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Trigger points for an GP referral to an osteopath

When a patient needs advice and/or treatment for assistance with mobility, balance, pain management
When patients present with type 2 diabetes or at risk of developing it
Present history or increasing signs of mobility reduction
Increase in joint or back pain leading to reduced mobility

Trigger points for an osteopath referral to a GP

Identifying and referring at risk patients who present with diabetic symptoms, or problems with relating to type 2 diabetes that require medical attention
Weight changes for possible modification of insulin
Identify poor compliance and poor adherence to self management
Signs and symptoms of progression and worsening of diabetes such as neurological, vascular and ocular symptoms
Identify and monitor poor wound healing

Assist patients with general health and well being education, including basic information on healthy eating and exercise prescription, techniques and treatment to alleviate pain and increase joint ROM and mobility
Assist and support self managed care e.g. through exercise and dietary advice
Management of musculoskeletal and neurological complications of diabetes
Monitoring vitals e.g. blood pressure etc
Examine for and monitor neurological involvement and progression examination of cranial and peripheral nerves assessing myotomes, dermatomes, reflexes
Mobilisation, articulation and manipulation of joints to assist in ensuring mobility, function, ambulation, joint ROM are working correctly, maintaining movement and balance
Treatment of muscle spasticity, hypertonicity, pain, altered muscle length