11.07.2014

Treatment for phantom pain quiet

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Mirror therapy and virtual reality are two noninvasive and inexpensive treatments that hold promise in the management of phantom limb pain. Mirror therapy is not only promising as a treatment for PLP, but it also provides insight into the mechanism behind the phenomenon. Deciding which treatment to use not only depends on its efficacy but also on individual preferences. Do you recommend using technology (smartphone apps, Fitbits, etc) to help your patients become more active? Vertical Health Media, LLC does not, by publication of the advertisements contained herein, express endorsement or verify the accuracy and effectiveness of the products and claims contained therein.
Practical Pain Management is sent without charge 10 times per year to pain management clinicians in the US. Phantom limb pain is when a person experiences the sensation of pain in a limb that has been amputated; residual pain can be as high as 80% in amputees and 20% in congenitally limb-deficient children. Anyone who has lost a limb, either through accident or surgical procedure: be it a finger, toe, hand, foot, or an entire arm or leg, may experience phantom limb pain. There is the possibility that you may be experiencing residual limb pain, which is a separate condition.
Other methods include heat compresses, relaxation techniques, massage therapy, biofeedback therapy, physical therapy, use of a TENS (transcutaneous electrical nerve stimulation) unit on the stump, spinal cord stimulation, deep brain stimulation, or other neurostimulation techniques (Spinal cord stimulators in an outpatient interventional neuroradiology practice 2013). Most patients respond well to the treatments; however each patient’s level of relief will vary as different people respond differently to the medications and treatments used.


Most patients’ phantom limb pain is a temporary condition, and although some patient’s may need treatment at first, the condition will usually subside on its own.
New Mexico Pain offers the top pain clinics in Albuquerque, providing the best Board Certified doctors in the state utilizing both medication management and interventional procedures. Specifically, the fact that the covered mirror and mental visualization conditions in the study did not have a positive impact on PLP suggests, according to Dr. Prevalence and characteristics of chronic phantom limb pain among American veterans: results of a trial survey. Vertical Health Media, LLC disclaims any liability for damages resulting from the use of any product advertised herein and suggests that readers fully investigate the products and claims prior to purchasing. For amputees, this condition usually subsides around six months after the limb has been amputated, but in some patients it doesn’t stop and they continue to feel pain from the terminated nerve trunk (Pain issues and treatment of the person with an amputation 2013).
Persons with phantom limb pain often also experience sensations of tingling, itching, numbness, coldness, or basically any sensation that could be felt if the limb was still present.
If you are experiencing pain after an amputation talk to your physician; they will ask questions pertaining to your condition prior to the amputation and note that you are experiencing sensations of pain from the amputated limb. Residual limb pain is pain in the remaining portion of the amputated limb that may be painful due to nerve damage, reduced blood flow, or other causes from the surgical procedure or accident that may have damaged blood vessels and nerves in the limb. For those whose symptoms persist, treatment of phantom limb pain can often be difficult and it may be necessary to use multiple treatment methods simultaneously to treat the condition effectively(Long-term analgesic effects of transcranial direct current stimulation of the motor cortex on phantom limb and stump pain: a case report 2013).
However some patients’ phantom limb pain may persist, for these patients treatment can be difficult and ongoing.
Tsao, that the “visual pathway helps modulates pain in some manner.” He is also conducting a study, funded in part by the Dana Foundation and in collaboration with the National Institute of Mental Health, National Institutes of Health, Bethesda, MD, using functional magnetic resonance imaging (fMRI) scans in conjunction with mirror therapy to compare baseline brain activity with posttreatment activity at 2 and 4 weeks.


Tsao is involved in a study with bilateral lower amputees in which patients observe someone else’s feet moving, thus providing a visual target. If you have undergone an amputation and are experiencing sensations of pain it is possible that you are experiencing phantom limb pain (Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation 2014). Some treatments for the condition include the use of further surgical procedures to remove scar tissue or residual nerve trunks from the amputation site. An example of this could be that one patient may experience relief from physical therapy, while other patient’s symptoms may be exacerbated by the physical activity due to the differing nature of their symptoms (Inter-individual difference in the effect of mirror reflection-induced visual feedback on phantom limb awareness in forearm amputees 2013). Mirror therapy and virtual reality fall under those categories, but they are time intensive. Ramachandran, a prominent researcher in phantom limbs and pioneer of the mirror therapy technique, Dr.
Tsao learned that gender and race do not affect the success of the mirror therapy treatment. That is, an amputee can view the leg or arm of a person from another race or gender and still benefit from the effects of the visual target.



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