Nerve Entrapment Syndromes

Availability

North South North West Statewide

Pre-referral work-up

History

Carpal tunnel syndrome (may also be referred to Plastic Surgery)

Ulnar neuritis

Tarsal tunnel syndrome

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

  • Duration of condition
  • Conservative management undertaken
  • Previous surgery on area

Tests

  • Consider Nerve Conduction Studies
  • Search for primary cause, e.g. TFT, Pregnancy, osteoarthritis

Interim/GP management

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

  • Consider one steroid injection for carpal tunnel syndrome
  • Splintage

Physiotherapy

For more information please see the Tasmanian Health Pathways website.

Emergency

Urgent / category 1

Refer urgently if muscle wasting or associated with pregnancy for the following:

Nerve entrapment syndromes

  • Carpal tunnel syndrome (may also be referred directly to Plastic Surgery, Neurosurgery or General Surgery clinics)
  • Ulnar neuritis

Tarsal tunnel

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) 6348 7382
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