The dorsalis pedis and posterior tibial pulse points are used during nursing assessments such as the headtotoe assessment. These pulse locations are particularly important in patients who have peripheral vascular disease or a vascular procedure.

The posterior tibial pulse point is found on the inside of the ankle between the medial malleolus (bony part of the ankle bone) and Achilles tendon.

To find this artery, locate the EHL (extensor hallucis longus) tendon by having the patient extend the big toe. Then palpate down this tendon and when you come to end of it, go to the side of the tendon and you will find this pulse point.
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