Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Key indications for referring a patient to physiotherapy for musculoskeletal issues include:
- Postoperative rehabilitation advice and support for patients who have undergone primary elective hip, knee, or shoulder replacement, including those needing supervised group or individual rehabilitation if self-directed rehabilitation is insufficient or if there are difficulties managing daily activities or ongoing functional impairments.
- Assessment and rehabilitation following traumatic injury, especially for adults with fragility fractures, where bone health assessment and referral to specialist services may be necessary.
- Patients with new or worsening pain, limp, or loss of function related to joint replacement should be referred to orthopaedic surgical services, which may include physiotherapy input.
- Patients with physical impairments after traumatic injury such as nerve injury, muscle imbalance, proprioception problems, reduced range of movement, balance or dizziness issues, or difficulties with transfers and mobility should be considered for physiotherapy referral.
- Consideration of falls risk assessment and referral to falls prevention services in patients over 65 or those with injuries caused by falls, as part of a comprehensive rehabilitation plan.
These indications ensure that patients receive appropriate rehabilitation to improve function, manage pain, and prevent further injury or complications.
References: NICE NG157,NICE NG211