Does Lidocaine Help With Muscle Pain and Soreness?

Muscle pain and soreness are common experiences, often resulting from physical activity, injury, or underlying conditions. Many individuals seek relief from this discomfort. Lidocaine is a widely recognized medication for pain relief, leading to questions about its effectiveness for muscle discomfort.

How Lidocaine Works

Lidocaine functions as a local anesthetic, meaning it produces a numbing effect in the specific area where it is applied. Its mechanism involves blocking sodium channels located on nerve cell membranes. These channels are essential for transmitting electrical signals along nerves.

By binding to these sodium channels, lidocaine prevents sodium ions from flowing into nerve cells. This action inhibits the nerve’s ability to send pain signals to the brain, reducing the sensation of pain in the targeted region. The effect is localized, meaning it only impacts the nerves in the immediate vicinity of application.

Forms and Application Methods

Lidocaine is available in several topical forms, found as over-the-counter (OTC) products. These include creams, gels, sprays, and patches. Each form allows direct application to the affected skin area.

Creams and gels are rubbed into the skin, while sprays can be applied directly to the surface. Patches adhere to the skin, releasing lidocaine over a sustained period. For OTC products, lidocaine concentrations are limited to 4%, with higher concentrations requiring a prescription.

Efficacy for Muscle Discomfort

Lidocaine can be helpful for localized and superficial muscle pain or soreness by providing a numbing effect. It offers temporary relief for conditions such as muscle strains, minor sprains, or general muscle aches. Topical lidocaine acts as a local analgesic, targeting the pain directly where it is felt.

While effective for surface-level discomfort, lidocaine has limitations for deep or widespread muscle pain because its action is primarily localized to the skin and underlying superficial tissues. It addresses the symptom of pain by numbing the area, but it does not treat the underlying cause of the muscle issue. For chronic or more intense musculoskeletal pain, lidocaine can be a suitable option, and may be more potent than other topical pain relievers like menthol.

Safe Use and Precautions

Using topical lidocaine safely involves adhering to product instructions. Common mild reactions at the application site can include temporary redness, swelling, or a burning sensation. To minimize risks, apply only the smallest amount needed to relieve pain and avoid using it on large skin areas.

Applying lidocaine to broken, irritated, or blistered skin, or covering treated areas with bandages or heat, can increase absorption into the bloodstream, leading to more serious systemic side effects. These rare but severe effects can include dizziness, confusion, unusual sensations, or heart rhythm issues. Keeping used and unused lidocaine patches out of reach of children and pets is also important due to the potential for harm if ingested.