Phantom pain

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Preparing for your appointment

By Mayo Clinic staff

Pain Management Advisor

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Because phantom sensation and phantom pain are common after an amputation, it's likely your doctor will ask you about these symptoms during follow-up visits after your surgery. If you develop pain from the amputated limb before your doctor raises the issue, call your doctor. Depending on the severity of your symptoms and on your response to initial treatments, your doctor may refer you to a specialized pain center.

What you can do

  • Write down your symptoms, including when you first noticed them and how often they occur. Also note whether anything in particular seems to trigger phantom pain.
  • Make a list of your key medical information, including any other conditions with which you've been diagnosed and the names of any medications, vitamins and supplements you're taking.
  • Take a family member or friend along, if possible. Sometimes it can be difficult to recall all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor. Creating your list of questions in advance can help you make the most of your time with your doctor.

For phantom pain, some basic questions to ask your doctor include:

What pain relief therapies do you recommend?

  • If you're prescribing medications, what are the possible side effects?
  • Is there any risk of becoming dependent on or addicted to these drugs?
  • Given that I have these other health conditions, how can I best manage them together?
  • Are the treatments you're suggesting likely to be covered by insurance?
  • Am I a candidate for clinical trials?
  • Should I see a specialist?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask any other questions that arise.

References
  1. Pain: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm. Accessed Aug. 11, 2011.
  2. Weeks SR, et al. Phantom limb pain: Theories and therapies. The Neurologist. 2010;16:277.
  3. Rothgangel AS, et al. The clinical aspects of mirror therapy in rehabilitation: A systematic review of the literature. International Journal of Rehabilitation Research. 2011;34:1.
  4. Portenoy RK, et al. Overview of cancer pain syndromes. http://www.uptodate.com/home/index.html. Accessed Aug. 1, 2011.
  5. Phantom pain: An update. Amputee Coalition. http://www.amputee-coalition.org/communicator/vol3no1pg3.html. Accessed Aug. 11, 2011.
  6. McNutt S. New paths in phantom limb pain treatment. Amputee Coalition of America. http://www.amputee-coalition.org/inmotion/mar_apr_07/phantom_treatment.html. Accessed Aug. 11, 2011.
  7. Casale R, et al. Phantom limb related phenomena and their rehabilitation after lower limb amputation. European Journal of Physical and Rehabilitation Medicine. 2009;45:559.
  8. Viswanathan A, et al. Use of spinal cord stimulation in the treatment of phantom limb pain: Case series and review of the literature. Pain Practice. 2010;10:479.
  9. Ramchandran K, et al. Fast facts and concepts: Phantom limb pain #212. Journal of Palliative Medicine. 2010;13:1285.
  10. Treatment options: A guide for people living with pain. American Pain Foundation. http://www.painfoundation.org/learn/publications/treatment-options.html. Accessed Aug. 14, 2011.
  11. Acupuncture for pain. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/acupuncture-for-pain.htm. Accessed Aug. 11, 2011.
DS00444 Oct. 27, 2011

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