Is preoperative opioid utilization an important factor in predicting phantom limb pain?

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Letter to the Editor: The Supernumerary Phantom Limb and Phantom Limb Pain-Important Facts

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Phantom limb pain.

Phantom pain is experienced by 60% to 80% of patients following limb amputation but is only severe in about 5% to 10% of cases. The mechanisms underlying pain in amputees are not fully understood, but factors in both the peripheral and central nervous system play a role. Treatment of phantom pain is not successful; a recent study on prevention of phantom pain showed negative results. The future...

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Phantom limb pain: an energy/trauma model.

Phantom limb pain (PLP) is a form of chronic neuropathic pain that responds poorly to treatment interventions derived from the neuroanatomic understanding of pain and analgesia. Several new psychological and behavioral treatments that have proven more effective have been explained by invoking neural plasticity as their mechanism of action. Other novel treatments that are based on an "energy med...

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24 Phantom Limb Pain

OVERVIEW Phantom limb pain can be a devastating consequence of an amputation. It is often a chronic, disabling condition. This chapter reviews the etiology, pathophysiology, prevention, and treatment of phantom limb pain and discusses known risk factors for this condition. Even though many physicians have been frustrated by the inability to control phantom limb pain, promising new therapies are...

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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: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2010

ISSN: 0832-610X,1496-8975

DOI: 10.1007/s12630-010-9296-2