2007Pain Clinic JournalRequires access

Phantom limb pain

Xiuguo Zhang

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Abstract

Phantom limb phenomenon (PLP) almost occurred on every patient who suffered ampu- tation surgery.The incidence of phantom limb pain was reported about 60%-70% of the PLP.The etio- pathogenesis of phantom limb pain remains unclear.However,both peripheral and central neural mecha- nisms have been described,along with superimposed psychological mechanisms.Recently,cortical reorgani- zation after amputation is recognized as another important central neural mechanism of phantom limb pain. While numerous treatments have been described,there is a little evidence supporting drug therapy,nerve block,surgery techniques,and psychological therapy.Until today,there is no unified recognition about the etiopathogenesis and treatments of phantom limb pain.

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What this paper is about

Phantom limb phenomenon (PLP) almost occurred on every patient who suffered ampu- tation surgery.The incidence of phantom limb pain was reported about 60%-70% of the PLP.The etio- pathogenesis of phantom limb pain remains unclear.However,both peripheral and central neural mecha- nisms have been described,along with superimposed psychological mechanisms.Recently,cortical reorgani- zation after amputation is recognized as another important central neural mechanism of phantom limb pain. While numerous treatments have been described,there is a little evidence supporting drug therapy,nerve block,surgery techniques,and psychological therapy.Until today,there is no unified recognition about the etiopathogenesis and treatments of phantom limb pain.

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Available abstract

Phantom limb phenomenon (PLP) almost occurred on every patient who suffered ampu- tation surgery.The incidence of phantom limb pain was reported about 60%-70% of the PLP.The etio- pathogenesis of phantom limb pain remains unclear.However,both peripheral and central neural mecha- nisms have been described,along with superimposed psychological mechanisms.Recently,cortical reorgani- zation after amputation is recognized as another important central neural mechanism of phantom limb pain. While numerous treatments have been described,there is a little evidence supporting drug therapy,nerve block,surgery techniques,and psychological therapy.Until today,there is no unified recognition about the etiopathogenesis and treatments of phantom limb pain.

Key concepts: Phantom limb pain, Phantom limb, Phantom pain, Medicine, Amputation, Imaging phantom, Physical medicine and rehabilitation, Surgery

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