Spondyloarthritis (seronegative arthritis)
North South North West Statewide
All referrals should comply to referral standards and include in particular:
- Onset of condition
- Pattern of pain – spinal or peripheral joint involvement
- Current and past medications
- Precipitating factors e.g. gut, urinary or Strep infections
If the diagnosis is established refer if:
- Worsening of disability
- Threat to independence
- Difficulty with employment
- Assistance needed with self management
- X-ray affected joint/s
- ESR or CRP
- U&E Cr
- Uric Acid
To refer a patient with this condition, please see the Inflammatory Spinal clinic page for the full referral process and templates.
Consider paracetamol and NSAIDS to reduce symptoms. Short course of corticosteroids may also be useful whilst awaiting review.
Physical therapies - regular exercise, stretching, weight control, heat and ice may improve symptoms and maintain mobility.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
Febrile patients with acute exacerbation of back pain
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Patient information advice is found at Arthritis Australia
* Neurological signs
* Cauda equina signs
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
We will endeavour to see these patients within four weeks
We will endeavour to see these patients within 12 weeks
Next available appointment