Phantom limb pain

Jonathan Chang, Rahul Rastogi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 36-year-old male fractured his distal tibia following a motor vehicle accident 5 years prior to presentation and developed foot pain. Surgical fixation did not alleviate the pain which worsened and spread to his leg (below the knee). Treatments including analgesics, physical therapy, sympathetic blocks, and spinal cord stimulation were unsuccessful. Due to persistent pain, an above the knee amputation was performed 4 years following the initial injury. The pain abated for 2 weeks, but painful symptoms developed in the missing left leg and gradually worsened. The pain symptoms were continuous and described as “aching, tightening, and burning,” mainly localized to the distal third of the lower leg and foot. He also reports intermittent twitching and spasms at the stump. He currently takes methadone 20 mg twice a day, cymbalta 60 mg at bedtime, and baclofen 20 mg three times a day with partial benefit. 1. What is postamputation pain? A variety of unpleasant sensations are experienced after limb amputation, also known as “postamputation pain” (PAP). This was first formally described as a medical problem by Paré in 1551. In 1871 Weir Mitchell described it in Civil War soldiers and termed it “phantom limb pain” (PLP). There are three different sensory experiences described after amputation: (1) non-noxious phantom sensation, (2) residual limb pain (stump pain) (RLP), and (3) phantom pain. Phantom pain commonly involves the limbs, but it can present as “phantom breast,” “phantom tooth,” “phantom testes,” or “phantom (body part)” surgical amputation pain.

Original languageEnglish (US)
Title of host publicationCase Studies in Pain Management
PublisherCambridge University Press
Pages38-42
Number of pages5
ISBN (Electronic)9781107281950
ISBN (Print)9781107682894
DOIs
StatePublished - Jan 1 2014

Fingerprint

Phantom Limb
Pain
Amputation
Leg
Extremities
Foot
Knee
Spinal Cord Stimulation
Baclofen
Methadone
Military Personnel
Spasm
Motor Vehicles
Tibia
Human Body
Accidents
Analgesics
Testis
Tooth
Breast

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chang, J., & Rastogi, R. (2014). Phantom limb pain. In Case Studies in Pain Management (pp. 38-42). Cambridge University Press. https://doi.org/10.1017/CBO9781107281950.006

Phantom limb pain. / Chang, Jonathan; Rastogi, Rahul.

Case Studies in Pain Management. Cambridge University Press, 2014. p. 38-42.

Research output: Chapter in Book/Report/Conference proceedingChapter

Chang, J & Rastogi, R 2014, Phantom limb pain. in Case Studies in Pain Management. Cambridge University Press, pp. 38-42. https://doi.org/10.1017/CBO9781107281950.006
Chang J, Rastogi R. Phantom limb pain. In Case Studies in Pain Management. Cambridge University Press. 2014. p. 38-42 https://doi.org/10.1017/CBO9781107281950.006
Chang, Jonathan ; Rastogi, Rahul. / Phantom limb pain. Case Studies in Pain Management. Cambridge University Press, 2014. pp. 38-42
@inbook{dd9546c316ff4811976a1902a72eea8c,
title = "Phantom limb pain",
abstract = "A 36-year-old male fractured his distal tibia following a motor vehicle accident 5 years prior to presentation and developed foot pain. Surgical fixation did not alleviate the pain which worsened and spread to his leg (below the knee). Treatments including analgesics, physical therapy, sympathetic blocks, and spinal cord stimulation were unsuccessful. Due to persistent pain, an above the knee amputation was performed 4 years following the initial injury. The pain abated for 2 weeks, but painful symptoms developed in the missing left leg and gradually worsened. The pain symptoms were continuous and described as “aching, tightening, and burning,” mainly localized to the distal third of the lower leg and foot. He also reports intermittent twitching and spasms at the stump. He currently takes methadone 20 mg twice a day, cymbalta 60 mg at bedtime, and baclofen 20 mg three times a day with partial benefit. 1. What is postamputation pain? A variety of unpleasant sensations are experienced after limb amputation, also known as “postamputation pain” (PAP). This was first formally described as a medical problem by Par{\'e} in 1551. In 1871 Weir Mitchell described it in Civil War soldiers and termed it “phantom limb pain” (PLP). There are three different sensory experiences described after amputation: (1) non-noxious phantom sensation, (2) residual limb pain (stump pain) (RLP), and (3) phantom pain. Phantom pain commonly involves the limbs, but it can present as “phantom breast,” “phantom tooth,” “phantom testes,” or “phantom (body part)” surgical amputation pain.",
author = "Jonathan Chang and Rahul Rastogi",
year = "2014",
month = "1",
day = "1",
doi = "10.1017/CBO9781107281950.006",
language = "English (US)",
isbn = "9781107682894",
pages = "38--42",
booktitle = "Case Studies in Pain Management",
publisher = "Cambridge University Press",

