Prior to referral consider / screen to exclude:
Key Clinical Observations of concern:
Patients with any of the following suspected should be sent to A&E
Urgent appointments can be made for patients at Fracture/ Trauma Clinic.
Urgent appointments can be made in elective Orthopaedic/ Rheumatology/Pain Clinics for patients with:
Consider diagnosis (discuss within peer review).
Regional Pain Syndrome combinations of bursitis, gluteal tendinopathy, myofascial pain:
Most cases can successfully be treated with self management:
If not resolving in 4 weeks steroid injection +/- local anaesthetic (small volume injection adequate) with an exercise programme to confirm the diagnosis. If not able to offer this treatment refer to Interface Team.
If steroid injection does not work reconsider diagnosis.
If not responding consider onward referral to Interface Team.
If patient does not fit surgical criteria or patient does not want to consider surgery refer back to GP or consider referral to Pain Clinic.
Patients with lateral hip pain are highly unlikely to require a referral to secondary care. Therefore, no referrals should be made to secondary care orthopaedics unless the following criteria are met:
Note that patients with lateral hip pain are unlikely to benefit from surgery.