Phantom limb pain and propranolol.

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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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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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Phantom limb pain: theories and therapies.

BACKGROUND AND OBJECTIVE Since the beginning of the conflicts in Iraq and Afghanistan, there has been a dramatic increase in the number of military service members with single and multiple-limb amputations. Phantom limb pain (PLP) frequently develops in these individuals. As a result, identifying the best methods to treat PLP is critical. The review highlights areas of inquiry related to phanto...

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Phantom-limb pain: characteristics, causes, and treatment.

Phantom-limb pain is a common sequela of amputation, occurring in up to 80% of people who undergo the procedure. It must be differentiated from non-painful phantom phenomena, residual-limb pain, and non-painful residual-limb phenomena. Central changes seem to be a major determinant of phantom-limb pain; however, peripheral and psychological factors may contribute to it. A comprehensive model of...

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ژورنال

عنوان ژورنال: BMJ

سال: 1979

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.6160.415-a