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Published on: April 20, 2019
Variation in phantom limb pain: results of a diary study
1Scottish Network for Chronic Pain Research, University of Stirling, Stirling FK9 4LA, United Kingdom.
Journal of Pain and Symptom Management
|December 1, 2001
Summary
Phantom limb pain in amputees is episodic and varies greatly in intensity. Few coping strategies effectively reduce this pain, meaning a single pain report may not reflect the full experience.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Pain Management
Background:
- Amputees face multifaceted challenges beyond phantom limb pain.
- Previous research often assessed phantom limb pain unidimensionally and at single time points.
Purpose of the Study:
- To prospectively investigate the fluctuating nature of phantom limb pain.
- To identify factors associated with phantom limb pain over time in lower limb amputees.
Main Methods:
- Utilized hourly pain diaries over 7 days for 89 lower limb amputees.
- Monitored phantom limb pain intensity, activity, medication, alcohol use, and coping strategies.
- Collected data prospectively to capture pain variability.
Main Results:
- Phantom limb pain is episodic with significant intensity variations.
- Amputees employ a narrow range of coping strategies.
- Most utilized coping strategies offered minimal pain relief.
Conclusions:
- The episodic nature of phantom limb pain necessitates longitudinal assessment.
- A single pain assessment may not represent an amputee's comprehensive pain experience.
- Caregivers should consider the dynamic nature of phantom limb pain in treatment plans.
