Intra-articular Ketorolac vs Steroids: Journal Club
Intra-articular Ketorolac vs Steroids: Journal Club
Episode 331
Aug 6, 2025
This episode of the Pain Exam Podcast, hosted by Dr. David Rosenblum, discusses an interesting article about Ketorolac injections for musculoskeletal conditions. The podcast covers:
Ketorolac is an NSAID that provides analgesic and anti-inflammatory effects through inhibition of prostaglandin synthesis
Multiple studies comparing Ketorolac injections to corticosteroids and hyaluronic acid for various conditions
Research shows Ketorolac injections are equally effective as corticosteroids for subacromial conditions, adhesive capsulitis, carpal-metacarpal joint issues, and hip/knee osteoarthritis
Ketorolac may be a safer alternative to steroids for certain patients, though it has its own contraindications for those with renal, gastrointestinal, or cardiovascular disease
Dr. Rosenblum considers the potential of using Ketorolac injections directly at pain sites rather than intramuscularly