Possible Investigations & Treatment Plan

Possible Investigations

• Blood tests
• Imaging/scans as indicated

Treatment Plan

Conservative:

• Supervised group exercise programmes
• Maintain physical activity
• Self-management advice
• Acceptance and Commitment Therapy (ACT)
• Cognitive Behavioural Therapy (CBT)
• Acupuncture/dry needling
• Antidepressants

Specialist referral indicated if:

• Red flags present
• Primary care treatment is ineffective
• Poor pain control
• Complex Regional Pain Syndrome (CRPS) suspected
• Significant psychological distress