Limb telescoping

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Limb Telescoping[edit | edit source]

Phantom limb illusion

Limb telescoping is a phenomenon often associated with phantom limb sensations, where an individual perceives their missing limb as progressively shortening or "telescoping" into the residual limb. This condition is commonly observed in individuals who have undergone amputation and experience phantom limb sensations.

Mechanism[edit | edit source]

The exact mechanism of limb telescoping is not fully understood, but it is believed to involve complex interactions between the central nervous system and the peripheral nervous system. After amputation, the brain continues to receive signals from the nerves that once served the missing limb. These signals can create a distorted perception of the limb's presence and position.

The brain's somatosensory cortex, which is responsible for processing sensory information from the body, may undergo plastic changes following amputation. This reorganization can lead to altered perceptions, such as the sensation of the limb shortening or retracting into the stump.

Clinical Significance[edit | edit source]

Limb telescoping can have significant implications for the rehabilitation and psychological well-being of amputees. Understanding this phenomenon is crucial for developing effective pain management strategies and prosthetic designs that accommodate the altered body image of individuals experiencing phantom limb sensations.

MRI of orbitofrontal cortex

Management[edit | edit source]

Management of limb telescoping involves a multidisciplinary approach, including physical therapy, occupational therapy, and psychological counseling. Techniques such as mirror therapy have been used to help patients reconcile their body image with their physical reality, potentially reducing the intensity of telescoping sensations.

Related Phenomena[edit | edit source]

Limb telescoping is one of several phenomena associated with phantom limb sensations. Others include phantom limb pain, where the individual experiences pain in the absent limb, and phantom limb movement, where the person feels as though they can move the missing limb.

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Contributors: Prab R. Tumpati, MD