Materiały źródłowe

• #1 Residual limb pain – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/residual-limb-pain/symptoms-causes/syc-20541403

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain gets better on its own for some people. For others, there are treatments. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain. […] Researchers are studying other ways to prevent residual limb pain after amputation.

• #2 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain.

• #3 Phantom Limb Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK448188/

  Phantom limb pain is the perception of pain or discomfort in a limb that is no longer there. […] The condition should be differentiated from other related clinical conditions such as residual limb pain, which was formerly called „stump pain” and is pain that originates from the actual site of the amputated limb that tends to resolve with wound healing. […] This latter condition, formerly known as „stump pain”, is pain that originates from the actual site of the amputated limb. It is most common in the early post-amputation period and tends to resolve with wound healing. […] Unlike PLP, RLP is often a manifestation of an underlying source, such as nerve entrapment, neuroma formation, surgical trauma, ischemia, skin breakdown, or infection. […] It is important to know the difference between the two because the causes and treatments for each differ, but also be aware that both of these elements can coexist at the same time.

• #4 Phantom Limb Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK448188/

  Phantom limb pain is the perception of pain or discomfort in a limb that is no longer there. […] The condition should be differentiated from other related clinical conditions such as residual limb pain, which was formerly called „stump pain” and is pain that originates from the actual site of the amputated limb that tends to resolve with wound healing. […] This latter condition, formerly known as „stump pain”, is pain that originates from the actual site of the amputated limb. It is most common in the early post-amputation period and tends to resolve with wound healing. […] Unlike PLP, RLP is often a manifestation of an underlying source, such as nerve entrapment, neuroma formation, surgical trauma, ischemia, skin breakdown, or infection. […] It is important to know the difference between the two because the causes and treatments for each differ, but also be aware that both of these elements can coexist at the same time.

• #5 Phantom Limb Pain: What It Is, Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain

  Residual limb pain: This is pain that affects the remaining part of your limb (stump) that’s still on your body after an amputation. Residual limb pain often has a medical reason, such as infection or nerve damage. […] You may also feel pain in the remaining part of your body that wasn’t amputated. This is a residual limb or stump. Since this part of your body still exists, several complications can happen that may be causing the pain: Bruising. Bone infection (osteomyelitis) or bone spurs. Inflammation (neuroma). Nerve damage (neuropathic pain). Poor blood flow. Poorly fitting prosthetic device. Pressure injuries (bedsores). Skin or wound infections. […] You can experience residual limb pain at the same time as phantom limb pain.

• #6 Pain in the Residual Limb – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/limb-prosthetics/pain-in-the-residual-limb

  Approximately 60% of individuals with an amputation have post-amputation pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. Residual limb pain should be evaluated and treated aggressively because some causes can be dangerous. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Some patients with a socket-secured prosthesis (SSP) experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in reduced prosthesis control, loss of function, reduced independence, and decrease in quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (eg. anxiety, depression, substance use disorders). Persistent pain is more common in patients with short remaining skeletal structures and/or soft-tissue deformities of the residual limb.

• #7 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain.

• #8 Phantom Limb Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK448188/

  Pain after amputation of a limb is a common symptom and is separated into two types of pain including residual limb pain (RLP) and phantom limb pain (PLP). […] The goal of the physical exam is to rule out the causes of RLP. […] In terms of pain intensity, RLP usually is not severe, and features pressing, throbbing, burning, squeezing, and stabbing sensations. […] Treatment for RLP tends to focus on an organic cause for the pain. […] The first treatment is usually conservative and should include nonpharmacological and nonsurgical methods. […] A pain referral should be ordered and the patient’s HR-QOL should be improved. […] The outcomes for most patients are guarded and the quality of life is poor.

• #9 Phantom Limb Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK448188/

  Pain after amputation of a limb is a common symptom and is separated into two types of pain including residual limb pain (RLP) and phantom limb pain (PLP). […] The goal of the physical exam is to rule out the causes of RLP. […] In terms of pain intensity, RLP usually is not severe, and features pressing, throbbing, burning, squeezing, and stabbing sensations. […] Treatment for RLP tends to focus on an organic cause for the pain. […] The first treatment is usually conservative and should include nonpharmacological and nonsurgical methods. […] A pain referral should be ordered and the patient’s HR-QOL should be improved. […] The outcomes for most patients are guarded and the quality of life is poor.

• #10 Diagnosing and Treating Pain After Amputation Surgery | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2022/11/diagnosing-and-treating-pain-after-amputation-surgery

  After an amputation, some patients may feel pain in their residual limbs, known as phantom pain or stump pain. […] Stump pain, also called residual limb pain, is a type of pain felt in the part of a limb that remains after an amputation. […] Residual limb pain varies in severity, but you may feel uncomfortable sensations such as pressing, throbbing, burning, squeezing, or stabbing. […] Treatment for stump pain focuses on treating the underlying cause of the pain. […] Pain relief options include medications (pain relievers, antidepressants, and anticonvulsants), physical and occupational therapy, massage, hypnosis, nerve blocks, and neuromodulation. […] Hansen found that a combination of strategies such as these has worked to relieve the amputees occasional residual pain when it reoccurs.

• #11 Managing Pain After Amputation: Pain Treatment for Amputees

  https://primecareprosthetics.com/blog/post-amputation-pain-management

  Residual limb pain, also known as stump pain, persists in the remaining affected body segment for extended periods, sometimes years after surgery. Described in various modalities including deep tissue pain, superficial incision pain, and neuropathic sensations, this pain can significantly impact prosthetic fitting and patient mobility. Causes include infection, stump neuroma, and heterotopic ossification. […] Stimulation therapies, including nerve blocks, neuromodulation, and transcutaneous electrical nerve stimulation (TENS), present promising avenues for managing residual limb pain. Nerve blocks can help alleviate pain signals, aid in diagnosing neuromas, and provide targeted relief, while neuromodulation techniques offer non-invasive approaches to pain management. TENS, in particular, may offer additional benefits in mitigating residual limb pain through electrical stimulation.

• #12 Pain in the Residual Limb – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/limb-prosthetics/pain-in-the-residual-limb

  Approximately 60% of individuals with an amputation have post-amputation pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. Residual limb pain should be evaluated and treated aggressively because some causes can be dangerous. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Some patients with a socket-secured prosthesis (SSP) experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in reduced prosthesis control, loss of function, reduced independence, and decrease in quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (eg. anxiety, depression, substance use disorders). Persistent pain is more common in patients with short remaining skeletal structures and/or soft-tissue deformities of the residual limb.

• #13 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Managing Pain After Amputation Surgery: No matter what kind of surgery you have, pain is always a concern. People react to pain in different ways. As with any surgery, pain after amputation can be controlled. This can help you stay more comfortable. Learning how to describe your pain to the healthcare team helps customize the treatment plan. This means explaining where the pain is, how it feels, and how bad it is. […] Types of residual limb pain: Pain in your residual limb can be coming from different places. The following are the most common sources of limb pain after amputation: Skin pain. Your skin can be very sensitive after amputation. Pain from your skin can feel sharp or irritating. […] Nerve pain. This can range from tingling to feeling like an electric shock. The source of nerve pain may be a neuroma. A neuroma occurs when the ends of cut nerves grow into a painful ball under the skin.

• #14 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Managing Pain After Amputation Surgery: No matter what kind of surgery you have, pain is always a concern. People react to pain in different ways. As with any surgery, pain after amputation can be controlled. This can help you stay more comfortable. Learning how to describe your pain to the healthcare team helps customize the treatment plan. This means explaining where the pain is, how it feels, and how bad it is. […] Types of residual limb pain: Pain in your residual limb can be coming from different places. The following are the most common sources of limb pain after amputation: Skin pain. Your skin can be very sensitive after amputation. Pain from your skin can feel sharp or irritating. […] Nerve pain. This can range from tingling to feeling like an electric shock. The source of nerve pain may be a neuroma. A neuroma occurs when the ends of cut nerves grow into a painful ball under the skin.

• #15 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Muscle pain. This can feel like aching and cramping. […] Bone pain. This can happen immediately after surgery and usually gets better as the limb heals. Bone pain can also occur if the end of the bone presses against the socket of your prosthesis. This may cause deep or sharp pain. […] Phantom pain. This is a pain felt in the missing limb after amputation and is a real pain thought to originate in the brain. […] Treating pain: Your doctor may need to try different medicines or dosages to find the most effective way of treating your pain. The most common pain medicines used after surgery are opioids (narcotics). Opioids block pain signals on their way to the brain. This means they can control even severe pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used. Like opioids, NSAIDs block pain signals on their way to the brain. Your doctor may also try antidepressants or anticonvulsant medicines. They are commonly used to treat depression and seizure, but they have proven effective at relieving pain related to amputation.

• #16 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Muscle pain. This can feel like aching and cramping. […] Bone pain. This can happen immediately after surgery and usually gets better as the limb heals. Bone pain can also occur if the end of the bone presses against the socket of your prosthesis. This may cause deep or sharp pain. […] Phantom pain. This is a pain felt in the missing limb after amputation and is a real pain thought to originate in the brain. […] Treating pain: Your doctor may need to try different medicines or dosages to find the most effective way of treating your pain. The most common pain medicines used after surgery are opioids (narcotics). Opioids block pain signals on their way to the brain. This means they can control even severe pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used. Like opioids, NSAIDs block pain signals on their way to the brain. Your doctor may also try antidepressants or anticonvulsant medicines. They are commonly used to treat depression and seizure, but they have proven effective at relieving pain related to amputation.

• #17 Phantom Pain and Residual Limb Pain After Amputation FAQs | IHTSC

  https://www.indianahandtoshoulder.com/blog/phantom-pain-limb-pain-after-amputation-answers

  Residual limb pain in amputees is common and affects a large percentage of patients following both upper and lower limb amputations. […] Not every cause of residual limb pain is treatable, and the causes can come from multiple reasons. For example, phantom limb pain can occur after amputation and frequently is very difficult to eliminate. […] However, there are sources of residual limb pain that are inappropriately attributed to untreatable phantom limb pain that are treatable by experienced nerve surgeons. […] A prime example of this is residual limb pain caused by peripheral nerve neuroma. A neuroma is a mass of disorganized nerve fibers and scars that can cause pain shock-like sensations. […] Many symptomatic neuromas can be successfully treated using contemporary nerve reconstruction techniques.

• #18 Phantom Limb Pain: What It Is, Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain

  Residual limb pain: This is pain that affects the remaining part of your limb (stump) that’s still on your body after an amputation. Residual limb pain often has a medical reason, such as infection or nerve damage. […] You may also feel pain in the remaining part of your body that wasn’t amputated. This is a residual limb or stump. Since this part of your body still exists, several complications can happen that may be causing the pain: Bruising. Bone infection (osteomyelitis) or bone spurs. Inflammation (neuroma). Nerve damage (neuropathic pain). Poor blood flow. Poorly fitting prosthetic device. Pressure injuries (bedsores). Skin or wound infections. […] You can experience residual limb pain at the same time as phantom limb pain.

• #19 Leg Amputation Rehabilitation – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/rehabilitation/leg-amputation-rehabilitation

  Residual limb conditioning refers to the process of preparing the residual limb in anticipation of use of a prosthesis and includes skin care, physical therapy, and pain management. […] Physical therapists teach patients how to care for the residual limb and how to recognize the earliest signs of skin breakdown. […] Residual limb pain is the most common complication. Common causes of pain include a poorly fitted prosthetic socket: This cause is the most common. […] Phantom limb pain is less common and can be severe and difficult to control. […] Skin breakdown tends to occur because the prosthesis presses on and rubs the skin and because moisture collects between the residual limb and prosthetic socket. Skin breakdown may be the first indication that the prosthesis needs adjustment and needs to be managed immediately. […] If there are signs of skin breakdown, patients should promptly see a health care professional and a prosthetist; when possible they should also avoid wearing the prosthesis until it can be adjusted.

• #20 Phantom Limb Pain: What It Is, Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain

  Residual limb pain: This is pain that affects the remaining part of your limb (stump) that’s still on your body after an amputation. Residual limb pain often has a medical reason, such as infection or nerve damage. […] You may also feel pain in the remaining part of your body that wasn’t amputated. This is a residual limb or stump. Since this part of your body still exists, several complications can happen that may be causing the pain: Bruising. Bone infection (osteomyelitis) or bone spurs. Inflammation (neuroma). Nerve damage (neuropathic pain). Poor blood flow. Poorly fitting prosthetic device. Pressure injuries (bedsores). Skin or wound infections. […] You can experience residual limb pain at the same time as phantom limb pain.

• #21 Dealing with phantom limb pain after amputation | Nursing Times

  https://www.nursingtimes.net/pain-management/dealing-with-phantom-limb-pain-after-amputation-08-01-2011/

  Nurses must conduct holistic assessments to manage this condition appropriately. […] Patients usually experience phantom limb pain after amputation but it may also occur following resection of other parts of the body, such as the breast and internal organs like the rectum. The causes are complex and patients require careful assessment to ensure they receive appropriate care. […] Pain assessment should consider the physical, psychological, social and spiritual aspects of the pain experience. […] Nurses have an important role in managing pain control because they have more contact with patients who are experiencing pain than any other healthcare professional. […] The Department of Health suggests assessment should include an evidence based tool that is appropriate to the individuals needs and health problem.

• #22

  https://link.springer.com/article/10.1007/s40141-014-0063-0

  Post-amputation pain is the most common presenting residual limb issue and amputee complaint. […] A complete history, as described above, can elucidate the type of pain experienced. The three most common presenting pain scenarios experienced by amputees are generally categorized as phantom sensations, phantom limb pain, or residual limb pain. […] Conversely, while both phantom sensations and phantom limb pain reside under the umbrella of perceived pain from the central neural axis, residual limb pain (i.e., stump pain) is organic discomfort localized to the residual limb itself. Soft tissue complications, osseous growth, and neuroma formation are the typical culprits of the latter, contributing to this generally chronic, and nagging discomfort, reported in 50-76 % of amputees. […] After a technically sound surgery, prevention of residual limb complications starts with proper post-operative wound care. Early residual limb complications result in setbacks that can substantively retard rehabilitation progress.

• #23 Skin Care of the Residual Limb – Special Subjects – MSD Manual Consumer Version

  https://www.msdmanuals.com/home/special-subjects/limb-prosthetics/skin-care-of-the-residual-limb

  Skin that comes in contact with the socket of the prosthesis must be cared for and carefully checked to prevent skin breakdown and skin infection. Pain is the first indication of a problem. […] Skin problems can be serious and should be evaluated and treated as necessary by a health care professional in consultation with the prosthetist (an expert who designs, fits, builds, and adjusts prostheses). […] The first sign of skin breakdown is redness and a burning sensation, which may be followed by pain, swelling, blisters, and ulcers. Continuing to wear the prosthesis causes more serious skin damage and can lead to skin infection. […] When people detect signs of skin breakdown, they should promptly see their prosthetist and, if necessary, have the prosthesis adjusted. […] Any sign of infection needs to be evaluated by a doctor.

