A 58-year-old patient with chronic low back pain presents with new-onset saddle anesthesia and urinary retention. What is the MOST appropriate immediate action?
-
A
Refer immediately to emergency services for suspected cauda equina syndrome
-
B
Order lumbar MRI and follow up in 48 hours
-
C
Begin lumbar traction and reassess in one week
-
D
Apply TENS and schedule physical therapy three times per week