The Sport, Exercise & Musculoskeletal Medicine (SEMM) service at RNOH focusses on the diagnosis and management of sports and musculoskeletal injuries in all age groups, ranging from the paediatric to adolescent and adult populations.

It is a dynamic medical specialty which utilises a multi-disciplinary approach to dealing with all issues that may prevent a patient from either starting or resuming physical activity.

Range of services

  • Specialist Exercise-Induced Leg Pain clinic (EILP).
  • Specialist Adolescent and Paediatric Sports Injury Clinic (APSIC).
  • Compartment pressure testing- Upper & lower limb.
  • Specialist NHS Dance Injury Clinics.

  • Diagnosis and treatment of complex musculoskeletal, soft tissue and sporting injuries.
  • Close collaboration with Rheumatology, Orthopaedics, Paediatrics and Radiology.
  • Close collaboration with Physiotherapy and other allied health services.

From Wednesday 4 May 2022, the RNOH Sport, Exercise and Musculoskeletal Medicine service committed to using ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations.

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS)- please see below.

PATHPOINT offers significant benefits to referrers:

  • Secure, streamlined, electronic referral forms
  • Receive updates and notifications in real time
  • Increased visibility of all referrals and triage outcomes

To submit a referral to Rhuematology please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

  1. Register with your personal NHS email address for a PATHPOINT account to manage your referral/s
  2. Login to your account with your credentials by clicking the 'PATHPOINT' link
  3. Input your referring organisation, and patient PID details
  4. Click the drop down list of referral pathway forms and select "Rhuematology" and click "Go to referral form" to launch the form
  5. Fill in all fields of the Tertiary Rheumatology Unit referral form and click "Save Rheumatology"

NB: You will receive notification emails to your NHS email account from PATHPOINT from the Sports Medicine Unit​​​​​ with updates about the status of your referral if further information is required. 

To give your feedback, or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: 
Feedback to RNOH Project Team: 

For further information on the PATHPOINT system, please click here

Referrals are accepted from GPs and consultants. If you are a GP referring to the RNOH please use the NHS e-Referral Service system, e-RS. 


Dr Rick Seah: Sports injuries, Musculoskeletal injuries, Exercise-induced leg pain, Paediatric & Adolescent SEM, Dance medicine, Bone stress injuries.

Correspondence address:

Sport, Exercise & Musculoskeletal Medicine (SEMM) Service
Dept of Rheumatology & Sports Medicine
Orthopaedic & Rehabilitation Medicine (OARM) Unit
Royal National Orthopaedic Hospital NHS Trust
Brockley Hill

Middlesex HA7 4LP

Tel: 020 3947 0044

Further information

NHS website: Acute vs chronic compartment syndrome:

Patient Information Leaflet: Compartment Pressure Testing (CPT)