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Phantom Pain Amputation - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition of Phantom Pain after amputation, the etiology, signs and symptoms, diagnosis, and management. Phantom Pain is a common symptom after amputation of a limb. Up to 80% of amputee patients will have a phantom pain symptoms. The patient will feel the sensation of pain in the area where the limb was amputated. Tingling, cramping, heat or cold sensation may be felt in addition to shooting pain and these symptoms usually decrease or disappear with time. The patient may feel like the foot or toe are moving or itchy. If the symptoms continue for more than 6 months, the prognosis is not usually good. The causes of phantom pain are not clear. The brain thinks that the limb is still present. The memory of pain is returned. The signal is interpreted as pain regardless of the signal from the injured nerve. Peripheral and psychological factors may contribute to the condition of phantom pain. The pain may result from the nerve endings making a neuroma. The neuroma may generate abnormal electric impulse that the brain will interpret as pain. The term phantom does not mean that the symptoms are imaginary or in the patient’s head. Phantom pain is a real phenomenon. The symptoms of phantom pain may range from mild to severe and the pain may be constant. Treatment: usually multiple and depends on the level of the pain. •Heat •Massage. •Biofeedback and relaxation techniques. •Physical therapy •TENS unit •Medications: anticonvulsant, antidepressant, other medications are also used. •Surgery for neuromas •Neurostimulation technique as a spinal cord or deep brain stimulation. •Mirror box visual feedback therapy: a mirror box is a box with two mirrors in the center (one facing each way) that is used to help patients feel like they still have a limb after having it amputated. The patient places both the amputated limb and the other limb into the holes of the mirror box. A mirror is used to create a reflection of the non-amputated limb. Some people find that by doing exercises and moving the limb it can help to relieve the pain from phantom pain. Become a friend on facebook:   / drebraheim   Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Background music provided as a free download from YouTube Audio Library. Song Title: Every Step