Foot and Ankle Referral Guidelines

Evaluate the patient’s foot pain.  Is there any:

  • History of trauma?
  • Chronic or acute pain?
  • Obvious swelling or deformity?
  • Appropriate range of motion?
  • Point tenderness?
  • Neuropathy or peripheral vascular disease?

Urgent Referrals–refer to our office:

  • Displaced or rotated foot fractures
  • Lacerations with tendon, nerve or bony injury
  • Diabetic wounds
  • Sub-acute infections such as paronychia, ulcerations
  • Stable fractures and dislocations

Emergent Referrals–refer to the emergency room:

  • Compartment syndrome
  • Necrotizing fasciitis
  • Infection with sepsis
  • Open fractures
  • Injuries with neurovascular compromise
  • Joint infections

Severe Foot Injuries–refer to the emergency room:

  • Purulent wounds
  • Exposed bone, tendon, nerve
  • Gross deformity
  • Fever, systemic signs
  • Acutely swollen joints

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