Phantom pain

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Phantom pain
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pain in a limb or organ that is no longer present
Complications	N/A
Onset	Typically occurs soon after amputation
Duration	Can be chronic or acute
Types	N/A
Causes	Amputation, nerve damage, spinal cord injury
Risks	Amputation, trauma, surgery
Diagnosis	Clinical diagnosis, patient history
Differential diagnosis	Stump pain, neuropathic pain, complex regional pain syndrome
Prevention	N/A
Treatment	Medication, physical therapy, mirror therapy, nerve block, surgery
Medication	N/A
Prognosis	N/A
Frequency	Occurs in 60-80% of individuals with amputations
Deaths	N/A

Phantom Pain Phantom pain is a complex medical condition characterized by the perception of sensations, often including pain, in a limb or organ that has been amputated or removed. Despite the absence of the body part, the brain continues to receive signals, leading to the perception of pain or discomfort.

Etiology

The exact cause of phantom pain is unknown, but it is believed to originate in the central nervous system, specifically the brain and spinal cord. Following amputation, the brain continues to receive signals from nerves that originally carried impulses from the missing limb, leading to the perception of sensations from the non-existent body part.

Symptoms

Symptoms of phantom pain can vary greatly among individuals. They may include pain, tingling, itching, or even the sensation of the limb still being present. The pain can be described as shooting, stabbing, boring, squeezing, throbbing, or burning. Some people may experience "telescoping", where the phantom limb feels as if it is shortening over time.

Treatment

Treatment for phantom pain can be challenging and may involve multiple approaches. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants, and anticonvulsants are often used. Non-pharmacological treatments may include physical therapy, acupuncture, transcutaneous electrical nerve stimulation (TENS), and mirror therapy.

Research

Research into phantom pain is ongoing, with scientists seeking to understand the underlying mechanisms and develop more effective treatments. Studies have explored the role of the brain's neuroplasticity in phantom pain, as well as the potential for interventions such as neural blockade and deep brain stimulation.

Gallery

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  Colored Sketch

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  Dr. Vilayanur S. Ramachandran with Mirror Box

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  Phantom pain

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  Deep Brain Stimulation Open Loop

See also

• Neuropathic pain
• Complex regional pain syndrome
• Post-amputation pain

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WikiMD neurology

External links

• Comprehensive information from the National Institute of health.
  

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