MSK (Musculoskeletal Services)

All referrals should be via the Musculoskeletal Services (MSK) Clinical Assessment service (CAS)

Clinical Threshold Policies (Please use referral proforma)

• Back -low back pain management 
  
• Bunions  
  
• Carpal Tunnel Syndrome 
  
• Dupuytren's
  
• Ganglion 
  
• Hip -chronic pain management pathway 
  
• Hip replacement surgery
  
• Knee arthroscopy
  
• Knee replacement surgery
  
• Radiofrequency denervation for chronic back and neck pain 
  
• Shoulder pain management  
  
• Shoulder replacement
  
• Temporomandibular  Disorders 
• Trigger finger 
  

Lower Clinical Priority Policies (Exceptional case funding needed)

• Extracorporeal Shockwave Therapy (ESWT) for orthopaedic indications  
  

 CCG Prescribing Policies and Guidance

• Osteoporosis secondary prevention quick reference guide 

CPFT

• Podiatry information and referral
• Feet Focus Community Foot Care- low cost foot care service for those not eligible for NHS podiatry

Addenbrooke's page and guidance (N3)

• Bone Density (DXA/DEXA) proforma
• Early inflammatory arthritis care pathway  and proforma
  
• Giant cell arteritis 
  
• Interpreting autoantibodies 
  
• Methotrexate drug interactions of clinical significance 
  
• Orthopaedics and Trauma page 
  
• Orthotics CUHFT Referral proforma and guidelines
• Physiotherapy-GP connect page
• Rheumatoid arthritis 
  
• Rheumatology page  
• Spinal Pain Services

Addenbrooke's and NWAFT joint guidance/services

• Fibromyalgia guidance to primary care
  

Paediatric MSK physiotherapy

• CUHFT/NWAFT Service Provision and Referral Criteria for MSK physio-includes helpful advice

DynamicHealth (provided by Cambridgeshire Community Services NHS Trust)

• Physiotherapy self-care leaflets and resources
• Physio Advice Line – 0300 5550210 – click here for exclusion criteria
• Physiotherapy self-referral for those unable to use Physio Advice Line – referral form
•  Pelvic Health Physiotherapy
• Cauda Equina cards translated into numerous languages

Useful links/documents

• Allied Health Professionals (AHP) Suffolk-useful website for self help/exercises
• CPCCG Chronic Pain pages
• STarT Back Screening Tool  
  
• National Osteoporosis Society (Health Professionals information)
• Physiotherapy-Dynamic Health Musculoskeletal and uro-gynae physio 
• Versus Arthritis (previously known as Arthritis Research UK)

NICE and CKS Guidance

• NICE musculoskeletal conditions overview
  
• CKS Musculoskeletal (advice on management of wide range of conditions)
• Low back pain and sciatica in over 16s 
• Osteoarthritis
  
• Osteoporosis
  
• Rheumatoid arthritis in adults 
• Spondyloarthritis in over 16s