| Hours | Service | Inclusion | How to refer |
|---|---|---|---|
| Mon - Fri 08:00 – 16:30 Last referral 15:45 |
ED physiotherapist |
|
Referral through iCM Note if urgent or for discharge bleep #562 as well as referral |
| Frailty Intervention Team (FIT) |
|
087-2467650 | |
| Vestibular Inpatient Assessment | Patients for assessment/treatment for vestibular conditions e.g.
|
Referral through iCM Note if urgent or for discharge bleep #562 as well as referral |
|
| OPD clinics Out of Hours |
MSK outpatient clinics | MSK conditions e.g. back pain, ankle sprain All older adults >18 years |
Referral through ICM CUH OPD general referral |
| Vestibular Outpatient | Patients for assessment/treatment for vestibular conditions e.g.
|
Referral through iCM CUH OPD general referral and put VESTIBULAR as Dx | |
| Facial Palsy Clinic | For new Bell's Palsy | Referral through iCM CUH OPD general referral and put FACIAL PALSY as Dx |
Suitable referrals to ED MSK OPD Physiotherapy Service - CUH
- Rotator Cuff injury
- Shoulder Impingement
- Shoulder Tendonitis
- Elbow STI (adult)
- Elbow Tendonitis
- Wrist/hand/finger STI
- Tendonitis of the wrist/fingers
- Stable pubic ramus fracture
- Hip STI
- Groin strain
- Quadriceps contusion
- Quads/Hamstring strain
- Osgood-Schlatter's
- Simple ankle STI
- Gastrocnemius strain
- Achilles/Tib Post tendonitis or tendon injury (not #)
- Plantar fasciitis
- Sever's disease
- Acute or acute on Chronic Neck/Back pain
- Radiculopathy
- Bell's palsy
Referral Guidelines
- Night pain or referred pain
- Moderate severe pain
- Patient to be signed off work
- Musculoskeletal problems
- Less than 75% ROM
- Moderate to severe oedema, - haemarthrosis
- Abnormal weight bearing
- Paraesthesia / anaesthesia
- Myotonal weakness or reduced reflexes
What happens
Duration post injury is irrelevant. The consultation consists of:
- Brief assessment
- Advice & education
- Teach exercises, stretche / gait education as appropriate
- Refer for further outpatient physiotherapy if necessary
- Refer back to you!
- Treatment and discharge