Keywords
Pain management
Amputation
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Abstract
Objective: To analyze the characteristics of phantom limb pain (PLP). Bibliographic review: PLP is a debilitating condition characterized by painful sensations in the missing part of the amputated limb. PLP occurs in up to 85% of amputees, making it the most common chronic pain condition in people who have had limb amputations. Multiple theories have been proposed to explain the underlying mechanism of PLP, with cortical reorganization being the most common. There are two peaks of appearance of PLP, one up to the first week of amputation and the other at one year with painful sensations ranging from acute, shooting, burning, throbbing, stabbing and pain. Final considerations: Phantom limb pain is associated with personal distress, interference with general daily activities, disability and reduced health-related quality of life. In this context, the recognition and adequate treatment of this condition is essential, aiming at improving the quality of life. Currently, PLP therapy is carried out through pharmacological mechanisms such as gabapentin, morphine, ketamine and dextromethorphan and non-pharmacological treatments such as mirror therapy.
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