Immediate and long-term phantom limb pain in amputees: Incidence, clinical characteristics and relationship to pre-amputation limb pain
- 1 March 1985
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 21 (3), 267-278
- https://doi.org/10.1016/0304-3959(85)90090-9
Abstract
In a prospective study 58 patients undergoing limb amputation were interviewed the day before operation about their pre-amputation limb pain and 8 days, 6 months and 2 years after limb loss about their stump and phantom limb pain. All but one patient had experienced pain in the limb prior to amputation. Pre-amputation limb pain lasted less than 1 month in 25% of patients and more than 1 month in the remaining 75% of patients. At the first examination the day before amputation 29% had no limb pain. The incidence of phantom pain 8 days, 6 months and 2 years after amputation was 72, 65 and 59%, respectively. Within the first half year after limb loss phantom pain was significantly more frequent in patients with long-lasting pre-amputation limb pain and in patients with pain in the limb immediately prior to amputation. Phantom pain and pre-amputation pain were similar in both localization and character in 36% of patients immediately after amputation but in only 10% of patients later in the course. Both the localization and character of phantom pain changed within the first half year; no further change occurred later in the course. The incidence of stump pain 8 days, 6 months and 2 years after limb loss was 57, 22 and 21%, respectively. It is suggested that preoperative limb pain plays a role in phantom pain immediately after amputation, but probably not in late persistent phantom pain.Keywords
This publication has 13 references indexed in Scilit:
- Non-painful phantom limb phenomena in amputees: incidence, clinical characterstics and temporal courseActa Neurologica Scandinavica, 1984
- Phantom limb phenomena in amputees 7 years after amputationPain, 1984
- Phantom limb, phantom pain and stump pain in amputees during the first 6 months following limb amputationPain, 1983
- Phantom limbs and related phenomena in recent traumatic amputationsNeurology, 1978
- Phantom body pain in paraplegics: Evidence for a central “pattern generating mechanism” for painPain, 1977
- Factors determining the persistence of phantom pain in the amputeeJournal of Psychosomatic Research, 1973
- DORSAL CORDOTOMY FOR PAINFUL PHANTOM LIMBAnnals of Surgery, 1948
- PHANTOM LIMBSJournal of Neurology, Neurosurgery & Psychiatry, 1948
- The Phantom Limb*Psychosomatic Medicine, 1947
- Phantom limb pain: Its relation to the treatment of large nerves at time of amputationThe American Journal of Surgery, 1945