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 in elective Hand Clinics for patients with:
Tennis Elbow (lateral epicondylagia):
Golfer’s Elbow (medial epicondylagia):
If serious pathology suspected refer directly to Surgeon.
If no serious pathology suspected:
If no improvement after course of physiotherapy and steroid injection consider referral to interface team.
X-ray to rule out OA.
If non-resolving - consider referral to Interface Team.
Referral is appropriate if surgery is an option or for complex diagnosis.
Discuss the following: