To include syndromes such as work related upper limb disorder, RSI and cumulative trauma disorder.
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:
Exclude red flags: Inflammatory conditions, PMR,SLE, connective tissue disease.
Consider Diagnosis (discuss within peer review).
Diagnoses may include:
Complete psychosocial assessment yellow flags:
If not responding consider referral to Interface Team.
Criteria for referral to Pain Medicine services: