07.06.2014

Treatment of phantom limb pain

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. Spinal epidurals and lumbar puncture procedures are often employed in pain management protocols (catheterization of the epidural space to introduce anesthesia during labor or in advance of lower body surgery), or to extract cerebrospinal fluid around the vertebrae for diagnosis or treatment. Clinicians may also use ultrasound-guided imaging to help with localization and ensure proper needle placement. When conducted by an expertly trained medical professional, spinal taps and epidurals are generally safe and without major complication. In fact, lumbar punctures and epidurals can be a technical challenge even for experienced professionals. Clinicians who perform lumbar puncture and spinal epidural procedures on actual patients must possess a high degree of manual dexterity, hand–eye coordination, and confident ability to visualize and conceptualize anatomical images. Blue Phantom spinal epidural and lumbar puncture training models can be used with just about any ultrasound imaging system configured with the appropriate ultrasound transducer.
Neuropathic pain is cause by malfunction of pain receptors and nerve fibers carrying pain impulses after injury to soft tissue or skeletal system.


Visceral Acute pain- Pain is caused by injury, inflammation or trauma to the internal organs. After 35 years of creating Star Wars posters, artist Drew Struzan has attempted to retire, but may be lured back by the siren call of Disney’s new Star Wars trilogy. Fanhattan: Last time you and I chatted, you talked about being retired, so I’m thrilled to see new work from you. Drew Struzan: Oh, well, never say never, [laughs] because…in fact, I got a couple calls already this week on Star Wars from Disney. 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. However, physiological obstructions (such as pregnancy, obesity, or edema) can make it difficult to visualize and identify anatomical landmarks, adding an extra layer of effort to an already intricately involved process. Research shows that ultrasound-guided simulation-based training can help to improve clinical skills and patient outcomes associated with catheter insertion and needle placement.
Nociceptive pain is mostly acute in character, while neuropathic and mix pain are chronic in nature.
In later stages tissue injury follows impairment of pain receptors, abnormal function of nerve fibers carrying pain impulses to spinal cord and irregularities within neurons responsible to modulate pain impulses in central nervous system.


Visceral pain is also caused by obstruction of visceral tubes and lack of blood supply (ischemic) to viscera. That a couple of friends were wishing is only an expression of the hope that many are sharing but says nothing regarding the Studio itself. 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).
Nociceptive pain is provoked by several nerve irritating chemicals released after tissue trauma. Visceral tissues are stomach, intestine, appendix, gall bladder, ureter, kidney, urinary bladder, uterus and pancreas.
I’ve had my time and they were exceptional blessings for which I will forever be grateful.
Nociceptive receptors are in the soft tissue such as skin, subcutaneous tissue, muscles and viscera (internal organs). But I would love to have a day off every now and again, and I have to work a weekend and all through the night. But it’s going to have to be a real temptation to get me away from my wife and my little grandkids and my family.
Away from the green trees and the blue skies for a change instead of just locked in the studio.



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