Successful Peripheral Neuromodulation for Phantom Limb Pain

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Peripheral neuromodulation for pain.

The past decade (1999-2009) has witnessed a dramatic increase in the use of electrical stimulation to treat chronic, intractable pain. The implantation of electrodes in close proximity to peripheral nerves, known as peripheral nerve stimulation, has been enthusiastically adopted by neurosurgeons and interventional pain specialists. The most common conditions treated with this technique are head...

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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.

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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Peripheral nervous system origin of phantom limb pain.

Nearly all amputees continue to feel their missing limb as if it still existed, and many experience chronic phantom limb pain (PLP). What is the origin of these sensations? There is currently a broad consensus among investigators that PLP is a top-down phenomenon, triggered by loss of sensory input and caused by maladaptive cortical plasticity. We tested the alternative hypothesis that PLP is p...

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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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ژورنال

عنوان ژورنال: Pain Medicine

سال: 2015

ISSN: 1526-2375,1526-4637

DOI: 10.1111/pme.12532