Referral Criteria

Conditions suitable for referral/triage to the musculoskeletal clinic:

  • Peripheral joint and soft tissue conditions with no underlying neurological or inflammatory disease component
  • Sports injury assessment, diagnosis and advice service

Lower limb

Hip – Pain, clicking with pain, early OA, impingement signs, groin pain/sprain. Iliotibial band problems, lateral hip pain, biomechanical issues.

Knee – Pain, swelling, clicking with pain, giving way, loss of function, altered gait, bursitis, degenerative menisci, early/moderate OA, gout, chondrocalcinosis.

Foot/ankle – Pain in ankle, heel, foot and toes e.g. plantar fasciitis, achilles tendinopathies, early/moderate OA, gait problems. Lower limb and foot pain which may have a biomechanical component.

Upper limb

Shoulder – Pain, limitation of movement, clicking with pain e.g. capsulitis, impingement, early/moderate OA, degenerative rotator cuff problems

Elbow – Pain eg tennis/golfers elbow, bursitis, early OA.

Hand/wrist – Pain eg de Quervains syndrome, trigger fingers/thumb, early/mild carpal tunnel, early/moderate OA.

Typical pathologies treated: Enthesiopathies, tendinopathies, bursitis, hypermobility, early/moderate OA.

Interventions in clinic may include: assessment, investigation, and diagnosis; management advice, joint/soft tissue injections, orthotics and onward referral.

Exclusions:

  • Spinal conditions
  • Referrals for children under 18 years
  • Recent trauma

Referral forms:

Referral form (56kb)
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