Prior to referral consider / screen to exclude:
Key Clinical Observations of concern:
Acute infection or suspected new traumatic injury should be sent to A&E.
Urgent appointments can be made for patients in consultant led orthopaedic F&A fracture clinic.
Urgent appointments can be made in consultant orthopaedic foot and ankle elective clinics for patients with:
Urgent appointments can be made with podiatrists for:
Consider diagnosis (discuss within peer review):
If no improvement; suggest self referral or refer on to Physiotherapy or Podiatry Service for diagnosis (if not already ascertained) and treatment.
AP/Mortise and lateral standing foot X-ray prior to onward referral if first line actions fail or if patient reports sharp catching or locking.
If no improvement after approximately 3 months of comprehensive treatment refer to the Interface team.
If patient does not wish to explore surgical option refer back to GP or Pain Consultant for advice regarding analgesia.
No referrals to secondary care unless the following criteria are met: