About us

The musculoskeletal (MSK) service supports people with new or recurring problems affecting their joints, muscles, soft tissues and nerves. The service is split into two parts:

The MSK physiotherapy team provides assessment, advice, education and physiotherapy treatment for people with new or recurring MSK problems, as well as those living with long-term MSK conditions.

The MSK Advanced Practice team assesses people who may need further investigations, injections or a surgical opinion. They work closely with hospital orthopaedic services to make sure patients receive the most appropriate treatment.

Inclusion criteria:

We accept referrals for adults aged 17 years and over with new, recurring or long-term MSK symptoms, provided they do not have an urgent medical problem or symptoms that suggest another medical condition requiring a different type of care.

Exclusion criteria:

  • Conditions that are not primarily musculoskeletal, for example: neurological conditions, podiatry referrals, suspected inflammatory arthritis, fibromyalgia, balance disorders, mobility problems (including walking aid referrals), pregnancy-related back pain, headaches that are not related to a neck problem, diastasis recti, bone health management referrals.
  • Symptoms that may indicate a serious underlying medical condition
  • Suspected cauda equina syndrome
  • New or worsening muscle weakness or progressive nerve symptoms
  • Active cancer diagnosis or treatment 
  • Acute trauma including traumatic fracture or acute tendon rupture 
  • Suspected fragility fracture
  • Active immunosuppressive therapy 
  • Specialist diagnostic work up or surgical opinion for scoliosis/spinal deformity
  • Post-surgical problems e.g. problems following joint replacement surgery, such as a painful joint replacement
  • Unexplained lumps or bumps
  • People who require assessment by a specialist multidisciplinary pain management service