Hi guys.
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Has anybody heard of or had experience in using a TENS machine to induce an ankle block? I remember Craig Payne mentioning this back in the uni days. Reason I ask is I had a patient today who was booked in for VP needling for a long standing unresponsive stubborn VP on her R/sub 3rd MTPJ. I attempted a Tibial block but which was unsuccessful. She was however amenable to having the LA injected plantarly at the site. I warned her it would be very painful but she insisted. Yes it did hurt and yes she screamed, she was however a tough lady and the VP needling went ahead after the LA took effect.
Im curious if its possible to you use a TENS to induce a block causing sufficient anaesthesia to administer LA on the plantar surface of the foot without causing discomfort (and to ensure anaesthesia in case the TENS malfunctions and continuos screaming ensues)
Regards
Soss
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