Chapter

Phantom Pain

Tabitha A. Washington, Khalilah Brown and Gilbert Fanciullo

in Pain

Published on behalf of Oxford University Press

Published in print December 2011 | ISBN: 9780199827602
Published online April 2013 | e-ISBN: 9780199322909 | DOI: http://dx.doi.org/10.1093/med/9780199827602.003.0012

Series: What Do I Do Now

Phantom Pain

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Phantom pain is described as pain or dysesthesia that is caused by interruption or discontinuation of sensory nerve impulses by destroying or injuring the sensory nerve fibers after amputation or deafferentation. The usual cause of pain is due to trauma or surgical manipulation. The incidence of phantom limb pain varies across studies and is on the order of 2-80%; however, the average appears to be between 40-70%. Medical therapy should be tried initially and should not be considered a failure until narcotic therapy has been trialed. Surgical therapy including spinal cord stimulator placement and DREZ lesions should be reserved for refractory cases.

Chapter.  768 words. 

Subjects: Neurology ; Pain Medicine

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