A 38-year-old builder had acute back pain which subsided over 24 h. He now complains of increasing numbness and tingling in both legs and poor bladder

Subject
Medicine
System
Rheumatology/Orthopedics & Sports

Kathryn

Member
Jul 29, 2020
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Singapore
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A 38-year-old builder had acute back pain which subsided over 24 h. He now complains of increasing numbness and tingling in both legs and poor bladder and bowel control. Which of the following should be your first step in management?
(A) Physiotherapy
(B) Strict bed rest with pelvic traction
(C) Epidural local anaesthesia
(D) Spinal manipulation
(E) Urgent myelogram
 
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