BACKGROUND Amputee pain may present in a body part that has been amputated (phantom pain) or at the site of amputation (stump pain), or both. Phantom pain and stump pain are complex and multidimensional and the underlying pathophysiology remains unclear. The mainstay treatments for phantom pain and stump pain are predominately pharmacological. The condition remains a severe burden for those who...

background long-term clinical symptoms and functional status of above-knee amputees are not well documented. this study documents the long-term outcomes of war related above-knee amputations. objective to study the long-term outcomes of unilateral above-knee amputation. materials and methods the study consisted of a comprehensive assessment, examination, and review of history and wartime medica...

The post-amputation (pain) syndrome, including stump pain, phantom limb sensation, and phantom limb pain is common but difficult to treat. Refractory stump pain in the syndrome is an extremely challenging and troublesome clinical condition. Patients respond poorly to drugs, nerve blocks, and other effective treatments like spinal cord stimulation and surgery. Pulsed radiofrequency (PRF) techniq...

Stump neuroma is a common cause of pain from disorganized proliferation of nerve fascicles occurring after limb amputation. Ultrasound guided alcohol injection in painful stump neuroma has been tried as a new treatment approach. Herein, we report 2 male patients, who had traumatic amputation and claimed severe and diffuse burning pain in the stump area. Neuroma at the distal end of an amputated...

Ilizarov is an accepted technique for lengthening short amputation stumps to improve prosthetic function andrehabilitation. The relation of stump lengthening and phantom limb pain (PLP) has not been reported in literature.We present here a case report of a transfemoral amputee who had a flare up of PLP following stump lengthening.He responded well to a combination of pharmacological therapy and...

PURPOSE The aim of this study was to measure the efficacy of a single 60 min application of capsaicin 8% patch in reducing chronic amputation stump and phantom limb pain, associated hypersensitivity with quantitative sensory testing, and changes in brain cortical maps using functional MRI (fMRI) scans. METHODS A capsaicin 8% patch (Qutenza) treatment study was conducted on 14 patients with si...

Painful jumping stump is characterized by persistent choreiform or myoclonic involuntary movements and severe neuropathic pain in the stump of a limb following amputation. This syndrome is also defined as„ trepidation du moignon‟, convulsive movements of the stump” or“jumpy stump”.The pathophysiology and etiology have not yet been clearly defined. We describe a seventy four year old man, who ha...

BACKGROUND Chronic pain following limb amputations is now a recognized chronic pain syndrome usually described in a combination of phantom and stump pain. Both stump and phantom pain continue to be significant treatment challenges. If pharmacotherapy does not provide effective analgesia for stump pain, a clinician has interventional options that frequently give only transient benefit, or have a...