Post-Amputation Pain
Innovative treatments for phantom and residual limb pain
Understanding Post-Amputation Pain
Post-amputation pain encompasses residual limb pain (in the remaining portion of the amputated limb) and phantom limb pain (sensation of pain in the part that has been removed), affecting 60-80% of amputees. This phenomenon demonstrates the complex relationship between peripheral and central nervous system processing.
Both types can significantly impact rehabilitation, prosthetic use, quality of life, and psychological well-being. Treatment requires a comprehensive approach addressing both peripheral and central mechanisms, and early intervention may help prevent chronic pain development.
Common Causes
Neuroma Formation
Abnormal nerve growth at the amputation site causing localized pain
Cortical Reorganization
Changes in brain mapping of body parts following limb loss
Peripheral Nerve Damage
Surgical nerve injury and ongoing ectopic nerve activity
Prosthetic Issues
Poor fit, excessive pressure, or friction causing residual limb pain
Bone Spurs
Abnormal bone growth in the residual limb
Psychological Factors
Pre-amputation pain, anxiety, depression influencing pain perception
Symptoms
Phantom pain: burning, cramping, or shooting sensations
Residual limb pain: aching or sharp pain in stump
Sensation of twisted or uncomfortable phantom position
Increased pain with prosthetic use
Trigger points or areas of extreme sensitivity
Pain triggered by weather changes or stress
Non-painful phantom sensations (tingling, itching)
Sleep disturbance and functional limitations
Advanced Treatment Options
Mirror Therapy
Visual feedback technique using mirrors to reduce phantom pain through cortical reorganization
Targeted Muscle Reinnervation
Surgical technique redirecting nerves to reduce neuroma pain
Neuroma Excision and Capping
Surgical removal of painful neuromas with prevention techniques
Spinal Cord Stimulation
Implanted neurostimulation for refractory phantom limb pain
Transcranial Magnetic Stimulation
Non-invasive brain stimulation to modulate cortical reorganization
Virtual Reality Therapy
Immersive technology providing visual feedback to reduce phantom pain
Perineural Injections
Targeted nerve blocks or continuous catheter infusions
Get Expert Treatment for Post-Amputation Pain
Schedule a consultation with our pain management specialists to discuss personalized treatment options.