Phantom-limb pain: characteristics, causes, and treatment.
نویسنده
چکیده
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 phantom-limb pain is presented that assigns major roles to pain occurring before the amputation and to central as well as peripheral changes related to it. So far, few mechanism-based treatments for phantom-limb pain have been proposed. Most published reports are based on anecdotal evidence. Interventions targeting central changes seem promising. The prevention of phantom-limb pain by peripheral analgesia has not yielded consistent results. Additional measures that reverse or prevent the formation of central memory processes might be more effective.
منابع مشابه
پیگیری 18 ماهه اثر بخشی حساسیت زدایی با حرکات چشم و پردازش مجدد بر درد عضو خیالی بیماران مبتلا به قطع عضو
Aim and background : Annually about 200-500 million amputations occurring around world because of disease, trauma and congenital defects which approximately 85% are in limbs. For those with amputation the phantom limb pain is a serious problem and causes the therapeutic challenges for who need therapy. Present study was conducted to identify 18 month follow up efficacy Eye Movement Desensitiza...
متن کاملتاثیر روش حساسی تزدایی با حرکات چشم و پردازش مجدد بر درد عضو خیالی بیماران تحت قطع عضو
Aim and Background: More than 50% of patients suffer from phantom limb pain after amputation. This study was conducted to identify the effect of eye movement desensitization and reprocessing on phantom limb pain in patients with amputation. Methods and Materials: This quasi experimental study was performed in Yasuj City between 2012 to 2014. A total of forty (40) patients suffering from pha...
متن کاملDealing 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.
متن کاملEffects of regional anesthesia on phantom limb pain are mirrored in changes in cortical reorganization.
The causes underlying phantom limb pain are still unknown. Recent studies on the consequences of nervous system damage in animals and humans reported substantial reorganization of primary somatosensory cortex subsequent to amputation, and one study showed that cortical reorganization is positively correlated with phantom limb pain. This paper examined the hypothesis of a functional relationship...
متن کاملRunning Head: TREATMENT FOR PHANOTM LIMB PAIN 1 Efficacy of Different Treatment and Management Types for Phantom Limb Pain
Phantom limb pain affects an alarming amount of amputees. Little is known about the true cause of phantom limb pain, making it difficult to establish a standard treatment for it. This literature review looks at the etiology of phantom limb pain as well as the three major forms of treatment for phantom limb pain: pharmacological, invasive, and supportive. These three forms of treatment use diffe...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Lancet. Neurology
دوره 1 3 شماره
صفحات -
تاریخ انتشار 2002