Vol 9, No 1 (2010)
Review articles
Published online: 2010-04-23
Phantom pain: a therapeutic challenge
Michał Graczyk, Małgorzata Krajnik, Małgorzata Malec-Milewska
Advances in Palliative Medicine 2010;9(1):21-28.
Vol 9, No 1 (2010)
Review articles
Published online: 2010-04-23
Abstract
Following the amputation of a limb or a part of it, the patient may experience sensations, illusions that the
limb is still there. Such symptoms are referred to as phantom experiences. Directly after an amputation these
symptoms are present in the majority of patients (in up to 97% of cases). With time, the sensory experiences
and pain disappear and most patients develop a sensation that the amputated limb is shrinking and, as with
a telescope, getting closer to the stump. Two years after the amputation and when the wound has completely
healed, chronic and generally refractory pain affects only 2–4% of these patients. This pain is referred
to as phantom pain. Both phantom experiences and phantom pain may also develop after the surgical
amputation of other parts of the body, for instance after amputation of a breast. In some patients phantom
pain may resolve after many years but quite often recurs. Its severity varies from the barely perceptible to the
very troublesome, limiting a patient’s activity. The management of phantom pain is a considerable challenge,
not only for doctors but also for the entire team providing comprehensive therapy (such as physical therapists
and psychologists). Knowledge of the pathomechanisms of phantom pain and an understanding of the
principles of and the need for a multidirectional approach determine the optimal treatment for a patient
suffering from this kind of pain.
Adv. Pall. Med. 2010; 9, 1: 21–28
Abstract
Following the amputation of a limb or a part of it, the patient may experience sensations, illusions that the
limb is still there. Such symptoms are referred to as phantom experiences. Directly after an amputation these
symptoms are present in the majority of patients (in up to 97% of cases). With time, the sensory experiences
and pain disappear and most patients develop a sensation that the amputated limb is shrinking and, as with
a telescope, getting closer to the stump. Two years after the amputation and when the wound has completely
healed, chronic and generally refractory pain affects only 2–4% of these patients. This pain is referred
to as phantom pain. Both phantom experiences and phantom pain may also develop after the surgical
amputation of other parts of the body, for instance after amputation of a breast. In some patients phantom
pain may resolve after many years but quite often recurs. Its severity varies from the barely perceptible to the
very troublesome, limiting a patient’s activity. The management of phantom pain is a considerable challenge,
not only for doctors but also for the entire team providing comprehensive therapy (such as physical therapists
and psychologists). Knowledge of the pathomechanisms of phantom pain and an understanding of the
principles of and the need for a multidirectional approach determine the optimal treatment for a patient
suffering from this kind of pain.
Adv. Pall. Med. 2010; 9, 1: 21–28
Keywords
phantom pain; phantom experiences; stump pain
Title
Phantom pain: a therapeutic challenge
Journal
Advances in Palliative Medicine
Issue
Vol 9, No 1 (2010)
Pages
21-28
Published online
2010-04-23
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619
Article views/downloads
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Bibliographic record
Advances in Palliative Medicine 2010;9(1):21-28.
Keywords
phantom pain
phantom experiences
stump pain
Authors
Michał Graczyk
Małgorzata Krajnik
Małgorzata Malec-Milewska
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