PAIN-PHANTOM PAIN

SUMMARY

1. Definition: neuropathic pain perceived as coming from the amputated limb as if it were still contiguous with the body.

2. Majority of resolution generally occurs over several weeks to 2 years.

SUMMARY OF MANAGEMENT MANAGEMENT (low quality evidence; refer to "PAIN-PHANTOM PAIN MGM")
3. Pre-emptive analgesia.

4. Pharmacological: TCA, SSRI, SNRI, anti-epileptics, opiates, lignocaine, NMDA antagonists (IV ketamine), capsaicin.

5. Non-pharmacological management: wearing & weight-bearing on the prosthetic, CBT, mirror therapy, graded motor imagery, TENS, vibration, heat & cold therapies.

6. Surgical management: spinal cord stimulator insertion.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.