Postamputation Pain Management.
| Autor: | Byl M; Department of Physical Medicine & Rehabilitation, Greater Los Angeles Veteran Affairs HealthCare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA; Division of PM&R, Department of Medicine, 200 UCLA Medical Plaza, Suite 420, Los Angeles, CA 90095, USA., Tram J; Department of Physical Medicine & Rehabilitation, Greater Los Angeles Veteran Affairs HealthCare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA; Division of PM&R, Department of Medicine, 200 UCLA Medical Plaza, Suite 420, Los Angeles, CA 90095, USA., Kalasho B; Department of Physical Medicine & Rehabilitation, Greater Los Angeles Veteran Affairs HealthCare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA; Division of PM&R, Department of Medicine, 200 UCLA Medical Plaza, Suite 420, Los Angeles, CA 90095, USA., Pangarkar S; Department of Physical Medicine & Rehabilitation, Greater Los Angeles Veteran Affairs HealthCare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA; Division of PM&R, Department of Medicine, 200 UCLA Medical Plaza, Suite 420, Los Angeles, CA 90095, USA., Pham QG; Department of Physical Medicine & Rehabilitation, Greater Los Angeles Veteran Affairs HealthCare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA; Division of PM&R, Department of Medicine, 200 UCLA Medical Plaza, Suite 420, Los Angeles, CA 90095, USA; David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA. Electronic address: AngelaQuynh.Pham@va.gov. |
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| Jazyk: | angličtina |
| Zdroj: | Physical medicine and rehabilitation clinics of North America [Phys Med Rehabil Clin N Am] 2024 Nov; Vol. 35 (4), pp. 757-768. Date of Electronic Publication: 2024 Jul 16. |
| DOI: | 10.1016/j.pmr.2024.06.003 |
| Abstrakt: | Postamputation pain is one of the most common and challenging pain conditions to treat and includes residual limb pain and phantom limb pain. Residual limb pain is present at the amputation site or proximal to the amputation site and may be caused by poor wound healing, poor prosthetic fitting, or neuropathic pain. Phantom limb pain is experienced distal to the amputation site and may be caused by maladaptive supraspinal reorganization. Treatment for post amputation pain should be multimodal and multidisciplinary, including pharmacologic agents, rehabilitation, psychosocial support, and integrative therapies. Surgical interventions including neuromodulation may be considered for refractory cases. Competing Interests: Disclosure None. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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