Eligibility1

Which body part is affected?

Does this injury make the joint feel loose, unstable, or like it could come out of place (dislocate)?

Yes
No

Can you push through the injured arm?

Yes
No

Is the injury causing the joint to get stuck in one position?

Yes
No

Since your symptoms started have you had any new problems with walking, weakness in the legs or falling over?

Yes
No

Since your symptoms started have you had any problems with controlling your hands or dropping things?

Yes
No

Is this injury making the joint feel loose, unstable or making you fall over?

Yes
No

Since your symptoms started have you had pain, numbness or tingling in both arms?

Yes
No

Since your symptoms started has the joint felt loose or unstable, has your balance changed or have you started falling over?

Yes
No

Can you walk on the injured leg?

Yes
No

Since your symptoms started have you had any new problems with: dizziness, fainting, vision problems including double or blurred vision, problems with your speech, problems with your swallowing, any nausea or vomiting?

Yes
No

MSK Physiotherapy Self-Referral

Eligibility Check

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