We describe a case series of five adolescents who were managed with lidocaine 5% 
patches for chronic localized neuropathic pain from a variety of causes with 
minimal adverse effects. Treatment was effective in four of five patients with 
only one patient complaining of minimal pain relief. 5% Lidocaine patches have 
been used for treatment of chronic neuropathic pain in adults and we have found 
this to be effective in management of localized neuropathic pain in children and 
adolescents.