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Pain in the Amputation Rehabilitation Patient

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Comprehensive Pain Management in the Rehabilitation Patient

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Abstract

This chapter will discuss different causes of pain following limb amputation. It will outline the differences between residual limb pain, phantom limb sensation, and phantom limb pain. Various treatment options will be reviewed, including psychological management, physical and occupational therapy, medications, interventional procedures, and surgery.

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Recommended Reading

  • Hanakawa T. Neural mechanisms underlying deafferentation pain: a hypothesis from a neuroimaging perspective. J Orthop Sci. 2012;17(3):331–5. http://doi.org/10.1007/s00776-012-0209-9

    Article  PubMed  PubMed Central  Google Scholar 

  • Huang ME, Miller LA, Lipschultz R, Kuiken TA. Rehabilitation and prosthetic restoration in lower limb amputation. In: Braddom RL, editor. Physical medicine & rehabilitation. 4th ed. Philadelphia: Elsevier Saunders; 2011. p. 277–316.

    Chapter  Google Scholar 

  • Karanikolas M, Aretha D, Tsolakis I, Monantera G, Kiekkas P, Papadoulas S, Swarm RA, Filos KS. Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence, and frequency: a prospective, randomized, clinical trial. Anesthesiology. 2011;114(5):1144–54. http://doi.org/10.1097/ALN.0b013e31820fc7d2

    Article  CAS  PubMed  Google Scholar 

  • McCormick Z, Chang-Chien G, Marshall B, Huang M, Harden RN. Phantom limb pain: a systematic neuroanatomical-based review of pharmacologic treatment. Pain Med. 2014;15:292–305.

    Article  PubMed  Google Scholar 

  • Nawijn S, van der Linde H, Emmelot C, Hofstad C. Stump management after trans-tibial amputation: a systematic review. Prosthet Orthot Int. 2005;29(1):13–26. http://doi.org/10.1080/17461550500066832

    Article  CAS  PubMed  Google Scholar 

  • Ramachandran VS, Hirstein W. The perception of phantom limbs. The D. O. Hebb lecture. Brain. 1998;121:1603–30. http://doi.org/10.1093/brain/121.9.1603

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Schwab Rehabilitation Hospital, 1401 S. California Blvd, Chicago, IL, 60608, USA

    Edward Wieseltier D.O., Joshua Minori D.O. & Theresa Lie-Nemeth M.D.

Authors
  1. Edward Wieseltier D.O.
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  2. Joshua Minori D.O.
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  3. Theresa Lie-Nemeth M.D.
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Correspondence to Edward Wieseltier D.O. .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Brown University, Warren Alpert Medical School, Providence, USA

    Alexios Carayannopoulos DO, MPH

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Wieseltier, E., Minori, J., Lie-Nemeth, T. (2017). Pain in the Amputation Rehabilitation Patient. In: Carayannopoulos DO, MPH, A. (eds) Comprehensive Pain Management in the Rehabilitation Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-16784-8_9

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  • DOI: https://doi.org/10.1007/978-3-319-16784-8_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16783-1

  • Online ISBN: 978-3-319-16784-8

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