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"Phantom" carpal tunnel syndrome

D L Braverman¹, B C Root

¹Department of Rehabilitation Medicine, New York Hospital-Cornell Medical Center, New York, USA.

Archives of Physical Medicine and Rehabilitation

|October 27, 1997

Summary

This summary is machine-generated.

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Phantom pain after amputation can stem from proximal nerve issues, like carpal tunnel syndrome. Early diagnosis and conservative treatments offer significant relief for phantom limb pain.

Area of Science:

Neuroscience
Clinical Medicine
Pain Management

Background:

Phantom limb pain is a common complication following amputation.
Thorough clinical investigation is crucial for diagnosing the cause of phantom pain.

Observation:

A 49-year-old woman with prior finger and transfemoral amputations developed progressive phantom finger pain.
Nerve conduction studies indicated potential median nerve compromise.
A positive Bactrian test suggested carpal tunnel syndrome.

Findings:

The patient was diagnosed with "phantom" carpal tunnel syndrome.
Treatment included wrist splinting, reduced limb weight bearing, and corticosteroid injections.
These interventions led to marked improvement in phantom pain.

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Implications:

Phantom pain can be referred from more proximal nerve entrapments.
Conservative management strategies can be effective for treating referred phantom pain.
Clinicians should consider proximal causes when evaluating phantom limb pain.