Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation

2000 ◽  
Vol 81 (8) ◽  
pp. 1039-1044 ◽  
Author(s):  
Dawn M. Ehde ◽  
Joseph M. Czerniecki ◽  
Douglas G. Smith ◽  
Kellye M. Campbell ◽  
W.Thomas Edwards ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Phantom Pain ◽  
Residual Limb ◽  
Limb Pain ◽  
Residual Limb Pain

How Common Are Chronic Residual Limb Pain, Phantom Pain, and Back Pain More Than 20 Years After Lower Limb Amputation for Malignant Tumors?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kevin Döring ◽  
Carmen Trost ◽  
Christoph Hofer ◽  
Martin Salzer ◽  
Tryphon Kelaridis ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Limb ◽  
Malignant Tumors ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Phantom Pain ◽  
Residual Limb ◽  
Limb Pain ◽  
Residual Limb Pain

scholarly journals Pain and psychosocial adjustment to lower limb amputation amongst prosthesis users

2008 ◽  
Vol 32 (2) ◽  
pp. 244-252 ◽  
Author(s):  
Deirdre Desmond ◽  
Pamela Gallagher ◽  
David Henderson-Slater ◽  
Rob Chatfield
Keyword(s):  
Psychosocial Adjustment ◽  
Lower Limb ◽  
Postal Survey ◽  
Lower Limb Amputation ◽  
Phantom Limb ◽  
Limb Amputation ◽  
Residual Limb ◽  
Limb Pain ◽  
Activity Restriction ◽  
Residual Limb Pain

The aim of this study was to investigate associations between post-amputation phantom and residual limb pain and prosthesis satisfaction, activity restriction and psychosocial adjustment to amputation among lower limb prosthesis users. Eighty-nine people with a lower limb amputation completed a postal survey. Characteristics of phantom and residual limb pain, prosthesis satisfaction, activity restriction and psychosocial adjustment to amputation were assessed using the Trinity Amputation and Prosthesis Experience Scales (TAPES). Comparisons of those who experienced residual and/or phantom limb pain in the preceding assessment with those who did not revealed significant differences in prosthesis satisfaction, psychosocial adjustment but not in activity restriction. Overall, it is important for clinicians to ascertain the type and level of pain that the person is experiencing and to separate the experiences of the pain from the experiences of the prosthetic limb.

Residual limb claudication after vascular transfemoral amputation

2017 ◽  
Vol 41 (6) ◽  
pp. 601-604 ◽  
Author(s):  
Riemke GA de Boer ◽  
Marieke A Paping ◽  
Bert Kap ◽  
Jan HB Geertzen
Keyword(s):  
Lower Limb ◽  
Developed Countries ◽  
Occlusive Disease ◽  
Limb Amputation ◽  
Residual Limb ◽  
Peripheral Artery ◽  
Transfemoral Amputation ◽  
Limb Pain ◽  
Peripheral Artery Occlusive Disease ◽  
Residual Limb Pain

Background:In all, 68% of all lower limb amputees experience residual limb pain. More than 95% of all lower limb amputations in developed countries are due to peripheral artery occlusive disease in combination with diabetes mellitus. Therefore, claudication, which is one of the most common manifestations of peripheral artery occlusive disease, should be taken into consideration in making a differential diagnosis of residual limb pain.Case description and methods:We present a case study of a 60-year-old diabetic patient who underwent a transfemoral amputation due to peripheral artery occlusive disease and who experiences residual limb pain. A computed tomography angiography was performed, and we searched for relevant literature on claudication pain after lower limb amputation.Conclusion:Little research has explored claudication as a cause of residual limb pain. More research will lead to a decrease in unnecessary prosthetic fittings and adjustments give more insight into the treatment and management of residual limb pain and prevent a decrease in mobility in amputees.Clinical relevanceClaudication due to peripheral artery occlusive disease should be included as a possible cause of residual limb pain to prevent unnecessary prosthetic fittings and adjustments and to minimize psychological effects and limitations in activities and participation.

Complex regional pain syndrome of the residual limb in a transtibial lower-limb amputee: diagnosis and treatment

2021 ◽  
Vol 14 (7) ◽  
pp. e239650
Author(s):  
Christos Karatzios ◽  
Francois Luthi ◽  
Guillaume Muff ◽  
Charles Benaim
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Lower Limb ◽  
Pain Syndrome ◽  
Clinical Findings ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Intractable Pain ◽  
Residual Limb ◽  
Residual Limb Pain ◽  
Budapest Criteria

We present the unusual case of complex regional pain syndrome (CRPS) of the residual limb in a 54-year-old woman with transtibial lower-limb amputation. Intractable pain developed 14 months after amputation, followed by successful rehabilitation. Anamnesis and clinical findings included sensory symptoms, vasomotor symptoms and signs, and oedema. The Budapest criteria for a diagnosis of CRPS were met. After infusions of bisphosphonates during a 5-week inpatient interdisciplinary rehabilitation programme, the pain decreased. Clinicians should suspect CRPS in case of chronic or recurrent residual limb pain. The Budapest criteria seem applicable even if interpretation of symptoms and findings can be complicated in vascular polymorbid lower-limb amputation. Bisphosphonates, proposed as first-line pharmacological treatment, can be useful.

scholarly journals Obesity and Skin Problems in Persons With a Lower Limb Amputation: An Observational Study

2021 ◽  
Author(s):  
Terezka S. Mollee ◽  
Pieter U. Dijkstra ◽  
Rienk Dekker ◽  
Jan H.B. Geertzen
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Confidence Interval ◽  
Body Mass ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Residual Limb ◽  
Prevalence Of Obesity ◽  
The Impact

Abstract Background: A lower limb amputation can lead to weight gain and obesity. However, data regarding the prevalence of obesity in the Dutch population with a lower limb amputation are lacking. Furthermore, the impact of obesity on skin problems of the residual limb and the need of prosthetic repairs is unknown. The aim of this study was to determine the prevalence of obesity in Dutch persons with a lower limb amputation and to investigate the relationship between body weight, body mass index and skin problems of the residual limb and the frequency of prosthetic repairs. Methods: A survey was performed among adults with a unilateral lower limb amputation due to any cause, and who are user of a prosthesis. The survey consisted of measurement of the subjects’ body height and weight, a questionnaire which assessed self-reported skin problems in the previous month and factors potentially associated with these skin problems, and assessment of the frequency of visits to the orthopedic workshop. Results: In total, 413 persons were enrolled. Of them, 39% (95% confidence interval 35%−44%) was overweight and 28% (95% confidence interval 24%−33%) was obese. A total of 77% (95% confidence interval 73%−81%) reported one or more skin problems in the past month. Body weight and body mass index were neither associated with the presence of skin problems in general nor with the number of prosthetic repairs. Persons with severe skin problems had a slightly lower body mass index (26.6 kg/m2 vs. 28.0 kg/m2, p = 0.012). Persons with skin problems were younger than those without (difference in means 6.0 years (95% confidence interval 3.0−8.9)). Conclusion: Our findings show that obesity is common in the ambulant population with a lower limb amputation, with a prevalence being higher than in the general Dutch adult population. However, its negative impact on the presence of skin problems and the frequency of prosthetic repairs may be limited.

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