Book chapter
Phantom limb pain
Case Studies in Pain Management, pp.38-42
Cambridge Univ Press
01/01/2015
DOI: 10.1017/CBO9781107281950.006
Abstract
A 36-year-old male fractured his distal tibia following a motor vehicle accident 5 years prior to presentation and developed foot pain. Surgical fixation did not alleviate the pain which worsened and spread to his leg (below the knee).
Treatments including analgesics, physical therapy, sympathetic blocks, and spinal cord stimulation were unsuccessful. Due to persistent pain, an above the knee amputation was performed 4 years following the initial injury. The pain abated for 2 weeks, but painful symptoms developed in the missing left leg and gradually worsened.
The pain symptoms were continuous and described as "aching, tightening, and burning," mainly localized to the distal third of the lower leg and foot. He also reports intermittent twitching and spasms at the stump. He currently takes methadone 20 mg twice a day, cymbalta 60 mg at bedtime, and baclofen 20 mg three times a day with partial benefit.
Details
- Title: Subtitle
- Phantom limb pain
- Creators
- Jonathan Chang - Washington University in St. LouisRahul Rastogi - Washington University in St. Louis
- Contributors
- A D Kaye (Editor)R V Shah (Editor)
- Resource Type
- Book chapter
- Publication Details
- Case Studies in Pain Management, pp.38-42
- DOI
- 10.1017/CBO9781107281950.006
- Publisher
- Cambridge Univ Press; CAMBRIDGE
- Number of pages
- 5
- Language
- English
- Date published
- 01/01/2015
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296150102771
Metrics
17 Record Views