LOW RISK

This means there are no significant barriers to recovery

MSK Education & Advice Verbal

MSK Education & Advice Written

Simple oral and topical analgesia limited to those that would be available over the counter

Sheffield ‘Move More’ site CLICK HERE

Versus Arthritis exercises leaflet CLICK HERE

MEDIUM RISK

In ADDITION to LOW RISK option

Refer to MSK Interface clinic

Refer to Physiotherapy (including psychologically informed approach)

Refer to Rheumatology

Refer to Pain Management Service

Refer/signpost to community-based personalised exercise programme

For Prescribers consider atypical analgesia: amitriptyline, gabapentin, pregabalin

HIGH RISK

In ADDITION to LOW RISK option

Refer to MSK Interface clinic

Refer to Physiotherapy (including psychologically informed approach)

Refer to Rheumatology

Refer to Pain Management Service

Refer to Occupational Health/Work place assessment and advice

Signpost to Expert patient/peer support groups

For Prescribers consider: 

atypical analgesia: amitriptyline, gabapentin, pregabalin opioids

Address comorbidities, distress, frailty