Hip pain

• Assess to rule out serious pathology or red flags.
• Encourage weight loss if overweight - refer to weight management service if BMI > 40
• Encourage self management via NHS inform
• Analgesia as required
• Signpost to Single Access Point for self referral to physio

If ongoing symptoms

• refer for x-ray - pelvis AP with marker (if under 50 also request lateral hip

Consult orthopaedic on-call or Emergency Department:

• Trauma
• Rapid deterioration
• Suspected cancer
• Previous surgery

Urgent orthopaedic outpatient referral:

• Avascular necrosis
• >50 with severe symptoms

Refer to MSK physio via SCI-gateway

• for ongoing OA symptoms. No need to dual refer to orthopaedics.
• Trochanteric bursitis
• Gait disorders/mobility assessment (not falls)
• Instability
• Labral tear
• Connective tissue disorders