatica, saddle anaesthesia and urinary retention. Examination shows reduced anal tone. What is the most appropriate next step?

Accepted Answer

Urgent MRI spine and neurosurgical referral

Answer

Arrange routine physiotherapy referral

Answer

Start oral NSAIDs and review in 2 weeks

Answer

Refer to rheumatology clinic

Answer

Offer epidural steroid injection in clinic

Practice question

A 67-year-old man presents with low back pain, bilateral sciatica, saddle anaesthesia and urinary retention. Examination shows reduced anal tone. What is the most appropriate next step?