An Algorithm Approach to Phantom Limb Pain

Boomgaardt, Jacob; Dastan, Kovosh; Chan, Tiffany; Shilling, Ashley; Abd‐Elsayed, Alaa; Kohan, Lynn

doi:10.2147/jpr.s355278

Cited by 11 publications

(7 citation statements)

References 125 publications

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“…However, pain transmission is likely more complex, as the gate control theory does not fully explain all types of pain, such as phantom limb syndrome (22). Studies have indicated that vibrational stimuli can stimulate afferents in Pacini cells, receptors on the skin, periodontium, muscle spindles, and tendon organs (23).…”

Section: Resultsmentioning

confidence: 99%

Effect of Vibration on Acute and Chronic Back Pain After Spinal Anesthesia: A Randomized Clinical Trial

Shahinpour,

Refahi,

Ali Nazemian

2024

Anesth Pain Med

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Background: Post-spinal anesthesia back pain often initiates with needle insertion and may persist for months, particularly among young women following cesarean section. Mechanical vibration has been proposed as an effective method to alleviate this pain. Objectives: The study aimed to evaluate the impact of vibration on reducing pain experienced during needle insertion, as well as its effects one week and one-month post-puncture. Methods: This randomized clinical trial enrolled patients undergoing spinal anesthesia for various surgical procedures. Patients were randomly assigned to either receive routine spinal anesthesia or spinal anesthesia combined with vibration. Demographic data were collected, and pain levels during needle insertion and back pain were assessed using a visual analog scale (VAS). Results: A total of 64 patients were included in the study. There were no significant differences between the two groups in terms of the number of attempts required for needle insertion (P = 0.341), the predominant anatomical level, or the needle approach (midline or paramedian). Ultimately, pain experienced during needle insertion, back pain after one week, and back pain after one month did not differ significantly between the two groups (P = 0.562, P = 0.14, and P = 0.267, respectively) Conclusions: The results of the present study showed that vibration at the site of needle insertion during spinal anesthesia had no effect on acute and chronic back pain on subsequent follow-up due to spinal anesthesia.

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Section: Resultsmentioning

confidence: 99%

Effect of Vibration on Acute and Chronic Back Pain After Spinal Anesthesia: A Randomized Clinical Trial

Shahinpour,

Refahi,

Ali Nazemian

2024

Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…There are several treatments for these types of pain, including antidepressants, antiepileptic drugs, opioids, and other medications, as well as surgical treatments, such as nerve blocks, but no standard treatment has been developed to date. 6 Therefore, it is necessary to select an appropriate treatment for each patient. In our case, the patient's pain could not be controlled using medication alone, so nerve blocks were additionally performed.…”

Section: Discussionmentioning

confidence: 99%

A case of phantom pain and stump pain that was effectively controlled by ultrasound‐guided ulnar and median peripheral nerve blocks

Sekiguchi

Ishida

Fujita

et al. 2023

Clinical Case Reports

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Phantom limb pain and stump pain are often intractable, and their incidences are relatively high. We report a case of a patient with phantom limb and stump pain of the finger, who was successfully treated by peripheral nerve blocks. The patient was a male truck driver in his fifties, who had his left annular finger amputated in an accident 2 years previously. Owing to poor pain control at the stump of his finger, he was referred to our department. The initial examination revealed pain about numerical rating scale (NRS) 6/10 in the left annular finger transection as well as allodynia. Although some pain relief had been observed with postoperative medication, he still had persistent resting pain of about NRS 4/10. Therefore, blocks of the ulnar nerve and median nerve were performed.After the blocks were performed, the pain improved to NRS 1 to 2/10, and pain upon movement also almost disappeared. Peripheral nerve blocks can be a useful treatment modality for phantom limb pain and stump pain in the fingers, as in this case. K E Y W O R D Sallodynia, median nerve block, phantom pain, stump pain, ulnar nerve block How to cite this article: Sekiguchi S, Ishida Y, Fujita Y, Tomino M, Ohseto K. A case of phantom pain and stump pain that was effectively controlled by ultrasound-guided ulnar and median peripheral nerve blocks.

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“…There are several treatments for these types of pain, including antidepressants, antiepileptic drugs, opioids, and other medications, as well as surgical treatments, such as nerve blocks, but no standard treatment has been developed to date [5]. Therefore, it is necessary to select an appropriate treatment for each patient.…”

Section: Discussionmentioning

confidence: 99%

A case of phantom pain and stump pain that was effectively controlled by ultrasound-guided ulnar and median peripheral nerve blocks

Sekiguchi

Ishida

Fujita

et al. 2023

Preprint

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An Algorithm Approach to Phantom Limb Pain

Cited by 11 publications

References 125 publications

Effect of Vibration on Acute and Chronic Back Pain After Spinal Anesthesia: A Randomized Clinical Trial

Effect of Vibration on Acute and Chronic Back Pain After Spinal Anesthesia: A Randomized Clinical Trial

A case of phantom pain and stump pain that was effectively controlled by ultrasound‐guided ulnar and median peripheral nerve blocks

A case of phantom pain and stump pain that was effectively controlled by ultrasound-guided ulnar and median peripheral nerve blocks

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