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Phantom Pain 

Phantom Pain
Chapter:
Phantom Pain
Author(s):

Tabitha A. Washington

, Khalilah Brown

, and Gilbert Fanciullo

DOI:
10.1093/med/9780199827602.003.0012
Page of

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date: 20 August 2019

Phantom pain is described as pain or dysesthesia that is caused by interruption or discontinuation of sensory nerve impulses by destroying or injuring the sensory nerve fibers after amputation or deafferentation. The usual cause of pain is due to trauma or surgical manipulation. The incidence of phantom limb pain varies across studies and is on the order of 2-80%; however, the average appears to be between 40-70%. Medical therapy should be tried initially and should not be considered a failure until narcotic therapy has been trialed. Surgical therapy including spinal cord stimulator placement and DREZ lesions should be reserved for refractory cases.

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