Local Anaesthesia and Nail Surgery Update



  • To enable the Podiatrist to become safe, confident and efficient in the use of local anaesthesia by updating and consolidating previous theoretical knowledge and clinical experience in the use of local anaesthetic drugs and techniques
  • To underpin previous theoretical and practical skills in nail surgery methodology including nail surgery in the high risk foot

Learning Outcomes

  • Describe the structure and function of peripheral nerves
  • Describe the physiology of the generation and propagation of nerve impulses
  • Understand the anatomy of the foot, with particular emphasis on nerves and associated structures that will enable safe, confident and effectively delivery of local anaesthetics
  • Demonstrate knowledge of local anaesthetic drugs currently available to Registered Podiatrists
  • Demonstrate understanding of the mode of action, duration of action, absorption, metabolism and elimination from the body of local anaesthetic drugs that Registered Podiatrists are allowed to prescribe and administer
  • Be competent in understanding patient selection/pre-operative assessment, indications and contra indications for of the use of local anaesthesia by Registered Podiatrists
  • Be competent in patient management during and after a procedure in which local anaesthesia has been used
  • Be proficient in the practical aspects of local anaesthesia, including equipment used, methods of delivery, control of cross-infection and the use of sundry materials
  • Be aware of Health & Safety issues associated with the use of local anaesthetic drugs in podiatric practice
  • Be able to recognise the local and systemic complications of local anaesthetic drugs and the clinical presentation of toxicity and hypersensitivity
  • Be competent in the management of the local and systemic complications of local anaesthetic drugs
  • Understand methodology of nail surgery and the detailed considerations required before performing nail surgery on high risk patients
  • Understand medico-legal requirements, including informed consent and record keeping, associated with the administration of local anaesthetics in podiatric practice.
  • Understand alternative conservative and surgical options to partial/total nail avulsions


Podiatrists Band 5 and above


Lecture based

Maximum number of participants: 80

Places will not be allocated until after the closing date.  You will be informed of the outcome of your application by email.

Key Areas to be Covered

  • Revision of relevant lower limb anatomy
  • Macro and micro anatomy of nerve and physiology of nerve impulse propagation and conduction
  • Local anaesthetic drug pharmacology, maximum safe dosages, contraindications to the use of local anaesthetic drugs
  • Consent for Nail Surgery and Medico-Legal Documentation
  • Local and systemic complications including toxic and allergic reactions, and their management
  • Techniques for Administering Local Anaesthetic
  • Techniques for Nail Surgery



Please note you will be informed in advance if there is a direct cost to you or your organisation for your attendance at this programme.

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Please select an appropriate time and venue and click the apply button to register for this course.

Label Dates & Times Venue Facilitator Administrator
Friday, 18 January, 2019
(9.00 - 4.00)
CEC - Belfast Jean Byrne
Janet Hodgen