A case report of recurrent appendicitis, 40 years after appendectomy is presented. In the present case, we failed to diagnose stump appendicitis preoperatively due to the existence of the lipohyperplasia of the ileocecal valve which showed features of ileocolic intussusception causing right lower abdominal pain and nausea. Inflammation of the appendiceal stump after appendectomy is a rare compl...

Data on 40 upper limb amputees (11 bilateral) with regard to stump pain, phantom sensation and phantom pain is presented. All the patients lost their limbs as a result of violent injuries intended to terrorise the population and were assessed 10–48 months after the injury. All amputees reported stump pain in the month prior to interview and ten of the 11 bilateral amputees had bilateral pain. P...

Debilitating stump pain following amputation surgery is a major problem when it affects the patient's quality of life, often making the patient totally dependent on others for their day-to-day care. Attempts have been made to treat those patients through pharmacological, psychological, and physical therapies, but in many cases these fail to relieve the pain. This article focuses on three patien...

Following amputation, 50% to 90% of individuals experience phantom and/or stump pain. Transcutaneous electrical nerve stimulation (TENS) may prove to be a useful adjunct analgesic intervention, although a recent systematic review was unable to judge effectiveness owing to lack of quality evidence. The aim of this pilot study was to gather data on the effect of TENS on phantom pain and stump pai...

Phantom limb phenomena were correlated with psychophysiological measures of peripheral sympathetic nervous system activity measured at the amputation stump and contralateral limb. Amputees were assigned to one of three groups depending on whether they reported phantom limb pain, non-painful phantom limb sensations, or no phantom limb at all. Skin conductance and skin temperature were recorded c...

BACKGROUND Pain after amputation is common but difficult to treat, and few controlled treatment studies exist. METHODS In the current study, 94 treatment-naive posttraumatic limb amputees with phantom pain (intensity: mean visual analog scale score [0-100], 40 [95% confidence interval, 38-41]) were randomly assigned to receive individually titrated doses of tramadol, placebo (double-blind com...

From Pain Management Center of Paducah, Paducah, Kentucky, and Pain Diagnostic Associates, Niagara, Wisconsin. Address Correspondence: Laxmaiah Manchikanti, MD, 2831 Lone Oak Road, Paducah, Kentucky 42003 E-mail: [email protected] Funding: There was no external funding in preparation of this manuscript. Conflict of Interest: None Since the first medical description of post-amputation phenomena repor...

Pulmonary artery stump thrombosis is a recognized complication after pneumonectomy. However, to our knowledge, there is only one case report of delayed development of this complication. We report the case of a 68 year-old man who presented with chest pain nearly ten years after undergoing a right pneumonectomy for lung cancer. Workup identified a pulmonary artery stump thrombosis. Due to the ac...

BACKGROUND Post-amputation pain (PAP) is highly prevalent after limb amputation, and stump neuromas play a key role in the generation of the pain. Presently, PAP refractory to medical management is frequently treated with minimally invasive procedures guided by ultrasound, such as alcohol neurolysis and radiofrequency ablation (RFA). OBJECTIVE To record the immediate and long-term efficacy of...