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:
If no improvement; suggest self referral or refer on to Physiotherapy or Podiatry Service for diagnosis (if not already ascertained) and treatment.
If not responding consider referral to the Interface Team.
Consider the following:
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:
This condition is not generally helped by surgery but interventions that can be used are: