MSK (Musculoskeletal) Service

The Community Musculoskeletal Service carries out assessment and treatment of problems which affect bones, joints and soft tissues. These generally affect the:

  • spine – from the neck through to lower back
  • hips, knees, feet and ankles
  • Shoulders, elbows, wrists and hands.


Many musculoskeletal problems are long-term conditions. We aim to maximise a patient’s ability to function independently using education, treatment and advice and pain management strategies. For each patient we carry out a face-to-face assessment that includes a consultation and examination.

Treatments may include:

  • Home exercise programs
  • Gym-based exercise classes
  • Pain management advice and programs
  • Manual therapy
  • Acupuncture
  • Injection therapy
  • Electrotherapy treatment
  • Splinting
  • Patient advice – group and individual sessions
  • Patient information in a variety of formats


The team also includes a Tier 2 Service led by a consultant physiotherapist supported by a consultant orthopaedic surgeon, GP and extended scope practitioners. This service has been commissioned to provide a single point of access provides clinical triage for all MSK and orthopaedic referrals across the Fylde coast. The service offer advanced clinical assessment which may include ordering investigations such as X-ray, MRI and blood screens and treatment such as soft tissue and joint injections advise on analgesic management.

Our staff can refer patients to other departments for specialist advice, an opinion for surgery or other specialist treatments such as spinal injections.