Brain (re)organisation following amputation: Implications for phantom limb pain

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Nursing aspects of phantom limb pain following amputation.

Phantoms (painless and painful) occur following the removal of virtually all body parts. Phantoms of the limbs, including phantom limb pain (PLP), are the most studied. As yet there is no agreed theory to explain phantom limb pain but the neuromatrix and cortical reorganization theories have come to prominence over recent years. Multiple treatment strategies have been applied to PLP; however, n...

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Dealing with phantom limb pain after amputation.

Patients usually experience phantom limb pain after amputation but it may also occur following resection of other parts of the body, such as the breast and internal organs like the rectum. The causes are complex and patients require careful assessment to ensure they receive appropriate care. This article describes the causes of phantom limb pain and discusses assessment strategies.

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Amputation and phantom limb pain: a pain-prevention model.

Within the figure of more than 200,000 surgical amputations performed in the United States each year lies another--70% of patients experience phantom limb pain after the procedure, and 50% still experience phantom pain 5 years after surgery. Patients describe burning, stabbing, twisting, cramping, or throbbing pains in the missing part. Adding to the patient's and the anesthesia professional's ...

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Prevalence and characteristics of phantom limb pain and residual limb pain in the long term following upper limb amputation

Objectives: This study aims to describe the prevalence and characteristics of phantom limb pain and residual limb pain following upper limb amputation. Methods: One-hundred and forty-one participants (139 males; mean age 74.8 years; mean time since amputation 50.1 years) completed a self-report questionnaire assessing residual and phantom limb pain experience. Results: Prevalence of phantom lim...

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Methadone for phantom limb pain.

OBJECTIVE The objective of this case series was to determine if severe phantom limb pain could be reduced with oral methadone. DESIGN Four cases of phantom limb pain refractory to multiple treatment modalities were treated with oral methadone. SETTING Pain clinic at a major university medical center. PATIENTS Four patients with severe, intractable phantom limb pain. INTERVENTION Oral me...

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ژورنال

عنوان ژورنال: NeuroImage

سال: 2020

ISSN: 1053-8119

DOI: 10.1016/j.neuroimage.2020.116943