IN the previous article, the principles of local analgesic techniques were discussed in general terms (In Practice, February 1997, pp 82-88). This article describes specific nerve block techniques and their potential limitations. Although, theoretically, nerve blocks should start as far distally as possible - eliminating, sequentially, pain arising from the plantar aspect of the foot, the foot and pastern, and then fetlock - the incidence of distal limb problems is less common in hindlimbs than in forelimbs. Therefore, a strategic approach is suggested based upon the results of a detailed clinical examination, gait analysis and response to flexion tests.
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