A method of regional anesthesia use in forefoot and midfoot surgery is
described. Careful identification of the peripheral sensory nerves al
lows for effective anesthesia using bupivacaine and lidocaine in addit
ion to sedation for comfort. A review of 355 patients showed that 98%
received an effective surgical block of the sensory nerves. Complicati
ons were found to be minimal and patient satisfaction was high. This m
ethod provides a safe and effective anesthesia alternative for foot an
d ankle surgery.