Treatment of phantom pain with contralateral injection into tender points : a new method of treatment
Joint Authors
Labib, Ala A. al-Aziz
Casale, Roberto
Source
Egyptian Rheumatology and Rehabilitation
Issue
Vol. 42, Issue 3 (30 Sep. 2015), pp.103-110, 8 p.
Publisher
The Egyptian Society for Rheumatology and Rehabilitation
Publication Date
2015-09-30
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Topics
Abstract EN
Objective The aim of this study was to ascertain the existence of contralateral painful muscle areas mirroring phantom pain and to evaluate the short-term effects of anaesthetics versus saline, injected contralaterally to control phantom and phantom limb pain.
Design This was a double-blinded cross-over study.
Participants This study included eight lower-limb amputees with phantom limb pain in the past 6 months.
Interventions Either 1 ml of 0.25% bupivacaine or 0.9% saline was injected alternately in each point with a 28-G needle, with 72 h between injections.
The main outcomes measured were phantom sensation modification and the intensity of phantom limb pain (visual analogue scale) before and after injections.
Results Painful muscle areas in the healthy limb do not mirror the topographical distribution of phantom limb pain.
At 60 min after the injection, a statistically significantly greater relief of phantom limb pain was observed after using a local anaesthetic compared with that when using saline injection (P = 0.003).
Bupivacaine consistently reduced/abolished the phantom sensation in six out of eight patients.
These effects on phantom sensation were not observed after saline injections.
Conclusion Contralateral injections of 1 ml of 0.25 % bupivacaine in the myofascial hyperalgesic areas attenuated phantom limb pain and affected phantom limb sensation.
Our study gives a basis of a new method of management of that kind of severe pain to improve the method of rehabilitation of amputee.
However, further longitudinal studies with larger number of patients are needed to confirm our study.
American Psychological Association (APA)
Labib, Ala A. al-Aziz& Casale, Roberto. 2015. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation،Vol. 42, no. 3, pp.103-110.
https://search.emarefa.net/detail/BIM-629017
Modern Language Association (MLA)
Labib, Ala A. al-Aziz& Casale, Roberto. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation Vol. 42, no. 3 (Sep. 2015), pp.103-110.
https://search.emarefa.net/detail/BIM-629017
American Medical Association (AMA)
Labib, Ala A. al-Aziz& Casale, Roberto. Treatment of phantom pain with contralateral injection into tender points : a new method of treatment. Egyptian Rheumatology and Rehabilitation. 2015. Vol. 42, no. 3, pp.103-110.
https://search.emarefa.net/detail/BIM-629017
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 109-110
Record ID
BIM-629017