Referrals
Shoulder pain referral checklist
Referral checklist for persistent shoulder dysfunction, suspected structural tears, or refractory pain.
Last reviewed 2026-02-07|shoulder pain | orthopedics | msk
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Minimum pre-referral workup
- Mechanism history, weakness pattern, and motion limitation profile.
- Neurovascular assessment and cervical differential screen.
- Response to initial conservative management and exercise plan.
Urgency tier
- Same-day escalation for dislocation, fracture concern, or neurovascular compromise.
- Expedited referral for severe functional loss or suspected full-thickness tear.
- Routine referral for persistent non-urgent symptoms despite first-line care.
Referral packet checklist
- Symptom chronology and exam findings.
- Imaging/tests completed and treatment trial outcomes.
- Current medication plan and functional goals.
Pre-referral optimization tasks
- Continue conservative pain/function strategy while awaiting review.
- Reinforce return precautions for sudden deterioration.
- Arrange interval follow-up for function monitoring.