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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2016, Number 3

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Rev Esp Med Quir 2016; 21 (3)

Phantom limb pain

Criollo-Muñoz FH, Hernández- Santos JR

Language: Spanish
References: 46
Page: 100-108
PDF size: 581.80 Kb.


ABSTRACT

Phantom limb syndrome is compose by three entities which can coexist in the patient. Because of the limited long-term relieving pain effectiveness of drug therapies proposed in recent decades, it´s our interest to make a review on the recently interventional therapies conducted for the management of refractory phantom limb pain. Drug therapy has been considered as the basic treatment in most algorithms proposed, however the long-term potentiation effect or the “wind up” phenomenon that occurs in the central nervous system allows the most refractory patients to different management. Several authors intended to demonstrate the short and long-term relief pain effect in the interventional procedures, which mostly efficacy have provided conflicting results with little evidence on the long-term effectiveness. It is the objective of this review, to make consistent and updated way, an analysis of the history, definition, classification, etiology, pathophysiology and proposals of both pharmacological and non-pharmacological management, to provide a general approach on the management of phantom limb pain.


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