A 55-Year-Old Patient Complains of Lower Back Pain Due to Heavy
A 55-year-old patient complains of lower back pain due to heavy lifting at work yesterday.He reports weakness of the left leg and paresthesias in the left foot.On physical examination,the patient has diminished ability to dorsiflex the left ankle.Which of the following symptoms should prompt the clinician to make immediate referral to a neurosurgeon?
A) Straight leg raising sign
B) Lumbar herniated disc on x-ray
C) Loss of left sided patellar reflex
D) Urinary incontinence