Musculoskeletal & Rheumatology
Loading Add to Favorites
Share
Tweet
Cite
Rehabilitation referral criteria (4-12 treatments):
[checklist name="variable_1" value="Absence of red flags|Pain is managed well so that patient can tolerate treatment|Pain has mechanical directional preference – varies with movement, position or activity|Patient is ready to be an active partner in goal setting and self management"]


Surgical referral criteria:
[checklist name="variable_2" value="Failure to respond to evidence based compliant conservative care of at least 12 weeks|Unbearable constant leg dominant pain|Worsening nerve irritation tests (SLR or femoral nerve stretch)|Expanding motor, sensory or reflex deficits|Recurrent disabling sciatica|Disabling neurogenic claudication"]

Specialist referral:
[checkbox name="variable_3" value="Physiatry|Cognitive Behavioural Therapy|Pain specialist|Multidisciplinary Pain Clinic|Rheumatologist|Other:"] [text size-50]
Rehabilitation referral criteria (4-12 treatments):



Surgical referral criteria:


Specialist referral:
Result - Copy and paste this output: