Abstract
Phantom Limb Pain (PLP) is an excruciating type of pain that gives a sensation of the continued presence of an amputated limb. Physicians have used many methods and drugs to treat PLP. We present a case of continued sciatic nerve block performed for PLP that developed after a traumatic amputation. We conclude that infusing a local anesthetic via a perineural sciatic catheter effectively treated PLP and stump pain after traumatic leg amputation.
Highlights
Phantom Limb Pain (PLP) is caused by an injury to peripheral nerves that, under normal circumstances, transmit pain signals to the brain
We saw that a continued sciatic perineural block with patient-controlled analgesia (PCA) treated PLP after a traumatic leg amputation during the early postoperative period
Some studies have illustrated that PLP is a complex phenomenon that involves the spinal cord, brainstem, thalamus and cortex, and that peripheral factors can be attributed to neural reorganization at multiple levels [2]
Summary
Phantom Limb Pain (PLP) is caused by an injury to peripheral nerves that, under normal circumstances, transmit pain signals to the brain. An injury and the subsequent healing process can leave these nerves especially likely to continue transmitting “pain” signals after the amputation. Patients describe this pain in various ways; they feel as if their missing limb is being compressed or distorted or is burning or aching, or they feel a “stabbing” or “throbbing” [1]. In this case report we aimed to discuss continued sciatic nerve block for PLP with literature
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