Dr Atik usually performs the NA procedure at a surgery center under local anesthesia. He ... read more ↘ is listed as one of the certified hand surgeons in the USA who trained in France under Dr Lermusiaux who developed the procedure at Hopital Lariboisiere in Paris.
A 25 gauge needle is used 5/8in in length with a 5cc syringe filled with 1 cc of depomedrol and 3 cc of xylocaine 1% plain. If the patient is diabetic the depomedrol is not used.
The advantage of the procedure is the fact that there is no downtime, quick recovery and no incision.