Lesser Toe Nerve Block

Lesser Toe Nerve Block:
25-27 gauge needle

Pinch skin on dorsum at base of toe with thumb and forefinger  insert needle and inject 0.25cc  push needle plantarly down lateral side of toe, injecting anaesthetic as go. Needle is almost fully withdrawn  then push down medial side of toe.

May need to inject an additional ½cc on plantar aspect of fifth toes if it is rotated.

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