Knee pain referral checklist

Referral checklist for persistent knee pain, instability, or suspected structural injury.

Last reviewed February 7, 2026

Urgency tier

Same-day escalation for neurovascular compromise, septic-joint concern, or fracture instability.
Expedited referral for persistent severe pain or mechanical instability.
Routine referral for non-urgent chronic symptoms limiting function.

Minimum pre-referral workup

Injury mechanism, instability features, and weight-bearing status.
Baseline exam findings including effusion and range of motion.
Initial conservative-care response and imaging rule application.

Referral packet checklist

Symptom timeline and relevant exam findings.
Investigations performed and treatment response.
Functional limitations and occupational/sport demands.

Pre-referral optimization tasks

Continue pain/function plan and mobility supports.
Reinforce return precautions for swelling, fever, or instability.
Set follow-up interval while awaiting specialist review.

References

Choosing Wisely Canada recommendations (opens in a new tab)

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