The effect of intravenous lidocaine on nociceptive processing in diabetic neuropathy
- PMID: 2339012
- DOI: 10.1016/0304-3959(90)91047-M
The effect of intravenous lidocaine on nociceptive processing in diabetic neuropathy
Abstract
In a double-blind controlled design, 7 patients with painful diabetic neuropathy received lidocaine 5 mg/kg or saline intravenously over a period of 30 min. Thermal sensibility quantified by thermotest was not affected by lidocaine. In 3 of the patients nociceptive flexion reflex thresholds could be determined. The threshold was increased by lidocaine and returned to pre-infusion level within 10 days. Lidocaine also increased the threshold in 4 healthy subjects, but did not affect the Hoffmann reflex. These results suggest that lidocaine exerts its pain-relieving effect on the spinal level in diabetic neuropathy.
Comment in
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On "The effect of intravenous lidocaine on nociceptive processing in diabetic neuropathy" by Bach et al. in Pain, 40 (1990) 29-34.Pain. 1991 Aug;46(2):232. doi: 10.1016/0304-3959(91)90081-8. Pain. 1991. PMID: 1749647 No abstract available.
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