Abstract
For patients who after lumbar surgery, developed first toe pain refractory to analgesic and narcotic drugs, we administered the trigger point injection around the base of the metatarsal bone between the first toe and second toe, which happened to be markedly effective. This injection may play a role of deep fibula nerve block. We have performed deep fibula nerve block 1-3 times in 22 patients with lumbar degenerative disease, whose chief complaint was low back pain or lower extremity pain. The drug used was produced by adding a 0.5mg of dexamethasone phosphate to 1%mepivacaine hydrochloride (Final volume : 5ml). The needle used was 25G or 27G. Cramp at night in elderly patients has been hardly treated sufficiently so far. Deep fibula nerve block effectively suppressed cramps in the lower leg or the fifth toe. Therefore, we suggest that the deep fibula nerve block can be one of the effective treatment for cramps.
