Managing acute phantom limb pain with transcutaneous electrical nerve stimulation: a case report.

J Med Case Rep

Department of Anaesthesia and Perioperative Medicine, Pain Management Unit, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.

Published: May 2023

AI Article Synopsis

  • - Phantom limb pain involves painful sensations in amputated limbs, and its clinical features can differ between acute cases and chronic cases, suggesting that acute pain may be linked to issues in the peripheral nervous system.
  • - In a case study, a 36-year-old man experienced acute phantom limb pain in his left leg and received treatment through transcutaneous electrical nerve stimulation.
  • - The findings from this case highlight that acute phantom limb pain has different characteristics than chronic pain, underscoring the need for targeted treatments aimed at peripheral mechanisms for individuals with amputations.

Article Abstract

Introduction: Phantom limb pain is characterized by painful sensations in the amputated limb. The clinical presentation of acute phantom limb pain may differ from that of patients with chronic phantom limb pain. The variation observed implies that acute phantom limb pain may be driven by peripheral mechanisms, indicating that therapies focused on the peripheral nervous system might be successful in reducing pain.

Case Presentation: A 36-year-old African male with acute phantom limb pain in the left lower limb, was treated with transcutaneous electrical nerve stimulation.

Conclusion: The assessment results of the presented case and the evidence on acute phantom limb pain mechanisms contribute to the current body of literature, indicating that acute phantom limb pain presents differently to chronic phantom limb pain. These findings emphasize the importance of testing treatments that target the peripheral mechanisms responsible for phantom limb pain in relevant individuals with acquired amputations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200048PMC
http://dx.doi.org/10.1186/s13256-023-03915-zDOI Listing

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