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Which specialist for peroneal tendinopathyProgressive loading exercises, gait assessment, and footwear adjustments resolve most cases of persistent outer ankle pain; imaging and surgery become appropriate only when structural damage exists or conservative treatment fails.Progressive loading exercises, gait assessment, and footwear adjustments resolve most cases of persistent outer ankle pain; imaging and surgery become appropriate only when structural damage exists or conservative treatment fails.
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When lumbar disc pain needs a specialistLumbar disc pain urgency depends on neurological function—sensation, movement, bladder and bowel control—not on pain severity. Most cases settle with conservative care, though certain warning signs demand GP or same-day emergency assessment.Lumbar disc pain urgency depends on neurological function—sensation, movement, bladder and bowel control—not on pain severity. Most cases settle with conservative care, though certain warning signs demand GP or same-day emergency assessment.
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Who signs off your return to sport after ligament injuryA sports medicine physician determines clearance to return to sport after ligament injury based on objective functional tests—strength symmetry, hop assessments, neuromuscular control—not calendar dates.A sports medicine physician determines clearance to return to sport after ligament injury based on objective functional tests—strength symmetry, hop assessments, neuromuscular control—not calendar dates.
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Achilles tendinopathy or partial ruptureMistaking a partial Achilles rupture for chronic tendinopathy risks converting it into a complete rupture requiring surgery; distinguishing between the two conditions before treatment is therefore essential.Mistaking a partial Achilles rupture for chronic tendinopathy risks converting it into a complete rupture requiring surgery; distinguishing between the two conditions before treatment is therefore essential.
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Who treats a rotator cuff tear in the UKMany NHS trusts refer rotator cuff tear cases first to an Extended Scope Practitioner — a senior physiotherapist who can order imaging, administer injections, and refer directly to a surgeon — rather than directly to an orthopaedic consultant. This deliberate pathway removes administrative steps rather than adding them.Many NHS trusts refer rotator cuff tear cases first to an Extended Scope Practitioner — a senior physiotherapist who can order imaging, administer injections, and refer directly to a surgeon — rather than directly to an orthopaedic consultant. This deliberate pathway removes administrative steps rather than adding them.
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Who treats tennis elbow and what to askTennis elbow is tendinopathy, not inflammation: small tears in the ECRB tendon accumulate faster than the tissue repairs itself, and progressive eccentric loading stimulates remodelling whereas rest prolongs recovery.Tennis elbow is tendinopathy, not inflammation: small tears in the ECRB tendon accumulate faster than the tissue repairs itself, and progressive eccentric loading stimulates remodelling whereas rest prolongs recovery.
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Who treats supraspinatus tendinopathy and when to scanSupraspinatus tendinopathy presents as gradually worsening outer-shoulder pain, worse with overhead reaching. A load-related tendon change distinct from structural tears, it resolves with physiotherapy in primary care for most patients; imaging and specialist assessment follow only when conservative care has not succeeded.Supraspinatus tendinopathy presents as gradually worsening outer-shoulder pain, worse with overhead reaching. A load-related tendon change distinct from structural tears, it resolves with physiotherapy in primary care for most patients; imaging and specialist assessment follow only when conservative care has not succeeded.
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Which specialist treats AC joint painThe acromioclavicular joint, where the outer collarbone meets the shoulder blade, transfers all load from the arm to the skeleton — a role accounting for roughly 40% of all shoulder injuries.The acromioclavicular joint, where the outer collarbone meets the shoulder blade, transfers all load from the arm to the skeleton — a role accounting for roughly 40% of all shoulder injuries.
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When shoulder impingement pain needs a specialistStructured physiotherapy resolves shoulder impingement pain in 60–90% of cases. Specialist referral is warranted if pain persists after three months of treatment, or sooner if it disturbs sleep or restricts overhead arm movement.Structured physiotherapy resolves shoulder impingement pain in 60–90% of cases. Specialist referral is warranted if pain persists after three months of treatment, or sooner if it disturbs sleep or restricts overhead arm movement.
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Hip osteoarthritis treatment before replacement surgeryUK clinical guidance requires documented completion of conservative care — physiotherapy, weight management, analgesia — before accepting a total hip replacement referral. Surgical timing is determined by functional impact, not imaging severity.UK clinical guidance requires documented completion of conservative care — physiotherapy, weight management, analgesia — before accepting a total hip replacement referral. Surgical timing is determined by functional impact, not imaging severity.
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When hip pain needs a specialistHip pain persisting beyond two weeks, disrupting sleep or preventing stairs and dressing, warrants GP assessment; specialist referral typically requires prior documentation of 8–12 weeks of conservative management.Hip pain persisting beyond two weeks, disrupting sleep or preventing stairs and dressing, warrants GP assessment; specialist referral typically requires prior documentation of 8–12 weeks of conservative management.
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Who to see for outer ankle pain without swellingVisible ankle swelling is often treated as a marker of injury severity, but outer ankle pain without swelling can signal peroneal tendinopathy (risking rupture), sinus tarsi syndrome (causing instability), or superficial peroneal nerve entrapment (producing tingling).Visible ankle swelling is often treated as a marker of injury severity, but outer ankle pain without swelling can signal peroneal tendinopathy (risking rupture), sinus tarsi syndrome (causing instability), or superficial peroneal nerve entrapment (producing tingling).
