Orthopaedics

Not routinely commissioned

Policy

Last Updated Date

Review Date

Arthritis of the hip- MRI scan

Mar 2025

Feb 2028

Degenerative Meniscal Tears- Arthroscopic Surgery

May 2021

Apr 2027

Facet Joint Injections

Oct 2023

Sept 2026

Hip Arthroscopy

Nov 2023

Oct 2026

Low back pain- Disc Replacement

Oct 2022

Sept 2025

Low Back Pain- Fusion Surgery for Mechanical Axial Low Back Pain

Mar 2025

Feb 2028

Low Back Pain Imaging

Oct 2022

Sept 2025

Morton's Neuroma - Use of Imaging

Dec 2022

Nov 2025

Osteoarthritis- Therapeutic use of Ultrasound in Hip and Knee

Nov 2023

Oct 2026

Sciatica (Lumbar Radiculopathy)- Epidurals

Feb 2023

Jan 2026

Shoulder Pain- Arthroscopic Shoulder Decompression for Subacromial Shoulder Pain

Dec 2021

Nov 2027

Shoulder pain- scans and guided injections

Mar 2025

Feb 2028

Trochanteric Bursitis/Greater Trochanteric Pain Syndrome (GTPS)- Use of Imaging

Dec 2022

Nov 2025

Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Bunion (Hallux Valgus) Correction Surgery

July 2024

Apr 2026

Carpal Tunnel Syndrome

Sept 2024

June 2025

Diagnostic Knee Arthroscopy

Apr 2022

Mar 2028

Dupuytren's Contracture

May 2025

Apr 2028

Ganglion Cysts

Oct 2021

Sept 2027

Hip and Knee Replacement

Sept 2024

Jan 2028

Lower Back Pain without Sciatica- Injections (Medial branch blocks/ Radiofrequency denervation/ Diagnostic sacroiliac joint injections)

Feb 2025

Jan 2028

Meniscal tears- Knee MRI for suspected meniscal tears

Mar 2025

Feb 2025

Osteoarthritis- Arthroscopic Knee Washout

July 2024

Mar 2028

Osteoarthritis- Knee MRI when symptoms are suggestive of osteoarthritis

Mar 2025

Feb 2028

Sciatica- Spinal Decompression

June 2021

May 2027

Trigger Finger

Nov 2021

Oct 2027

Derby and Derbyshire ICB

Derby and Derbyshire ICB

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