PREVENTION AND EARLY TREATMENT OF PHANTOM PAIN IN PATIENTS WITH AMPUTATIONS
DOI:
https://doi.org/10.32782/health-2023.3.7Keywords:
phantom pain, prevention of developmentAbstract
Phantom limb pain syndrome occurs in 50–80% of patients who have undergone amputation. The experience of using the treatment tactics for the prevention of phantom pain in 18 patients with amputations proposed by avors is summarized. Minimally traumatic intervention, treatment of the nerve stump by the "trap" type, perioperative multimodal nociceptive analgesia in combination with the prevention of the neuropathic pain component (coenzymes, antioxidants and nucleotides) allowed us to obtain good results in the vast majority of cases. The encouraging results obtained require further investigation due to the small number of observations.
References
Srivastava D. (2017) Chronic post-amputation pain: peri-operative management – Review. British journal of pain. № 11. Т. 4. S. 192–202. URL: https://doi.org/10.1177/2049463717736492 [in Ukrainian].
Mioton, L.M., Dumanian, G.A., Fracol, M.E., Apkarian, A.V., Valerio, I.L., Souza, J.M., Potter, B.K., Tintle, S.M., Nanos, G.P., Ertl, W.J., Ko, J.H., & Jordan, S.W. (2020) Benchmarking Residual Limb Pain and Phantom Limb Pain in Amputees through a Patient-reported Outcomes Survey. Plastic and reconstructive surgery. Global open. № 8. Т. 7. S. 2977. URL: https://doi.org/10.1097/GOX.0000000000002977.
Page, D.M., George, J.A., Kluger, D.T., Duncan, C., Wendelken, S., Davis, T., Hutchinson, D.T., & Clark, G.A. (2018) Motor Control and Sensory Feedback Enhance Prosthesis Embodiment and Reduce Phantom Pain After Long-Term Hand Amputation. Frontiers in human neuroscience. S.12:352. URL: https://doi.org/10.3389/fnhum.2018.00352.
Ambron E., Buxbaum L.J., Miller A., Stoll H., Kuchenbecker K.J., Coslett H.B. (2021) Virtual reality treatment displaying the missing leg improves phantom limb pain: a small clinical trial. Neurorehabil Neural Repair. № 35. Т. 12. S. 1100–11. DOI: 10.1177/15459683211054164.
Alviar, M.J., Hale, T., & Dungca, M. (2016) Pharmacologic interventions for treating phantom limb pain. The Cochrane database of systematic reviews. Т. 10. № 10. S. 224. URL: https://doi.org//10.1002/14651858.CD006380.pub3
He, Y., Qiu, D., Zhou, D., Li, L., Wang, B., & Wang, L. (2019) Treatment of Partial Traumatic Hemipelvectomy: A Study of 21 Cases. The Journal of bone and joint surgery. American volume. Т. 101. № 9. S. 36–44. URL: https://doi.org/10.2106/JBJS.18.00877.
Luza, L.P., Ferreira, E.G., Minsky, R.C., Pires, G.K.W., & da Silva, R. (2020) Psychosocial and physical adjustments and prosthesis satisfaction in amputees: a systematic review of observational studies. Disability and rehabilitation. Assistive technology. Т. 15. № 5. S. 582–589. URL: https://doi.org/10.1080/17483107.2019.1602853.
Cascella, M., Forte, C.A., Bimonte, S., Esposito, G., Romano, C., Costanzo, R., Morabito, A., & Cuomo, A. (2018) Multiple effectiveness aspects of tapentadol for moderate-severe cancer-pain treatment: an observational prospective study. Journal of pain research. Т. 12. S. 117–125. URL: https://doi.org/10.2147/JPR.S181079.
Camila B Pinto, PhD and others, Detangling the Structural Neural Correlates Associated with Resting versus Dynamic Phantom Limb Pain Intensity Using a Voxel-based Morphometry Analysis, Pain Medicine. Т. 24. № 5. S. 528–537. URL: https://doi.org/10.1093/pm/pnac205.
Rushay A.K., Kolosova T.A., Chuchvariov R.V. The method of nerve processing during amputations. Declaration patent for wine. Certificate number: 69101. Mark registration date: 16.08.2004. URL: https://clarity-project.info/person/bc405224939d97684a43db2b6a8d34c7 [in Ukrainian].
