Skip to main content

Abstract

The foot is innervated by five peripheral nerves (tibial, sural, saphenous, superficial, and deep peroneal nerves). Injection of these nerves provides reliable surgical anesthesia and analgesia of the foot. These nerve blocks can also be used for peripheral neuropathic pain in the foot in the context of peripheral nerve injury or entrapment and play an important diagnostic and therapeutic role in patients with chronic foot and ankle pain.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Antonakakis JG, Scalzo DC, Jorgenson AS, Figg KK, Ting P, Zuo Z, Sites BD. Ultrasound does not improve the success rate of a deep peroneal nerve block at the ankle. Reg Anesth Pain Med. 2010;35:217–21.

    Article  PubMed  Google Scholar 

  • Canella C, Demondion X, Guillin R, Boutry N, Peltier J, Cotten A. Anatomic study of the superficial peroneal nerve using sonography. AJR Am J Roentgenol. 2009;193:174–9.

    Article  PubMed  Google Scholar 

  • Chin KJ. Ultrasound visualization of the superficial peroneal nerve in the mid-calf. Anesthesiology. 2013;118(4):956–65.

    Article  PubMed  Google Scholar 

  • Chin KJ, Wong NW, Macfarlane AJ, Chan VW. Ultrasound-guided versus anatomic landmark-guided ankle blocks: a 6-year retrospective review. Reg Anesth Pain Med. 2011;36(6):611–8.

    Article  PubMed  Google Scholar 

  • Fredrickson MJ, White R, Danesh-Clough TK. Low-volume ultrasound-guided nerve block provides inferior postoperative analgesia compared to a higher-volume landmark technique. Reg Anesth Pain Med. 2011;36:393–8.

    Article  PubMed  Google Scholar 

  • Hoerster W. Blockaden peripherer Nerven im Bereich des Kniegelenkes; Blockaden im Bereich des Fußgelenkes. In: Hoerster W, Kreuscher H, Niesel HC, editors. Regionalanaesthesie. Fischer Verlag Stuttgart; 1981. p. 124–399.

    Google Scholar 

  • Husni A, Chin KJ. Ankle. In: Peng PWH, editor. Ultrasound for pain medicine intervention. A practical guide. Volume 1. Peripheral structures. Philip Peng educational series. 1st ed. iBook, CA: Apple Inc.; 2013. p. 74–88.

    Google Scholar 

  • Jankovic D. Blocking peripheral nerves in the ankle joint region. In: Jankovic D, editor. Regional nerve blocks & infiltration therapy. Textbook and color atlas. 3rd ed. Blackwell; 2004. p. 254–8.

    Chapter  Google Scholar 

  • Kofoed H. Peripheral nerve blocks at the knee and ankle in operations for common foot disorders. Clin Orthop. 1982;168:97–101.

    Article  Google Scholar 

  • Lopez AM, Sala-Blanch X, Magaldi M, Poggio D, Asuncion J, Franco CD. Ultrasound-guided ankle block for forefoot surgery: the contribution of the saphenous nerve. Reg Anesth Pain Med. 2012;37:554–7.

    Article  PubMed  Google Scholar 

  • Redborg KE, Antonakakis JG, Beach ML, Chinn CD, Sites BD. Ultrasound improves the success rate of a tibial nerve block at the ankle. Reg Anesth Pain Med. 2009a;34:256–60.

    Article  PubMed  Google Scholar 

  • Redborg KE, Sites BD, Chinn CD, Gallagher JD, Ball PA, Antonakakis JG, Beach ML. Ultrasound improves the success rate of a sural nerve block at the ankle. Reg Anesth Pain Med. 2009b;34:24–8.

    Article  PubMed  Google Scholar 

  • Snaith R, Dolan J. Ultrasound-guided superficial peroneal nerve block for foot surgery. AJR Am J Roentgenol. 2010;194:W538; author reply W42.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philip Peng .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Peng, P. (2022). Ankle Nerve Block. In: Jankovic, D., Peng, P. (eds) Regional Nerve Blocks in Anesthesia and Pain Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-88727-8_67

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-88727-8_67

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-88726-1

  • Online ISBN: 978-3-030-88727-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics