Tag: orthopaedics

Policy for Leicester, Leicestershire and Rutland Approved Referral Pathways

1 INTRODUCTION This policy describes the clinical threshold and exclusion criteria which the Leicester, Leicestershire and Rutland (LLR) Integrated Care Board (ICB) has agreed to for planned procedures and treatments […]

LLR Policy for Arthroscopic Subacromial Decompression

Please follow the link for the current clinical guidelines and policy being followed within LLR Arthroscopic shoulder decompression for subacromial pain – EBI (aomrc.org.uk) ARP 104: Review Date 2027

LLR Policy for Knee Resurfacing

Category Threshold Criteria Knee Resurfacing (also known as Partial Knee Resurfacing, Partial Knee Replacement (PKR)) retains the healthy compartments of the knee joint and only replaces the damaged surfaces. Resurfacing may […]

LLR Policy for Hybrid Knee Replacement / Revision

Category Threshold Criteria This policy also includes the use of Modular Rotating Hinge Knee Systems Eligibility LLR ICB will only fund a hybrid knee system in extremely difficult cases. The […]

LLR Policy for Arthroscopy of the Knee

Category Threshold Criteria Knee arthroscopy is a technique which allows for the inspection of the interior of the knee. The instrument used is a type of endoscope which is a […]

LLR Policy for Surgical Intervention for Low Back Pain  

Category Threshold Criteria Eligibility The LLR ICB will only fund the following in accordance with the NICE Guidance (NG59) Spinal Decompression For people with radicular/ neuropathic pain when non-surgical treatment has […]

Policy for Facet Joint Injection for Non Radicular Back Pain

Category Threshold Criteria Non-radicular (non radiating) back pain is the commonest clinical presentation. Sometimes it is referred to as “mechanical back pain”. It is often the diagnosis for symptoms that […]

Policy for Medical Branch Block and Facet Joint Injection

Category Threshold Criteria Non-radicular (none radiating) back pain is the commonest clinical presentation. Sometimes it is referred to as “mechanical back pain”. It is often the diagnosis for symptoms that […]

Policy for Epidural Injections for Radicular Pain (Sciatica)

Category Threshold Criteria Epidural steroid and/ or anaesthetic injections are a common treatment for relief from many forms of low back pain, leg pain and radicular pain originating from the […]

Policy for Radio Frequency Denervation in the Management of Chronic Back Pain

Category Threshold Criteria Radiofrequency denervation, also known as radiofrequency facet or sacroilial joint rhizotomy or facet or sacroilial neurotomy, involves the application of various types of thermal or radiofrequency energy […]