Toradol Intra-articular injections

[Timeoutofmind]

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Toradol intra-articular injections seem to be getting more popular in my neck of the woods with the orthopedic surgeons.

Seems good to avoid steroids when possible would be the upside I think.

Also, on literature review, surprisingly favorable, compared to steroid injections with no noticeable adverse effects I could find.

Anyone doing this? Thoughts?

 

[MitchLevi]

No.

Use steroid and saline, visco or PRP.

 

[Timeoutofmind]

Why not though?

 

[soccrwz]

Yes I have, especially with glucocorticoid intolerant patients

Intra-articular Injections of the Hip and Knee With Triamcinolone vs Ketorolac: A Randomized Controlled Trial - PubMed

NCT04441112.

pubmed.ncbi.nlm.nih.gov

noninferiority RCT

Conclusion: Intra-articular ketorolac injections provide comparable improvement to triamcinolone for primary hip and knee osteoarthritis. Ketorolac is an additional low-cost option for conservative management of primary osteoarthritis, and due to its differing mechanism of action, it may not propagate additional cartilage damage or preclude from early surgical intervention if unsuccessful.

 

[sdnuser001]

How do you bill for this?

 

[BobBarker]

20610 plus toradol j code. 20610 covers any injection/aspiration.