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Decision to refer to orthopaedics
Patient presents with Hip or Knee pain BMC in-house Hip and Knee pathway Consider other treatments Refer physio/OT High impact insoles Walking stick Lifestyle changes injection options All clinicians aware of in-house joint injection provision Uncertain diagnosis Refer to MCATS Medication/drug therapy Analgesia NSAID Advice Weight reduction Low impact exercise PILs Complete Oxford Hip or Knee score. For pts scoring <25 consider orthopoaedic surgical opinion. Request X ray/record bp/calculate BMI/request eGFR if appropriate Decision to refer to orthopaedics
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