• #24 Managing Pain After Amputation: Pain Treatment for Amputees

  https://primecareprosthetics.com/blog/post-amputation-pain-management

  Residual limb pain, also known as stump pain, persists in the remaining affected body segment for extended periods, sometimes years after surgery. Described in various modalities including deep tissue pain, superficial incision pain, and neuropathic sensations, this pain can significantly impact prosthetic fitting and patient mobility. Causes include infection, stump neuroma, and heterotopic ossification. […] Stimulation therapies, including nerve blocks, neuromodulation, and transcutaneous electrical nerve stimulation (TENS), present promising avenues for managing residual limb pain. Nerve blocks can help alleviate pain signals, aid in diagnosing neuromas, and provide targeted relief, while neuromodulation techniques offer non-invasive approaches to pain management. TENS, in particular, may offer additional benefits in mitigating residual limb pain through electrical stimulation.

• #25 Residual limb pain – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/residual-limb-pain/symptoms-causes/syc-20541403

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain gets better on its own for some people. For others, there are treatments. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain. […] Researchers are studying other ways to prevent residual limb pain after amputation.

• #26 Phantom Limb Pain: What It Is, Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain

  Residual limb pain: This is pain that affects the remaining part of your limb (stump) that’s still on your body after an amputation. Residual limb pain often has a medical reason, such as infection or nerve damage. […] You may also feel pain in the remaining part of your body that wasn’t amputated. This is a residual limb or stump. Since this part of your body still exists, several complications can happen that may be causing the pain: Bruising. Bone infection (osteomyelitis) or bone spurs. Inflammation (neuroma). Nerve damage (neuropathic pain). Poor blood flow. Poorly fitting prosthetic device. Pressure injuries (bedsores). Skin or wound infections. […] You can experience residual limb pain at the same time as phantom limb pain.

• #27 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Treatment for residual limb pain depends on the cause. For some people with residual limb pain, the pain gets better in time without treatment. Treatments for residual limb pain may involve medicines, therapies or procedures. […] Physical and occupational therapy. These therapies involve exercises people do before and after removal of an arm or leg, called amputation. The therapies also include fitting a replacement arm or leg, called a prosthesis, and learning how to use it. Wearing garments that put pressure on the residual arm or leg, called compression garments, also may help. […] Nerve blocks. These shots, called injections, block or turn off a nerve’s pain signals. They can help ease residual limb pain. And, if the block works, it may help diagnose a tangle of nerve endings, called a neuroma. […] Regenerative peripheral nerve interface. Also called RPNI, this newer procedure helps prevent neuroma, a tangle of nerve endings that often forms after an amputation. It also helps prevent pain from neuromas that have formed. Neuromas are a major cause of residual limb pain.

• #28 Phantom Limb Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK448188/

  Phantom limb pain is the perception of pain or discomfort in a limb that is no longer there. […] The condition should be differentiated from other related clinical conditions such as residual limb pain, which was formerly called „stump pain” and is pain that originates from the actual site of the amputated limb that tends to resolve with wound healing. […] This latter condition, formerly known as „stump pain”, is pain that originates from the actual site of the amputated limb. It is most common in the early post-amputation period and tends to resolve with wound healing. […] Unlike PLP, RLP is often a manifestation of an underlying source, such as nerve entrapment, neuroma formation, surgical trauma, ischemia, skin breakdown, or infection. […] It is important to know the difference between the two because the causes and treatments for each differ, but also be aware that both of these elements can coexist at the same time.

• #29 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Treatment for residual limb pain depends on the cause. For some people with residual limb pain, the pain gets better in time without treatment. Treatments for residual limb pain may involve medicines, therapies or procedures. […] Physical and occupational therapy. These therapies involve exercises people do before and after removal of an arm or leg, called amputation. The therapies also include fitting a replacement arm or leg, called a prosthesis, and learning how to use it. Wearing garments that put pressure on the residual arm or leg, called compression garments, also may help. […] Nerve blocks. These shots, called injections, block or turn off a nerve’s pain signals. They can help ease residual limb pain. And, if the block works, it may help diagnose a tangle of nerve endings, called a neuroma. […] Regenerative peripheral nerve interface. Also called RPNI, this newer procedure helps prevent neuroma, a tangle of nerve endings that often forms after an amputation. It also helps prevent pain from neuromas that have formed. Neuromas are a major cause of residual limb pain.

• #30 Amputation

  https://www.nhs.uk/conditions/amputation/

  Many people who have an amputation experience some degree of stump pain or „phantom limb” pain. […] Stump pain can have many different causes, including rubbing or sores where the stump touches a prosthetic limb, nerve damage during surgery and the development of neuromas. […] Phantom limb sensations are sensations that seem to be coming from the amputated limb. Occasionally, these can be painful (phantom limb pain). […] Stump and phantom limb pain will usually improve over time, but treatments are available to help relieve the symptoms. […] Medicines that may be used to help relieve pain include: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; anticonvulsants such as pregabalin or gabapentin; antidepressants such as amitriptyline, or nortriptyline, which are useful in treating nerve pain; opioids such as codeine or morphine; corticosteroid or local anaesthetic injections.

• #31 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Muscle pain. This can feel like aching and cramping. […] Bone pain. This can happen immediately after surgery and usually gets better as the limb heals. Bone pain can also occur if the end of the bone presses against the socket of your prosthesis. This may cause deep or sharp pain. […] Phantom pain. This is a pain felt in the missing limb after amputation and is a real pain thought to originate in the brain. […] Treating pain: Your doctor may need to try different medicines or dosages to find the most effective way of treating your pain. The most common pain medicines used after surgery are opioids (narcotics). Opioids block pain signals on their way to the brain. This means they can control even severe pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used. Like opioids, NSAIDs block pain signals on their way to the brain. Your doctor may also try antidepressants or anticonvulsant medicines. They are commonly used to treat depression and seizure, but they have proven effective at relieving pain related to amputation.

• #32 Amputation

  https://www.nhs.uk/conditions/amputation/

  Many people who have an amputation experience some degree of stump pain or „phantom limb” pain. […] Stump pain can have many different causes, including rubbing or sores where the stump touches a prosthetic limb, nerve damage during surgery and the development of neuromas. […] Phantom limb sensations are sensations that seem to be coming from the amputated limb. Occasionally, these can be painful (phantom limb pain). […] Stump and phantom limb pain will usually improve over time, but treatments are available to help relieve the symptoms. […] Medicines that may be used to help relieve pain include: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; anticonvulsants such as pregabalin or gabapentin; antidepressants such as amitriptyline, or nortriptyline, which are useful in treating nerve pain; opioids such as codeine or morphine; corticosteroid or local anaesthetic injections.

• #33 10 Ways Doctors Relieve Phantom Limb Pain for Amputees

  https://www.hackensackmeridianhealth.org/en/healthu/2022/09/28/10-ways-doctors-relieve-phantom-limb-pain-for-amputees

  Treatment options include: Medications block pain signals to the brain or spinal cord. Common choices include a tricyclic antidepressant medication called amitriptyline and anticonvulsant medications such as gabapentin and pregabalin. Many physicians put patients on a preventive dose of medication after surgery to reduce the risk of developing PLP, Dr. Uustal says. […] An amputation technique called targeted muscle reimplantation (TMR), which connects nerves together or connects them to muscles, may reduce the risk of PLP. Implanting nerve stimulators close to the nerve is another, more-invasive option to treat severe PLP. […] Dr. Uustal emphasizes that its important for patients to speak up if they are experiencing symptoms of PLP. […] There are many therapeutic options, but what will work for each patient is different, says Dr. Uustal. Patients often have to try several different therapies before finding the one that provides the most benefit, but its important to recognize that there is help available if PLP symptoms are impacting everyday activities and quality of life.

• #34 Amputation

  https://www.nhs.uk/conditions/amputation/

  Many people who have an amputation experience some degree of stump pain or „phantom limb” pain. […] Stump pain can have many different causes, including rubbing or sores where the stump touches a prosthetic limb, nerve damage during surgery and the development of neuromas. […] Phantom limb sensations are sensations that seem to be coming from the amputated limb. Occasionally, these can be painful (phantom limb pain). […] Stump and phantom limb pain will usually improve over time, but treatments are available to help relieve the symptoms. […] Medicines that may be used to help relieve pain include: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; anticonvulsants such as pregabalin or gabapentin; antidepressants such as amitriptyline, or nortriptyline, which are useful in treating nerve pain; opioids such as codeine or morphine; corticosteroid or local anaesthetic injections.

• #35 10 Ways Doctors Relieve Phantom Limb Pain for Amputees

  https://www.hackensackmeridianhealth.org/en/healthu/2022/09/28/10-ways-doctors-relieve-phantom-limb-pain-for-amputees

  Treatment options include: Medications block pain signals to the brain or spinal cord. Common choices include a tricyclic antidepressant medication called amitriptyline and anticonvulsant medications such as gabapentin and pregabalin. Many physicians put patients on a preventive dose of medication after surgery to reduce the risk of developing PLP, Dr. Uustal says. […] An amputation technique called targeted muscle reimplantation (TMR), which connects nerves together or connects them to muscles, may reduce the risk of PLP. Implanting nerve stimulators close to the nerve is another, more-invasive option to treat severe PLP. […] Dr. Uustal emphasizes that its important for patients to speak up if they are experiencing symptoms of PLP. […] There are many therapeutic options, but what will work for each patient is different, says Dr. Uustal. Patients often have to try several different therapies before finding the one that provides the most benefit, but its important to recognize that there is help available if PLP symptoms are impacting everyday activities and quality of life.

• #36 Amputation

  https://www.nhs.uk/conditions/amputation/

  Many people who have an amputation experience some degree of stump pain or „phantom limb” pain. […] Stump pain can have many different causes, including rubbing or sores where the stump touches a prosthetic limb, nerve damage during surgery and the development of neuromas. […] Phantom limb sensations are sensations that seem to be coming from the amputated limb. Occasionally, these can be painful (phantom limb pain). […] Stump and phantom limb pain will usually improve over time, but treatments are available to help relieve the symptoms. […] Medicines that may be used to help relieve pain include: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; anticonvulsants such as pregabalin or gabapentin; antidepressants such as amitriptyline, or nortriptyline, which are useful in treating nerve pain; opioids such as codeine or morphine; corticosteroid or local anaesthetic injections.

• #37 Phantom limb pain: A review of evidence-based treatment options

  https://www.wjgnet.com/2218-6182/full/v3/i2/146.htm

  Pharmacotherapy: Antidepressants: Many randomized, controlled clinical trials have shown a beneficial effect of tricyclic antidepressants and sodium channel blockers on different neuropathic pain conditions and denervation syndromes, such as post herpetic neuralgia and diabetic neuropathy. These medications are generally considered to be effective on PLP, at least for some patients. […] Opioids: Opioid analgesics are not the primary options for the treatment of PLP. […] N-Methyl-D-Aspartate receptor antagonists: The effects of N-Methyl-D-Aspartate (NMDA) receptor antagonists on PLP have been examined in different studies. […] Peripheral nervous system: Neural Blocks or neuroablative procedures are commonly used in the treatment of PLP. […] Musculoskeletal system: Neuromas develop in a large number of patients and not only cause RLP, but are also involved in the generation of PLP. […] High-resolution sonographically guided neurosclerosis should be included in the list of recommended procedures to manage chronic PLP and RLP.

• #38 Amputation

  https://www.nhs.uk/conditions/amputation/

  Many people who have an amputation experience some degree of stump pain or „phantom limb” pain. […] Stump pain can have many different causes, including rubbing or sores where the stump touches a prosthetic limb, nerve damage during surgery and the development of neuromas. […] Phantom limb sensations are sensations that seem to be coming from the amputated limb. Occasionally, these can be painful (phantom limb pain). […] Stump and phantom limb pain will usually improve over time, but treatments are available to help relieve the symptoms. […] Medicines that may be used to help relieve pain include: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen; anticonvulsants such as pregabalin or gabapentin; antidepressants such as amitriptyline, or nortriptyline, which are useful in treating nerve pain; opioids such as codeine or morphine; corticosteroid or local anaesthetic injections.

• #39 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Treatment for residual limb pain depends on the cause. For some people with residual limb pain, the pain gets better in time without treatment. Treatments for residual limb pain may involve medicines, therapies or procedures. […] Physical and occupational therapy. These therapies involve exercises people do before and after removal of an arm or leg, called amputation. The therapies also include fitting a replacement arm or leg, called a prosthesis, and learning how to use it. Wearing garments that put pressure on the residual arm or leg, called compression garments, also may help. […] Nerve blocks. These shots, called injections, block or turn off a nerve’s pain signals. They can help ease residual limb pain. And, if the block works, it may help diagnose a tangle of nerve endings, called a neuroma. […] Regenerative peripheral nerve interface. Also called RPNI, this newer procedure helps prevent neuroma, a tangle of nerve endings that often forms after an amputation. It also helps prevent pain from neuromas that have formed. Neuromas are a major cause of residual limb pain.

• #40 Phantom Sensation and Phantom Pain After Amputation

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,88860_VA

  Many people who have an amputation experience phantom sensation or phantom pain. Understanding the difference between the two will help you and your healthcare provider create a treatment plan just right for you. […] Phantom pain is likely to come and go, and some say they experience it more often at night. Keep in mind, not everyone experiences phantom pain after amputation. Its far less common than phantom sensation. Phantom pain is most often manageable. But if it becomes hard to live with, talk with your healthcare provider. […] Gentle tapping and massaging the end of the residual limb helps to calm the sensations down. You may begin massaging your residual limb once the surgical sutures or staples are removed. […] A shrinker sock is a compression sock made for the shape and size of your limb. The compression in the shrinker keeps constant pressure on the end of the limb helping to relieve phantom sensation and pain. […] Using your prosthesis provides steady pressure to the limb. This seems to reduce phantom pain for some people.

• #41 Phantom limb sensation / pain following amputation – University Hospitals Sussex NHS Foundation Trust

  https://www.uhsussex.nhs.uk/resources/phantom-limb-sensation-pain-following-amputation/

  Desensitisation: initially your limb may be sensitive to touch. Desensitisation is important to prepare for wearing a prosthetic limb. This can include touching, tapping and rubbing over the end of your residual limb. […] Distraction: taking your mind off the pain like reading, listening to music or engaging in a hobby you enjoy. […] Mirror therapy: this is a type of therapy where you move you remaining limb whilst watching the movement in a mirror. […] Try keeping a daily log or diary of your phantom limb pain. This can help to see if there is a pattern to the pain or if there are any triggers. […] Everyone is different and everyone’s pain experiences are different, therefore no single treatment will suit all. By assessing and talking with you we can try to work out which method of treatment will work best for you.

• #42 Phantom Sensation and Phantom Pain After Amputation

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,88860_VA

  Many people who have an amputation experience phantom sensation or phantom pain. Understanding the difference between the two will help you and your healthcare provider create a treatment plan just right for you. […] Phantom pain is likely to come and go, and some say they experience it more often at night. Keep in mind, not everyone experiences phantom pain after amputation. Its far less common than phantom sensation. Phantom pain is most often manageable. But if it becomes hard to live with, talk with your healthcare provider. […] Gentle tapping and massaging the end of the residual limb helps to calm the sensations down. You may begin massaging your residual limb once the surgical sutures or staples are removed. […] A shrinker sock is a compression sock made for the shape and size of your limb. The compression in the shrinker keeps constant pressure on the end of the limb helping to relieve phantom sensation and pain. […] Using your prosthesis provides steady pressure to the limb. This seems to reduce phantom pain for some people.

