Acupuncture Treatment of Phantom Limb Pain and Phantom Limb Sensation in a Primary Care Setting

Davies, Arwel

doi:10.1136/acupmed-2012-010270

Cited by 16 publications

(10 citation statements)

References 5 publications

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“…91 Even difficult cases of phantom limb pain had been treated with acupuncture. 92 It can ease the discomfort some subjects feel while waiting for knee surgery, and it may even be considered as an alternative to surgery in some cases. As with any other form of health care, however, one needs to remember that not all patients will respond to acupuncture.…”

Section: Alternative Medicine Approachesmentioning

confidence: 99%

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

Farr¹,

Jaggers

Lewis

et al. 2014

The Physician and Sportsmedicine

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Optimal pain management is critical after knee surgery to avoid adverse events and to improve surgical outcomes. Pain may affect surgical outcomes by contributing to limitations in range of motion, strength, and functional recovery. The causes of postoperative pain are multifactorial; therefore, an appropriate pain management strategy must take into account preoperative, intraoperative, and postoperative factors to create a comprehensive and individualized plan for the patient. Preoperative assessment includes management of patient expectations, recognition of conditions and early counseling for high-risk patients (ie, opioid dependence, psychiatric comorbidities), and use of preemptive analgesia techniques (ie, preoperative IV medications, peripheral nerve blocks, incisional field blocks). Intraoperative strategies include meticulous surgical technique, limiting the use of tourniquets (ie, duration and pressure), and using preventive analgesia methods (ie, postoperative field block, continuous nerve catheters, intra-articular injection). Postoperative analgesia may be facilitated by cryotherapy, early mobilization, bracing, and rehabilitation. Certain modalities (ie, continuous passive motion devices, transcutaneous electrical nerve stimulation units, iontophoresis) may be important adjuncts in the perioperative period as well. There may be an evolving role for alternative medicine strategies. Early recognition and treatment of exaggerated postoperative pain responses may mitigate the effects of complex regional pain syndrome or the development of chronic pain.

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Section: Alternative Medicine Approachesmentioning

confidence: 99%

Evidence-Based Approach of Treatment Options for Postoperative Knee Pain

Farr¹,

Jaggers

Lewis

et al. 2014

The Physician and Sportsmedicine

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“…Most modalities use physical energy for their therapeutic effect, including heat, cryotherapy (cold), TENS (transcutaneous electrical nerve stimulation), and acupuncture. While TENS and acupuncture are not universally accepted as systems for the management of neuropathic and phantom pain, numerous reports have demonstrated the effectiveness of acupuncture in these areas [51–53] while a recent study showed a mean reduction in pain intensity scores of 1.8 at rest and 3.9 on movement in five patients after just 60 min of TENS [54]. Each patient in the latter study had either phantom pain, residual limb neuropathic pain, or both.…”

Section: Pain Managementmentioning

confidence: 99%

Special Considerations for Multiple Limb Amputation

Pasquina

Miller

Carvalho

et al. 2014

Curr Phys Med Rehabil Rep

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It has been estimated that more than 1.6 million individuals in the United States have undergone at least one amputation. The literature abounds with research of the classifications of such injuries, their etiologies, epidemiologies, treatment regimens, average age of onset (average age of amputation), and much more. The subpopulation that is often overlooked in these evaluations, however, is comprised of individuals who have suffered multiple limb loss. The challenges faced by those with single-limb loss are amplified for those with multiple limb loss. Pain, lifestyle adjustment, and quality of life return are just a few key areas of concern in this population. Along with amputations resulting from trauma, many individuals with multiple amputations have endured them as a result of dysvascular disease. Over recent years, amputations as a result of dysvascular disease have risen to comprise more than 80 % of new amputations occurring in the United States every year. This compares to just 54 % of total current prevalence. Those with diabetes comorbid with dysvascular disease make up 74 % of those with dysvascular amputations, and these individuals with diabetes comorbid with dysvascular disease have a 55 % chance of enduring an amputation of their contralateral limb within 2–3 years of their initial amputation. With the well-documented aging of the nation’s population and the similarly skyrocketing prevalence of dysvascular disease and diabetes, it can be expected that the number of individuals with multiple limb loss will continue to increase in the United States. This article outlines the recommended measures of care for this particular subpopulation, including pain management, behavioral health considerations, strategies for rehabilitation for various levels and variations of multiple limb loss, and the assistive technology and adaptive equipment that might be available for these individuals to best enable them to continue healthy, fulfilling lives following amputation.

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“…The use of CAM including acupuncture, hypnosis, deep-breathing exercise, massage therapy, meditation, naturopathy, yoga, mind-body system, dietary interventions and fasting, as well as herbal medicine has been increasing since more than 10 years [52][53][54][55][56][57]. As chronic pain affects the whole person (body, mind and spirit), the CAM therapies in combination with more traditional therapies could allow the patient to take care of himself at multiple levels and to actively participate in his own healing process and wellbeing.…”

Section: Discussionmentioning

confidence: 99%