Toradol Anti-inflammatory Injection
WHY?
When your knee, shoulder, elbow, wrist, or other area are painful and inflamed, a low dose anti-inflammatory injection may suffice to fix the problem. Yes, these types of injections have been deemed a “bandaid” approach but this is not true in all cases. We always aim to fix the problem, not just “bandaid” it. These types of injections provide quick relief and return to function.
There are several keys to making these types of injections successful. One is knowing if your diagnosis and situation are right for this treatment. Two is knowing which medicine to give, how much, how often, and where to place it. This all comes from nearly 25 years of practice experience and then applying that to your individualized case. We customize your treatment based on need, not “cookie cutter” formulas.
WHAT?
In contrast to an injection with steroid, you may be a candidate for a non-steroid (or “NSAID”) injection with Ketorolac (brand name Toradol). Toradol functions as an antinflammatory treatment but it is not a steroid. It can be a safe alternative to steroids. Other commonly known NSAIDs are Ibuprofen (Advil) and Naproxen (Aleve). NSAIDs have great use in certain cases. This will be discussed with you in detail depending on your situation.
The goal of this treatment option is to:
- Decrease pain
- Decrease inflammation
- Improve function
- Facilitate the healing of the injury
- Progress rehab or exercise program
- Avoid need for surgery
HOW?
Once we have determined this is the right treatment for you, it is typically administered the same day as your consultation or follow up visit. We clean the skin, numb the area, and inject it along with local anesthetic (Lidocaine or Bupivacaine) typically with ultrasound guidance depending on the area. Then, you are able to relax for 5-10 minutes in office while we wrap up the visit and you can go about your day.
EXPECTATIONS?
With a Toradol injection, pain relief is immediate. At least 50-80% of pain relief is expected within 5-10 min of your injection. Note, relief is typically shorter lived than with steroid and can be repeated in a limited fashion if needed.
There are pros/cons to this type of injection. We can discuss these options more fully during your visit to see if they are right for you.
RISKS AND COMPLICATIONS?
With Toradol injections, risks and complications are relatively low. We are cautious and strategic with selecting this option. It takes a skilled and experienced provider to navigate and know when this is the right choice.
With Toradol, you are not a candidate if you have any of the following (list is not complete but these are the most common):
- Uncontrolled hypertension
- Allergy to NSAIDs
- Renal (kidney) issues
- History bleeding ulcers
- Taking blood thinners
NEXT STEP?
It is most valuable to schedule a consultation to discuss your issue, goals, and whether anti-inflammatory treatment is the best option for you. We look forward to meeting you!