Prepare skin as
1. Elevate foot
2. Palpate neurovascular bundle as it courses over the abaxial
surfaces of the proximal sesamoid
needle at basisesamoid level on axial side of n-v bundle.
(25gx5/8”) Point needle
slightly abaxial and distally. Do
medial and lateral nerves.
4. Attach needle to syringe. With
one hand support the hub of the
needle and with the other hand
check for blood and then inject
2-3mL mepivicaine per site.
5. Wait 5-10 minutes, check for skin sensation, and reassess