Phantom pain

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Lifestyle and home remedies

By Mayo Clinic staff

You may not have control over whether you develop phantom pain after surgery, but you can reduce your discomfort and improve your quality of life. One or more of these approaches may help you get through a flare-up of phantom pain:

  • Look for distractions. Find activities that take your focus off the pain, such as reading or listening to music.
  • Stay physically active. Get your exercise by doing activities that you enjoy, such as gardening, walking, swimming or cycling.
  • Take your medications. Follow your doctor's directions in taking prescribed and over-the-counter pain medications. If you try herbal and other alternative medications, be sure to tell your doctor.
  • Find ways to relax. Practice activities that reduce your emotional and muscular tension. Take a warm bath — not too hot, as heat may aggravate the pain. Lie down and follow helpful relaxation techniques, such as rhythmic breathing, meditation or visualization.
  • Seek the support of other people. Find ways to get closer to others. Call friends, or join a support group or a group involved in your favorite hobby.
  • Take care of your stump. Removing or putting on your prosthesis, massaging the stump, and applying TENS, cold or heat may reduce the pain.

Remember that managing phantom pain can make a big difference in how you feel. If one approach doesn't provide relief, try something else rather than give up.

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. 21, 2009.
  2. Dillingham TR, et al. Upper limb amputations. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007:595.
  3. Mosaku KS, et al. Psychological reactions to amputation in a sample of Nigerian amputees. General Hospital Psychiatry. 2009;31:20.
  4. Ramachandra VS, et al. The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain. 2009;132:1693.
  5. Radbruch L. Pain in cancer survivors. In: Walsh D, et al. Palliative Medicine. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/155581031-4/0/2038/259.html#4-u1.0-B978-0-323-05674-8..50258-9--chapter1. Accessed Aug. 21, 2009.
  6. Jeffries GE. Post-amputation pain. Amputation Coalition of America. http://www.amputee-coalition.org/inmotion/mar_apr_98/pain_mgt/page1.html. Accessed Aug. 21, 2009.
  7. Chan BL, et al. Mirror therapy for phantom limb pain. New England Journal of Medicine. 2007;357:2206.
  8. McNutt S. New paths in phantom limb pain treatment. Amputation Coalition of America. http://www.amputee-coalition.org/inmotion/mar_apr_07/phantom_treatment.html. Accessed Aug. 21, 2009.
  9. Bajwa ZH, et al. Cancer pain syndromes. http://www.uptodate.com/home/index.html. Accessed Aug. 21, 2009.
  10. Acupuncture for pain. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/acupuncture-for-pain.htm. Accessed Aug. 21, 2009.
  11. Phantom pain: An update. Amuptee Coaltion. http://www.amputee-coalition.org/communicator/vol3no1pg3.html. Accessed Aug. 21, 2009.
  12. Fast facts on amputation/phantom limb pain. American Pain Foundation. http://www.painfoundation.org/learn/library/pain-conditions/amputation/fast-facts-amputation.html. Accessed Aug. 21, 2009.
  13. Giustozzi AA. Chronic pain management. In: Ferri's Clinical Advisor 2009. St. Louis, Mo: Mosby; 2009. http://www.mdconsult.com/das/book/body/155122192-13/876983605/1701/135.html#4-u1.0-B978-0-323-04134-8..50006-9--cesec586_2770. Accessed Aug. 21, 2009.
  14. Martin DP (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 26, 2009.

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Nov. 10, 2009

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