Phantom pain in bilateral upper limb amputation

Disability and Rehabilitation
Ehsan ModirianMahdi Masoumi

Abstract

To alert health professionals on presence and extent of phantom pain and sensation following bilateral upper limb amputation. Of a total of 140 war-related bilateral upper limb amputees in Iran, 103 subjects were thoroughly examined in this cross-sectional study by a physical medicine specialist. The patients were questioned for the presence of phantom pain and sensations, and frequency and intensity of the feeling were recorded. At 17.1 +/- 6.1 years after injury, 82.0% of the 103 amputees suffered from phantom sensation, including varying degrees of phantom limb pain in 53.9% of stumps. Phantom phenomena had a higher frequency in the right extremities, but this was not statistically significant (p > 0.01). Of those amputees who had phantom pain or sensation, 51.2% reported that they 'always' had phantom limb sensation; and approximately one-fourth of the subjects (24.6%) 'always' had phantom pain. Among the stumps who reported phantom pain (N=112), the pain was excruciating (38.5%), distressing (34.9%) or discomforting (25.6%). A significant statistical relation between phantom limb sensation and level of amputation was observed (p < 0.01). At this time there is no healing for phantom pain; medical and surgical modalities onl...Continue Reading

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Citations

Nov 16, 2012·Journal of Pain Research·Igor Kissin, Simon Gelman
Jan 26, 2010·Disability and Rehabilitation·Shailendra Kapoor
Nov 9, 2018·Health Technology Assessment : HTA·Mark CorbettNerys Woolacott
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Aug 8, 2018·Acta orthopaedica et traumatologica turcica·Elham EsfandiariHassan Saeedi

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