}

TY - CHAP

T1 - Phantom limb pain

AU - Chang, Jonathan

AU - Rastogi, Rahul

PY - 2014/1/1

Y1 - 2014/1/1

N2 - A 36-year-old male fractured his distal tibia following a motor vehicle accident 5 years prior to presentation and developed foot pain. Surgical fixation did not alleviate the pain which worsened and spread to his leg (below the knee). Treatments including analgesics, physical therapy, sympathetic blocks, and spinal cord stimulation were unsuccessful. Due to persistent pain, an above the knee amputation was performed 4 years following the initial injury. The pain abated for 2 weeks, but painful symptoms developed in the missing left leg and gradually worsened. The pain symptoms were continuous and described as “aching, tightening, and burning,” mainly localized to the distal third of the lower leg and foot. He also reports intermittent twitching and spasms at the stump. He currently takes methadone 20 mg twice a day, cymbalta 60 mg at bedtime, and baclofen 20 mg three times a day with partial benefit. 1. What is postamputation pain? A variety of unpleasant sensations are experienced after limb amputation, also known as “postamputation pain” (PAP). This was first formally described as a medical problem by Paré in 1551. In 1871 Weir Mitchell described it in Civil War soldiers and termed it “phantom limb pain” (PLP). There are three different sensory experiences described after amputation: (1) non-noxious phantom sensation, (2) residual limb pain (stump pain) (RLP), and (3) phantom pain. Phantom pain commonly involves the limbs, but it can present as “phantom breast,” “phantom tooth,” “phantom testes,” or “phantom (body part)” surgical amputation pain.

AB - A 36-year-old male fractured his distal tibia following a motor vehicle accident 5 years prior to presentation and developed foot pain. Surgical fixation did not alleviate the pain which worsened and spread to his leg (below the knee). Treatments including analgesics, physical therapy, sympathetic blocks, and spinal cord stimulation were unsuccessful. Due to persistent pain, an above the knee amputation was performed 4 years following the initial injury. The pain abated for 2 weeks, but painful symptoms developed in the missing left leg and gradually worsened. The pain symptoms were continuous and described as “aching, tightening, and burning,” mainly localized to the distal third of the lower leg and foot. He also reports intermittent twitching and spasms at the stump. He currently takes methadone 20 mg twice a day, cymbalta 60 mg at bedtime, and baclofen 20 mg three times a day with partial benefit. 1. What is postamputation pain? A variety of unpleasant sensations are experienced after limb amputation, also known as “postamputation pain” (PAP). This was first formally described as a medical problem by Paré in 1551. In 1871 Weir Mitchell described it in Civil War soldiers and termed it “phantom limb pain” (PLP). There are three different sensory experiences described after amputation: (1) non-noxious phantom sensation, (2) residual limb pain (stump pain) (RLP), and (3) phantom pain. Phantom pain commonly involves the limbs, but it can present as “phantom breast,” “phantom tooth,” “phantom testes,” or “phantom (body part)” surgical amputation pain.

UR - http://www.scopus.com/inward/record.url?scp=84952784480&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952784480&partnerID=8YFLogxK

U2 - 10.1017/CBO9781107281950.006

DO - 10.1017/CBO9781107281950.006

M3 - Chapter

AN - SCOPUS:84952784480

SN - 9781107682894

SP - 38

EP - 42

BT - Case Studies in Pain Management

PB - Cambridge University Press

ER -