• #43 Phantom limb pain: A review of evidence-based treatment options

  https://www.wjgnet.com/2218-6182/full/v3/i2/146.htm

  Physical therapy in preparation for the use of prosthesis has been shown successful in decreasing the patients PLP. […] Desensitization techniques including massaging, tapping, slapping, wrapping, and friction rubbing of the residual limb are often used to treat bothersome PLS, PLP and RLP. […] Patients frequently find that their PLP diminishes with the stimulation of using prosthesis. […] Other physical therapies commonly used for the treatment of PLP are: transcutaneous electrical nerve stimulation (TENS), repetitive transcranial magnetic stimulation (rTMS), Electroconvulsive Therapy, Stress-relaxation techniques and Biofeedback. […] The effect of stress-relaxation training with or without biofeedback or hypnosis has been studied on PLP. […] Multiple psychological modalities have been attempted in managing PLP.

• #44 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Treatment for residual limb pain depends on the cause. For some people with residual limb pain, the pain gets better in time without treatment. Treatments for residual limb pain may involve medicines, therapies or procedures. […] Physical and occupational therapy. These therapies involve exercises people do before and after removal of an arm or leg, called amputation. The therapies also include fitting a replacement arm or leg, called a prosthesis, and learning how to use it. Wearing garments that put pressure on the residual arm or leg, called compression garments, also may help. […] Nerve blocks. These shots, called injections, block or turn off a nerve’s pain signals. They can help ease residual limb pain. And, if the block works, it may help diagnose a tangle of nerve endings, called a neuroma. […] Regenerative peripheral nerve interface. Also called RPNI, this newer procedure helps prevent neuroma, a tangle of nerve endings that often forms after an amputation. It also helps prevent pain from neuromas that have formed. Neuromas are a major cause of residual limb pain.

• #45 Amputation

  https://www.nhs.uk/conditions/amputation/

  There are several non-invasive techniques that may help relieve pain in some people. They include: adjusting the way your prosthesis fits to make it more comfortable; massage to increase circulation and stimulate muscles; acupuncture is thought to stimulate the nervous system and relieve pain; transcutaneous electrical nerve stimulation (TENS), which uses a small, battery-operated device to deliver electrical impulses to the affected area of your body, to block or reduce pain signals. […] Research has shown that people who imagine using the part of their limb that was amputated experience a reduction in pain symptoms. […] The loss of a limb can have a considerable psychological impact. Many people who’ve had an amputation report emotions such as grief and bereavement, similar to experiencing the death of a loved one.

• #46 Phantom limb pain: A review of evidence-based treatment options

  https://www.wjgnet.com/2218-6182/full/v3/i2/146.htm

  Physical therapy in preparation for the use of prosthesis has been shown successful in decreasing the patients PLP. […] Desensitization techniques including massaging, tapping, slapping, wrapping, and friction rubbing of the residual limb are often used to treat bothersome PLS, PLP and RLP. […] Patients frequently find that their PLP diminishes with the stimulation of using prosthesis. […] Other physical therapies commonly used for the treatment of PLP are: transcutaneous electrical nerve stimulation (TENS), repetitive transcranial magnetic stimulation (rTMS), Electroconvulsive Therapy, Stress-relaxation techniques and Biofeedback. […] The effect of stress-relaxation training with or without biofeedback or hypnosis has been studied on PLP. […] Multiple psychological modalities have been attempted in managing PLP.

• #47 Amputation

  https://www.nhs.uk/conditions/amputation/

  There are several non-invasive techniques that may help relieve pain in some people. They include: adjusting the way your prosthesis fits to make it more comfortable; massage to increase circulation and stimulate muscles; acupuncture is thought to stimulate the nervous system and relieve pain; transcutaneous electrical nerve stimulation (TENS), which uses a small, battery-operated device to deliver electrical impulses to the affected area of your body, to block or reduce pain signals. […] Research has shown that people who imagine using the part of their limb that was amputated experience a reduction in pain symptoms. […] The loss of a limb can have a considerable psychological impact. Many people who’ve had an amputation report emotions such as grief and bereavement, similar to experiencing the death of a loved one.

• #48 Phantom limb pain: A review of evidence-based treatment options

  https://www.wjgnet.com/2218-6182/full/v3/i2/146.htm

  Physical therapy in preparation for the use of prosthesis has been shown successful in decreasing the patients PLP. […] Desensitization techniques including massaging, tapping, slapping, wrapping, and friction rubbing of the residual limb are often used to treat bothersome PLS, PLP and RLP. […] Patients frequently find that their PLP diminishes with the stimulation of using prosthesis. […] Other physical therapies commonly used for the treatment of PLP are: transcutaneous electrical nerve stimulation (TENS), repetitive transcranial magnetic stimulation (rTMS), Electroconvulsive Therapy, Stress-relaxation techniques and Biofeedback. […] The effect of stress-relaxation training with or without biofeedback or hypnosis has been studied on PLP. […] Multiple psychological modalities have been attempted in managing PLP.

