Immediate and long-term phantom limb pain in amputees: Incidence, clinical characteristics and relationship to pre-amputation limb pain

@article{Jensen1985ImmediateAL,
  title={Immediate and long-term phantom limb pain in amputees: Incidence, clinical characteristics and relationship to pre-amputation limb pain},
  author={Troels Staehelin Jensen and B{\o}rge Krebs and J{\o}rn Theil Nielsen and Peter Vestergaard Rasmussen},
  journal={Pain},
  year={1985},
  volume={21},
  pages={267-278}
}
&NA; In a prospective study 58 patients undergoing limb amputation were interviewed the day before operation about their pre‐amputation limb pain and 8 days, 6 months and 2 years after limb loss about their stump and phantom limb pain. All but one patient had experienced pain in the limb prior to amputation. Pre‐amputation limb pain lasted less than 1 month in 25% of patients and more than 1 month in the remaining 75% of patients. At the first examination the day before amputation 29% had no… Expand
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References

SHOWING 1-10 OF 25 REFERENCES
Phantom limb, phantom pain and stump pain in amputees during the first 6 months following limb amputation
TLDR
While knifelike, sticking phantom pains were most common immediately after surgery, squeezing or burning types of phantom pain were usually reported later in the course, as well as possible mechanisms for the present findings either in periphery, spinal cord or in the brain. Expand
Non‐painful phantom limb phenomena in amputees: incidence, clinical characterstics and temporal course
TLDR
It is suggested that mechanisms both in periphery, spinal cord and brain participate in generating the phantom limb percept, and both the duration and frequency of phantom limb phenomena declined significantly. Expand
Factors determining the persistence of phantom pain in the amputee.
  • C. Parkes
  • Psychology, Medicine
  • Journal of psychosomatic research
  • 1973
TLDR
It is concluded that it may be possible to predict, at the time of amputation, which patients are likely to have problems with persisting pain in a phantom limb. Expand
Phantom limbs and related phenomena in recent traumatic amputations
TLDR
Stump pain occurred in 43 percent of soldiers who had traumatic amputations and was associated with phantom pain in 54 percent of these, suggesting phantom pain probably results from peripheral or spinal cord mechanisms, rather than from more rostra1 mechanisms. Expand
Phantom limb pain: implications for treatment of pathologic pain.
TLDR
It is proposed that a portion of the brainstem reticular formation exerts a tonic inhibitory effect on transmission at all levels of the somatic projection system, which would underlie prolonged pain and spread of trigger zones. Expand
Phantom body pain in paraplegics: Evidence for a central “pattern generating mechanism” for pain
TLDR
P paraplegic patients who had undergone removal of an entire section of the spinal cord in the attempt to alleviate phantom body pain, yet they still suffered severe pain in the denervated areas of the body are described. Expand
The Phantom Limb*
TLDR
It is the impression that phantom pain is merely the interpretation of a phantom sensation by certain individuals who show psychopathology. Expand
Chronic phantom and stump pain among american veterans: results of a survey
TLDR
Of those receiving treatment, only 1% reported lasting benefits from any of a multitude of treatments attempted, and no predisposing factors were correlated with the presence or severity of phantom pain. Expand
I.—INJURIES TO THE NERVES, AND THEIR CONSEQUENCES
TLDR
It is found that in a considerable proportion of gunshot wounds of nerves there is principally burning pain, or at least that this is the prominent symptom, while in slight injuries of nerves from compression or contusions, the other forms of pain are more apt to prevail. Expand
On the Origin of Pain Associated with Amputation
Admiral Lord Horatio Nelson lost an arm at the battle of Tenerife in 1797. He wrote to a friend that he could still sense his missing arm and that he took this as evidence for the existence of hisExpand
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