Patients with any of the following suspected should be sent to A&E:
Urgent appointments should be made in a consultant led clinic for patients with:
NB: Dual joint pathology can exist +/- rotator cuff damage.
If no improvement; suggest self referral or refer on to Physiotherapy Service for diagnosis (if needed) and treatment.
X -ray if trauma or suspected OA.
If patient does not wish to explore surgical option refer back to GP or consider Pain Consultant for advice regarding analgesia.
Surgical interventions include:
NB: Shoulder instability with traumatic or non-traumatic onset may be may present with other shoulder complex disorders e.g. rotator cuff disorders therefore cross referencing the pathways can be critical.