Evidence mapPaperPMID 41830072Full record

ReviewHeadache2026

Microneedles for the treatment of migraine and orofacial pain: A narrative review.

Baicheng Cao, Qiuyi Chen, Yuhan Liu, Ruozhou Wu, Bin Li, Qing Cai, Lu Liu

Abstract readReview
In one paragraph

Review in Headache, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Baicheng CaoDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.ORCID 0009-0006-1770-3847
Qiuyi ChenDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.
Yuhan LiuDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.ORCID 0009-0007-9039-9711
Ruozhou WuDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.
Bin LiDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.
Qing CaiState Key Laboratory of Organic-Inorganic Composites, Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, People's Republic of China.
Lu LiuDepartment of Acupuncture and Moxibustion, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0002-7496-5564

Funding

2025 High-Level Innovation Program-Youth Seedlings Project G202524135Beijing Chronic Disease Prevention and Health Education Research Association, Zhongguancun Talent Association Medical-Engineering Field Future Talent Training Program MBRC0012025038Beijing Hospital Management Center "peak" talent-training plan team DFL20241001Beijing Municipal Traditional Chinese Medicine Research Institute Municipal Finance Independent Research Project YJS-2025-Institute Integration-02Capital's Funds for Health Improvement and Research CFH2024-2-2235China National Natural Science Foundation 82374575Outstanding Young Talents Program of Capital Medial University B2207
6 · The paper itself

Abstract

backgroundMigraine is a common neurological disorder and a primary headache condition. Despite its central origin, migraine pain may be referred to the orofacial region via trigeminal pathways, resulting in phenotypic overlap with other orofacial pain (OFP) conditions. OFP represents a highly prevalent and heterogeneous group of pain disorders that substantially impair quality of life. Microneedle (MN) technology enables minimally invasive, localized, or transdermal drug delivery and has emerged as a promising mechanism-guided strategy for the management of migraine and other OFP conditions.

objectiveThis review aims to systematically summarize the current evidence on MN-based technologies for the treatment of migraine and other OFP conditions and discuss the therapeutic implications, limitations, and future directions of MN technologies.

methodsThis study is a narrative review. PubMed/MEDLINE, Embase, Web of Science, and Google Scholar were systematically searched from inception to November 18, 2025. English-language studies evaluating MN-based technologies for migraine and other OFP conditions, including temporomandibular disorders (TMD) and oral mucosal ulcers, in animal models or human participants were included.

resultsEleven studies were included, covering migraine (n = 4), TMD (n = 2), and oral mucosal ulcers (n = 5). Across included studies, evidence for MN-based interventions was most advanced in migraine. Preclinical studies demonstrated that transdermal or intranasal MN systems enabled rapid and reliable drug absorption, with bioavailability comparable to subcutaneous injection. Clinical studies of MN-mediated triptan delivery reported high rates of 2 h pain relief and freedom from the most bothersome migraine-associated symptoms, with generally mild and transient local skin reactions. Beyond migraine, MNs were explored for TMD and oral mucosal ulcers, where they enabled localized and sustained analgesic and anti-inflammatory effects and promoted tissue healing, although evidence in these conditions remains limited and largely preclinical.

conclusionsMN-based drug delivery represents a promising, minimally invasive strategy for migraine and other OFP management, with the strongest and most clinically relevant evidence currently available for acute migraine treatment. By enabling rapid and reliable drug absorption while bypassing gastrointestinal limitations, MNs may enhance the effectiveness of migraine-specific therapies. Emerging preclinical evidence further suggests potential applicability of MN platforms in other OFP conditions, including TMD and oral mucosal ulcers, through localized and sustained analgesic and anti-inflammatory delivery. Future research should prioritize migraine-focused optimization of MN materials and designs, alongside disease-specific expansion and standardized pain-related outcome reporting, to facilitate broader clinical translation.

Indexed as

AnalgesicsDrug Delivery SystemsFacial PainMicroneedle Drug DeliveryMigraine DisordersAdministration, CutaneousAnimalsHumansAnalgesicsdrug deliverymicroneedlesmigraineoral mucosal ulcersorofacial paintemporomandibular disorders

Identifiers

PMID41830072
PMCPMC13142208

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.