system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 31-year-old man presents with a several-month history of foot sensory changes. He has noticed that he has a hard time telling the difference between a hardwood floor and carpet beneath his feet. He's also had a couple of falls lately; these falls were not preceded by any lightheadedness or palpitations. He is adopted, so his family history is unknown. On physical exam, he has leg and foot muscular atrophy and 4/5 strength throughout his bilateral lower extremities. Sensation to light touch and pinprick is decreased up to the mid-calf. Ankle jerk reflex is absent bilaterally. He has a significant pes cavus deformity of both feet. Nerve conduction studies show decreased conduction velocities in his bilateral peroneal nerves. Which of the following is the best treatment for this patient?
assistant
Referral to physical therapy