Neural Integration, Pain and Anesthesia

Is it true that injecting palmar finger skin hurts more than dorsal skin? New level 1 evidence

Wheelock ME, Leblanc M, Chung B, et al (Dalhousie Univ, Halifax, Canada) Hand 6:47-49, 2011^§

Abstract

Background

Since the first texts on local anesthesia were written in the early 1900s, it has been widely quoted and believed that dorsal finger skin is less sensitive to needlestick pain than volar finger skin. The result is that the most commonly used finger block for local anesthesia is the dorsal two injection technique.

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