Ankles and Feet

Availability

North South North West Statewide

Pre-referral work-up

History

Refer to clinics if conservative treatment fails for the following:

  • Arthritis
  • Pain and deformity in forefoot (including Bunions)
  • Pain and instability in hind Foot
  • Achilles tendon pathology
  • Heel pain

All referrals should comply to referral standards and include in particular:

  • Duration of condition
  • Conservative management undertaken

Previous surgery on area, especially prostheses

Tests

  • X Ray (Weight bearing AP, Mortise and lateral for ankle)
  • X Ray (Weight bearing AP, Oblique and lateral for foot)

Interim/GP management

To refer a patient with this condition, please see the Orthopaedic Surgery clinic page for the full referral process and templates.

  • Analgesics/anti-inflammatory medications
  • Physiotherapy
  • Podiatry review +/- orthoses
  • Comfortable / accommodating shoe wear
  • Steroid injection if appropriate – avoid for Achilles tendon pathology

Direct link to Health Pathways - Lower limb folder

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Fractures that have been treated with initial management in ED or general Practice

Semi-urgent / category 2

 Avascular necrosis of ankle

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:
Urgent referrals (including fractures) should be accompanied by a phone call to the Registrar to organise urgent review in clinic and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment