%0 Journal Article
%T Use of 5% lidocaine medicated plaster to treat localized neuropathic pain secondary to traumatic injury of peripheral nerves
%A Correa-Illanes G
%A Roa R
%A Pi eros JL
%A Calder¨®n W
%J Local and Regional Anesthesia
%D 2012
%I Dove Medical Press
%R http://dx.doi.org/10.2147/LRA.S31868
%X e of 5% lidocaine medicated plaster to treat localized neuropathic pain secondary to traumatic injury of peripheral nerves Case Series (1539) Total Article Views Authors: Correa-Illanes G, Roa R, Pi eros JL, Calder¨®n W Published Date July 2012 Volume 2012:5 Pages 47 - 53 DOI: http://dx.doi.org/10.2147/LRA.S31868 Received: 16 March 2012 Accepted: 13 April 2012 Published: 17 July 2012 Gerardo Correa-Illanes,1 Ricardo Roa,2 Jos¨¦ Luis Pi eros,2 Wilfredo Calder¨®n3 1Rehabilitation Department, 2Burns and Plastic Surgery Department, Hospital del Trabajador, 3Plastic Surgery Department, Hospital del Salvador, Santiago, Chile Objective: The efficacy of 5% lidocaine medicated plaster (LMP) has previously been demonstrated in post-traumatic localized neuropathic pain. This study evaluated the use of LMP in localized neuropathic pain secondary to traumatic peripheral nerve injury. Patients and methods: This prospective observational study enrolled patients with traumatic injuries to peripheral nerves that were accompanied by localized neuropathic pain of more than 3 months duration. Demographic variables, pain intensity (measured using the numeric rating scale; NRS), answers to the Douleur Neuropathique 4 (DN4) questionnaire, and the size of the painful area were recorded. Results: Nineteen patients were included, aged (mean ¡À standard deviation) 41.4 ¡À 15.7 years. Nerve injuries affected the upper (eight patients) or lower (11 patients) limbs. The mean duration of pain before starting treatment with LMP was 22.6 ¡À 43.5 months (median 8 months). Mean baseline values included: NRS 6.7 ¡À 1.6, painful area 17.8 ¡À 10.4 cm2 (median 18 cm2), and DN4 score 6.7 ¡À 1.4. The mean duration of treatment with LMP was 19.5 ¡À 10.0 weeks (median 17.4 weeks). Mean values after treatment were: NRS 2.8 ¡À 1.5 (¡Ý3 point reduction in 79% of patients, ¡Ý50% reduction in 57.9% of patients) and painful area 2.1 ¡À 2.3 cm2 (median 1 cm2, ¡Ý50% reduction in 94.7% of patients). Functional improvement after treatment was observed in 14/19 patients (73.7%). Conclusion: LMP effectively treated traumatic injuries of peripheral nerves which presented with chronic localized neuropathic pain, reducing both pain intensity and the size of the painful area.
%K chronic post-surgical pain
%K chronic post-traumatic pain
%K 5% lidocaine medicated plaster
%K neuropathic pain
%K peripheral nerve injury
%U https://www.dovepress.com/use-of-5-lidocaine-medicated-plaster-to-treat-localized-neuropathic-pa-peer-reviewed-article-LRA