Constituents and volumes for individual nerve blocks
| Nerve | Constituents per injection (volume injected, mL) | |
|---|---|---|
| Greater occipital | Methylprednisolone 40 mg/mL* (2 mL) Lidocaine 2%† (1 mL) Bupivacaine 0.5%‡ (1 mL) Total injection volume=4 mL | Methylprednisolone can be omitted and volume made up with lidocaine and/or bupivacaine If using a combination of the both lidocaine and bupivacaine, the recommended volume ratio (lidocaine/bupivacaine) is 1:1–1:3 |
| Lesser occipital | Lidocaine 2% (1 mL) Bupivacaine 0.5% (1 mL) Total injection volume=2 mL | |
| Auriculotemporal | ||
| Supraorbital | Lidocaine 2% (0.5 mL) Bupivacaine 0.5% (0.5 mL) Total injection volume=1 mL | |
| Supratrochlear |
*Methylprednisolone acetate maximum dose 160 mg per session.
†Lidocaine maximum dose: 4.5 mg/kg, not to exceed 300 mg per session (without vasoconstrictor).
‡Bupivacaine maximum dose: 2.5 mg/kg, not to exceed 175 mg per session (without vasoconstrictor).