Pain Issues and Treatment of the Person with an Amputation

Uustal, Heikki; Meier, Robert H.

doi:10.1016/j.pmr.2013.09.008

Cited by 19 publications

(31 citation statements)

References 10 publications

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“…1–3 PLP refers to pain experienced in the missing limb. 4 Approximately 58–79% of people with LLA experience some degree of PLP. 1–3, 5 In contrast, RLP is felt in the remaining limb and is often related to issues such as prosthetic socket pressure, skin abrasions, infections, adherent scars, neuromas, or bone spurs.…”

Section: Introductionmentioning

confidence: 99%

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Cross-Sectional Assessment of Factors Related to Pain Intensity and Pain Interference in Lower Limb Prosthesis Users

Morgan

Friedly

Amtmann

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Objective To determine relationships between pain site(s) and pain intensity/interference in people with lower limb amputations. Design Cross-sectional survey. Setting Community. Participants Lower limb prosthesis users with unilateral or bilateral amputations (n=1296, mean time since amputation = 14.1 years). Intervention Not applicable. Main Outcome Measures Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity (1-item to assess average pain), PROMIS Pain Interference (4-item short form to assess the consequences of pain in desired activities), and questions that asked participants to rate the extent to which each of the following were a problem: residual limb pain, phantom limb pain, knee pain on the non-amputated side, back pain, and shoulder pain. Results Nearly three-quarters of participants (72.1%) reported problematic pain in one or more of the listed sites. Problematic phantom limb, back, and residual limb pain were reported by 48.1%, 39.2%, and 35.1% of participants, respectively. Knee pain and shoulder pain were less commonly identified as problems (27.9% and 21.7%, respectively). Participants also reported significantly (p<.0001) higher pain interference (T score=54.7, SD=9.0) than the normative sample based on the U.S. population (T score=50.0, SD=10.0). Participants with lower limb amputations rated their pain intensity on average at 3.3 (SD=2.4) on a 0–10 scale. Pain interference (rho=.564, p<.0001) and intensity (rho=.603, p<.0001) were positively and significantly correlated with number of pain sites reported. Conclusion Problematic pain symptoms, especially residual limb, phantom limb, and back pain, affect the majority of prosthetic limb users and have the potential to greatly restrict participation in life activities.

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Section: Introductionmentioning

confidence: 99%

“…1–3, 5 In contrast, RLP is felt in the remaining limb and is often related to issues such as prosthetic socket pressure, skin abrasions, infections, adherent scars, neuromas, or bone spurs. 4 RLP occurs in 61–76% of people with LLA. 1–3, 5 …”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Assessment of Factors Related to Pain Intensity and Pain Interference in Lower Limb Prosthesis Users

Morgan

Friedly

Amtmann

et al. 2017

Archives of Physical Medicine and Rehabilitation

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“…These ossifications occur much higher in traumatic amputations. There is some association with traumatic brain injury and the risk of this occurrence as well [2,3,12].…”

Section: Pain Classification With An Emphasis On Amputeesmentioning

confidence: 99%

“…There are many additional modalities that may be of benefit to amputee patients after the initial perioperative period to help with phantom limb pain and residual limb pain. Many of these involve experienced providers and therapists [2,10,12,[33][34][35][36]. These are summarized in Table 2.…”

Section: Therapeutic Modalitiesmentioning

confidence: 99%

Amputation Pain Management

Seering¹,

Punia²

2021

Pain Management - Practices, Novel Therapies and Bioactives

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Considerable number of new amputations yearly in the United States and internationally represent considerable population experiencing pain that is not just acutely from surgical insult but chronically that is related to phantom limb pain and residual limb pain. This chronic pain can last from weeks to years in these patients and lead to other debilitation such as depression, anxiety and even opioid addiction. Early interventions help lessen long-term pain for these patients. These interventions include nerve blockade as well as multi-modal therapy. Understanding the pathophysiology of the pain experienced by these patients will better allow any provider to care for these patients effectively and help alleviate chronic pain in the long term.

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“…While there have been many studies which have established that there is no significant relationship between preexisting diseases and incidence of PLP,[ 2 8 9 10 ] there have been no studies correlating the preexisting condition and the response to treatment. Both our patients had different etiologies for amputation and both experienced PLP.…”

mentioning

confidence: 99%