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Related Experiment Videos

Phantom limbs and related phenomena in recent traumatic amputations.

P L Carlen, P D Wall, H Nadvorna

    Neurology
    |March 1, 1978
    PubMed
    Summary

    Phantom limb pain is common after traumatic amputations. This study found that stump pathology can influence phantom limb pain and stump pain, suggesting peripheral or spinal cord origins for phantom pain.

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    Area of Science:

    • Neuroscience
    • Rehabilitation Medicine
    • Pain Management

    Background:

    • Traumatic amputations in soldiers frequently lead to residual limb pain and phantom limb sensations.
    • Understanding the relationship between stump pathology and pain is crucial for effective treatment.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of phantom limb sensations and pain in soldiers with traumatic amputations.
    • To explore the association between stump pathology and the occurrence of phantom limb pain and stump pain.

    Main Methods:

    • A cohort of 73 soldiers with traumatic amputations were assessed 1-6 months post-limb loss.
    • Clinical examination included assessment of phantom limb sensations, phantom limb pain, stump pain, and stump pathology.
    • Sensory examination of the stump end, including hyperpathia and hypoesthesia, was performed.

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    Main Results:

    • All soldiers experienced phantom limb sensations; 67% reported transient phantom limb pain.
    • Stump pain occurred in 43% of soldiers, often co-occurring with phantom pain (54% of those with stump pain).
    • Among soldiers with evident stump pathology (23% of the group), varying combinations of phantom and stump pain were observed, with 7% being pain-free.

    Conclusions:

    • Phantom limb sensations are universal following traumatic amputation.
    • Stump pathology is linked to both phantom and stump pain, indicating complex underlying mechanisms.
    • Phantom pain likely originates from peripheral or spinal cord mechanisms, not solely from higher brain centers.