Hindlimb nerve blocks

Question 1

Plantar digital nerve block

Answer 1

1.5ml
23-25G
5/8”
Proximal to cartilages of foot

Question 2

Abaxial Sesamoid

Answer 2

2ml
23-25G
5/8”#foot pain, pastern and fetlock region pain

Question 3

Low 4 point nerve block

Answer 3

2ml each site
23-25G
5/8”
plantar and plantar metatarsal nerves

Question 4

Subtarsal

Answer 4

5ml
22G
1.5"
deep branch of lateral palmar nerve
AL-DDFT lesion
distal to head of mc4

Question 5

Tibial

Answer 5

20ml
20G
1"
wait 20-60mins
if SL pain suspected - do alone

Question 6

Peroneal

Answer 6

20ml (10ml with needle to hub, 10ml as withdrawn)
19-20G
1.5-2”
wait 20-60mins
between long and lateral digital extensor tendons

Question 7

DIPJ

Answer 7

horse should stand still
20G
1”

Question 8

PIPJ

Answer 8

5ml
20G
1”
dorsal to NV bundle

Question 9

MTPJ

Answer 9

20G
1-1.5"
med/lat to CDE
suspensory lig branches pain
proximal aspect of oblique and straight sesamoidean ligaments

Question 10

Digital flexor tendon sheath

Answer 10

10ml
20G
1”
plantar aspect of pastern bw prox and dist annular ligaments

Question 11

Tarsometarsal joint

Answer 11

3-4ml
20G
1”
just prox to head of mt4

Question 12

Centrodistal joint

Answer 12

block if no response to TMTJ
3-4ml
22-25G
1”

Question 13

Tarsocrural joint

Answer 13

20-30ml
20G
1”
med/lat to saphenous vein

Question 14

Stifle

Answer 14

all 3 compartments same time
20ml
20G
1”20mins to one hour

Question 15

medial femorotibial joint

Answer 15

bw medial CL and medial patellar lig
20G
1”

Question 16

Lateral femorotibial joint

Answer 16

bw laterall patellar lig and LDE tendon or LDE and lateral CL
through LDE
20G
1.5” needle

Question 17

Femoropatellar joint

Answer 17

between middle and lateral patellar ligs

19-20G 1.5” needle

Question 18

start with which block?

Answer 18

low 4 point nerve block