Please note ⚠︎: This specialty has now been moved over to the HNY Policy and Pathway Repository (PPR). Some of the links below may redirect you to the PPR. Please see the new MSK & Orthopaedics specialty page.

Please send all referrals for MSK, Orthopaedic surgery and Orthopaedic opinion to the MSK service. Please only refer exclusions directly to Trauma and Orthopaedics.

• MSK Exclusion Criteria (in 'additional information' section)
• MSK Service Model
• AHP MSK Physiotherapy Referral Form
• Fracture Clinic (in 'additional information' section)

• BMI and Smoking Thresholds Letter
• MSK Elective Surgical Procedure Flowchart
• MSK Elective Surgical Opinion Flowchart

• YourPhysio Poster
• HCV ICS list of Self-management patient resources

• Acromioclavicular (AC) Joint Pain - published September 2017
• Anterior Knee Pain - published September 2017
• Arc self-help information
• Back Pain
  • Acute Motor Loss Pathway - updated July 2022
  • Summary Guidance for Imaging and Management of Back Pain
  • Back Pain Information for Patients
  • MRI spinal request form - word version
  • CES Pathway

• Carpal Tunnel Syndrome - published September 2017
• Elbow Osteoarthritis - published September 2017
• Elbow Tendinopathy - published September 2017
• FAI Syndrome - published September 2017
• Greater Trochanteric Pain Syndrome (GTPS) - published September 2017
• Hip Impingement Syndrome - published September 2017
• Knee Ligament Injury - published September 2017
• Knee Pain
  • Acute Knee Service (York Hospital) *
  • Summary Guidance for Management of Knee Pain *

• Lower Limb Dermatome Map
• Lower Limb Hip and Knee Osteoarthritis - published September 2017
• Lumbar Spine - published September 2017
• Plantar Fasciitis - published September 2017
• Sports Hernia
• Acute Shoulder Clinical Assessment Service *
• Stiff Shoulder - published September 2017
• Sub-Acromial Pain Syndrome and Rotator Cuff Disorders - published September 2017
• Wrist and Hand Osteoarthritis - published September 2017
• Wrist and Hand Tendon - published September 2017

• City of York Council - 'Better - Healthwise: Physical Activity GP Referral Scheme' / CYC Health Trainers
• Selby and Tadcaster - 'Move It Lose It'
• Ryedale District Council - 'Everyone Active'
• Hambleton District Council - 'Take That Step'
• East Riding of Yorkshire - 'Healthtrainer service' and 'Exercise Referral Scheme'

• Carpal tunnel syndrome release
• Dupuytren’s contracture release in adults
• Ganglion excision
• Shoulder decompression - Arthroscopic shoulder decompression for subacromial pain
• Trigger finger release in adults
• Lumbar radiofrequency facet joint denervation
• Knee arthroscopy for patients with osteoarthritis (not routinely commissioned)

• Arthroscopic hip surgery
• Arthroscopic shoulder decompression
• Exogen Ultrasound Bone Healing (Exogen Therapy)
• Hip and Knee Replacement
• Ilizarov Technique Taylor Spatial Frame (TSF) (Frame surgery)
• Spinal Epidural injections
• Open, Wide Bore and Upright Magnetic Resonance Imaging (MRI)
• Tenotomy for curly toes in children
• Arthroscopic Lavage and Debridement (not routinely commissioned)
• Extra Corporeal Shockwave Therapy (ESWT), Ankle, Elbow, Heel, Hip, Shoulder (not routinely commissioned)

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