Abstract | OBJECTIVE: To ascertain the existence of contralateral painful muscle areas mirroring phantom pain and to evaluate the short-term effects of anaesthetic vs saline, injected contra notlaterally to control phantom and phantom limb pain. DESIGN: Double-blinded cross-over study. SETTING: Inpatients; rehabilitation institute. PARTICIPANTS: INTERVENTIONS: RESULTS: Although present, painful muscle areas in the healthy limb do not mirror the topographical distribution of phantom limb pain. Sixty minutes after the injection, a statistically significant greater relief of phantom limb pain was observed after using local anaesthetic than when using saline injection (p = 0.003). Bupivacaine consistently reduced/abolished the phantom sensation in 6 out of 8 patients. These effects on phantom sensation were not observed after saline injections. CONCLUSION:
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Authors | Roberto Casale, Francesco Ceccherelli, Alaa Abd Elaziz Mohamed Labeeb, Gabriele E M Biella |
Journal | Journal of rehabilitation medicine
(J Rehabil Med)
Vol. 41
Issue 6
Pg. 418-22
(May 2009)
ISSN: 1651-2081 [Electronic] Sweden |
PMID | 19479153
(Publication Type: Journal Article, Randomized Controlled Trial)
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Chemical References |
- Anesthetics, Local
- Sodium Chloride
- Bupivacaine
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Topics |
- Aged
- Aged, 80 and over
- Amputation, Surgical
- Amputation, Traumatic
(drug therapy)
- Anesthetics, Local
(administration & dosage)
- Bupivacaine
(administration & dosage)
- Double-Blind Method
- Female
- Humans
- Injections
- Leg
(surgery)
- Male
- Middle Aged
- Pain Measurement
- Phantom Limb
(drug therapy)
- Sodium Chloride
(administration & dosage)
- Treatment Outcome
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