Randomised prospective study comparing epidural analgesia perioperatively and 24 hours preoperatively for the prevention of postoperative stump pain and phantom limb pain following major amputation

2012 ◽  
Author(s):  
T Edwards
Keyword(s):  
Epidural Analgesia ◽  
Prospective Study ◽  
Phantom Limb Pain ◽  
Major Amputation ◽  
Phantom Limb ◽  
Limb Pain ◽  
Stump Pain

scholarly journals Factors associated with phantom limb pain: a 3½-year prospective study

2010 ◽  
Vol 24 (5) ◽  
pp. 444-453 ◽  
Author(s):  
Joline C Bosmans ◽  
Jan HB Geertzen ◽  
Wendy J Post ◽  
Cees P van der Schans ◽  
Pieter U Dijkstra
Keyword(s):  
Prospective Study ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Limb Pain ◽  
Factors Associated

Risk factors for post-amputation pain

2018 ◽  
Author(s):  
Tudor Phillips
Keyword(s):  
Older Patients ◽  
Clinical Characteristics ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Limb Amputation ◽  
Limb Pain ◽  
Experienced Pain ◽  
Stump Pain ◽  
Peripheral Pain

The landmark paper discussed in this chapter is ‘Immediate and long-term phantom limb pain in amputees: Incidence, clinical characteristics and relationship to pre-amputation limb pain’, published by Jensen et al. in 1985. This study examined a cohort of older patients undergoing limb amputation, and carefully related pre-amputation pain to the development and nature of phantom limb pain. The authors demonstrated that a third of patients experienced pain similar to the pre-amputated limb pain immediately after amputation; patients who had experienced pre-amputation pain were more likely to experience phantom limb pain in the first 6 months after the amputation; and persistent phantom limb pain was more likely in patients who experienced stump pain after amputation. The study had clear implications for pain management but, importantly, it also demonstrated that peripheral pain, in the form of pre-amputation and stump pain, was important in determining the development and maintenance of phantom limb pain.

Epidural block and phantom limb pain

2018 ◽  
Author(s):  
Stephan Schug
Keyword(s):  
Epidural Analgesia ◽  
Lower Limb ◽  
Phantom Limb Pain ◽  
Epidural Block ◽  
Phantom Limb ◽  
Limb Amputation ◽  
Control Group ◽  
Limb Pain ◽  
Epidural Group ◽  
Number Of Patients

The landmark paper discussed in this chapter, published by Bach et al. in 1988 is a Danish paper that describes a study where patients who were to undergo lower-limb amputation received either preventive, preoperative epidural analgesia for 72 hours before the amputation, or systemic analgesia. At 6 and 12 months post-operatively, all patients in the epidural group were pain free, while 38% and 27%, respectively, in the control group had phantom limb pain. The study has been criticized for a number of points including the pseudorandomization by year of birth, the lack of any blinding, and the small number of patients used in the study (only 25 patients overall).

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