Phantom Limb Pain

Online presentation on the Theories and Therapies of Phantom Limb Pain

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Phantom Limb Pain

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Online presentation on the Theories and Therapies of Phantom Limb Pain
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  1. Create an Office Mix

    Slide 1 - Create an Office Mix

    • Let’s Get Started…
    • Theories & Therapies
    • Phantom Limb Pain
  2. What is Phantom Limb Pain?

    Slide 2 - What is Phantom Limb Pain?

    • Pain occurring in a region of the body that no longer exists for any reason such as amputation or a traumatic event
    • ~ Ambrose Pare’
  3. CATEGORIES OF PLP

    Slide 3 - CATEGORIES OF PLP

    • Kinetic Sensation
    • Kinaesthetic Sensation
    • Exteroceptive Sensation
  4. Characteristics & Symptoms

    Slide 4 - Characteristics & Symptoms

    • Intensity
    • Frequency
    • Duration
    • Description
    • Burning
    • Itching
    • Cramping
    • Tingling
    • Stabbing
    • Throbbing
    • “Pins and needles”
    • Electric shocks
  5. Mechanisms / Theories of PLP

    Slide 5 - Mechanisms / Theories of PLP

    • Cortical reorganisation & Neuroplasticity
    • Body Schema
    • (Vinogradov, Fisher and Villers-Sidani)
  6. Mechanisms/

    Slide 6 - Mechanisms/

    • Theories of PLP
    • Neuromatrix
    • Peripheral Nervous System
  7. Therapies for PLP

    Slide 7 - Therapies for PLP

    • Drug Medications:
    • Opioid
    • Anticonvulsants
    • Amitriptyline
    • Others
    • http://www.wisegeek.com/what-are-the-differences-between-morphine-and-fentanyl.htm
  8. Therapies for PLP

    Slide 8 - Therapies for PLP

    • Non-Traditional Therapies
    • TENs
    • Deep Brain Stimulations
  9.  Mirror Therapy

    Slide 9 - Mirror Therapy

    • Proprioception
    • Cheap &
    • Easy
    • Reflections
  10. 1. Webmd.com. Phantom Limb Pain After Amputation: Causes & Treatments. 2015. Available at: http://www.webmd.com/pain-management/guide/phantom-limb-pain. Accessed March 31, 2015.

    Slide 11 - 1. Webmd.com. Phantom Limb Pain After Amputation: Causes & Treatments. 2015. Available at: http://www.webmd.com/pain-management/guide/phantom-limb-pain. Accessed March 31, 2015.

    • 2. Nikolajsen L, Jensen T. Phantom limb pain. Current Review of Pain. 2000;4(2):166-170. doi:10.1007/s11916-000-0052-0.
    • 3. Knotkova H, Cruciani, Tronnier, Rasche. Current and future options for the management of phantom-limb pain. Journal of Pain Research. 2012:39. doi:10.2147/jpr.s16733.
    • 4. Viswanathan A, Phan P, Burton A. Use of Spinal Cord Stimulation in the Treatment of Phantom Limb Pain: Case Series and Review of the Literature. Pain Practice. 2010;10(5):479-484. doi:10.1111/j.1533-2500.2010.00374.x.
    • 5. Hill A. Phantom Limb Pain. Journal of Pain and Symptom Management. 1999;17(2):125-142. doi:10.1016/s0885-3924(98)00136-5.
    • REFERENCES
  11. 6. Flor H. Phantom-limb pain: characteristics, causes, and treatment. The Lancet Neurology. 2002;1(3):182-189. doi:10.1016/s1474-4422(02)00074-1.

    Slide 12 - 6. Flor H. Phantom-limb pain: characteristics, causes, and treatment. The Lancet Neurology. 2002;1(3):182-189. doi:10.1016/s1474-4422(02)00074-1.

    • 7. Malavera Angarita M, Carrillo Villa S, Gomezese Ribero O, García R, Silva Sieger F. Pathophysiology and treatment of phantom limb pain. Colombian Journal of Anesthesiology. 2014;42(1):40-46. doi:10.1016/j.rcae.2013.10.002.
    • 8. Weeks S, Anderson-Barnes V, Tsao J. Phantom Limb Pain. The Neurologist. 2010;16(5):277-286. doi:10.1097/nrl.0b013e3181edf128.
    • 9. Foell J, Bekrater-Bodmann R, Diers M, Flor H. Mirror therapy for phantom limb pain: Brain changes and the role of body representation. European Journal of Pain. 2013;18(5):729-739. doi:10.1002/j.1532-2149.2013.00433.x.
    • 10. Vinogradov, Sophia, Melissa Fisher, and Etienne Villers-Sidani. Cognitive Training For Impaired Neural Systems In Neuropsychiatric Illness. 2015. Web. 17 Apr. 2015.
    • REFERENCES
  12. 11. Bittar, Richard G. et al. 'Deep Brain Stimulation For Phantom Limb Pain'. Journal of Clinical Neuroscience 12.4 (2005): 399-404. Web.

    Slide 13 - 11. Bittar, Richard G. et al. 'Deep Brain Stimulation For Phantom Limb Pain'. Journal of Clinical Neuroscience 12.4 (2005): 399-404. Web.

    • 12. Kim, Sae Young, and Yun Young Kim. 'Mirror Therapy For Phantom Limb Pain'. Korean J Pain 25.4 (2012): 272. Web.
    • 13. Tian, Shiqiang. 'Phantom Limb Pain: A Review Of Evidence-Based Treatment Options'. World Journal of Anesthesiology 3.2 (2014): 146. Web
    • REFERENCES
  13. THANK YOU !

    Slide 14 - THANK YOU !

    • Vanessa Atanasoski
    • 17790749