• #49 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Treatment for residual limb pain depends on the cause. For some people with residual limb pain, the pain gets better in time without treatment. Treatments for residual limb pain may involve medicines, therapies or procedures. […] Physical and occupational therapy. These therapies involve exercises people do before and after removal of an arm or leg, called amputation. The therapies also include fitting a replacement arm or leg, called a prosthesis, and learning how to use it. Wearing garments that put pressure on the residual arm or leg, called compression garments, also may help. […] Nerve blocks. These shots, called injections, block or turn off a nerve’s pain signals. They can help ease residual limb pain. And, if the block works, it may help diagnose a tangle of nerve endings, called a neuroma. […] Regenerative peripheral nerve interface. Also called RPNI, this newer procedure helps prevent neuroma, a tangle of nerve endings that often forms after an amputation. It also helps prevent pain from neuromas that have formed. Neuromas are a major cause of residual limb pain.

• #50 Pain in the Residual Limb – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/limb-prosthetics/pain-in-the-residual-limb

  Treatments of postoperative surgical wound pain are directed at the cause and may also include prosthesis modification, discontinuance of prosthesis use until healing, and analgesics. […] In patients with a neuroma causing severe pain, surgical neurectomy may be advised. […] Transcutaneous osseointegration is an alternative for patients who have experienced problems from a socket-secured prosthesis, including residual limb pain. This surgical reconstructive procedure involves inserting a biocompatible implant directly into the residual bone, which modifies the interface between the residual limb and traditional socket. Various prosthetic appendages can be attached directly to the implant, eliminating the problem of pressure on tissues not morphologically designed for weight bearing. Benefits include improved proprioception, balance, and mobility; elimination of skin problems from friction and pressure between the residual limb and a socket; and reduced nerve pain.

• #51 Pain in the Residual Limb – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/limb-prosthetics/pain-in-the-residual-limb

  Treatments of postoperative surgical wound pain are directed at the cause and may also include prosthesis modification, discontinuance of prosthesis use until healing, and analgesics. […] In patients with a neuroma causing severe pain, surgical neurectomy may be advised. […] Transcutaneous osseointegration is an alternative for patients who have experienced problems from a socket-secured prosthesis, including residual limb pain. This surgical reconstructive procedure involves inserting a biocompatible implant directly into the residual bone, which modifies the interface between the residual limb and traditional socket. Various prosthetic appendages can be attached directly to the implant, eliminating the problem of pressure on tissues not morphologically designed for weight bearing. Benefits include improved proprioception, balance, and mobility; elimination of skin problems from friction and pressure between the residual limb and a socket; and reduced nerve pain.

• #52 10 Ways Doctors Relieve Phantom Limb Pain for Amputees

  https://www.hackensackmeridianhealth.org/en/healthu/2022/09/28/10-ways-doctors-relieve-phantom-limb-pain-for-amputees

  Treatment options include: Medications block pain signals to the brain or spinal cord. Common choices include a tricyclic antidepressant medication called amitriptyline and anticonvulsant medications such as gabapentin and pregabalin. Many physicians put patients on a preventive dose of medication after surgery to reduce the risk of developing PLP, Dr. Uustal says. […] An amputation technique called targeted muscle reimplantation (TMR), which connects nerves together or connects them to muscles, may reduce the risk of PLP. Implanting nerve stimulators close to the nerve is another, more-invasive option to treat severe PLP. […] Dr. Uustal emphasizes that its important for patients to speak up if they are experiencing symptoms of PLP. […] There are many therapeutic options, but what will work for each patient is different, says Dr. Uustal. Patients often have to try several different therapies before finding the one that provides the most benefit, but its important to recognize that there is help available if PLP symptoms are impacting everyday activities and quality of life.

• #53 Revolutionizing Phantom Limb Pain Relief with Virtual Reality at

  https://www.orthocarolina.com/orthopedic-news/understanding-total-knee-arthroplasty-tka-a-comprehensive-overview

  Phantom limb pain is a phenomenon experienced by many individuals who have undergone amputation, where they continue to feel pain, discomfort, or sensations in the area of the limb that is no longer there. […] Addressing phantom limb pain is essential for enhancing the quality of life for amputees and enabling them to adapt to their new circumstances. TMR effectively addresses phantom limb pain by rerouting severed nerves to the remaining muscles in the residual limb. This process reduces miscommunication in the brain which can lead to pain sensations in the area of the lost limb. […] Neuroma pain, also known as „phantom” pain, is a common complication following amputation. TMR effectively addresses this issue by providing the severed nerves a new target, thereby reducing or eliminating the occurrence of phantom pain. This results in a more comfortable and manageable post-amputation experience.

• #54

• #55 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  The following are the nursing priorities for patients with amputation: Promoting effective wound healing and minimizing edema, Preventing infection through aseptic wound care, Preventing complications such as hemorrhage, infection, joint contracture, Providing support to cope with grief, body image changes, and psychological issues. […] Goals and expected outcomes may include: The client will understand their situation, treatment plan, and safety measures, maintain functional positioning without contractures, demonstrate activity resumption techniques, and show willingness to participate in activities. The client will achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. The client will maintain adequate tissue perfusion as evidenced by palpable peripheral pulses, warm/dry skin, and timely wound healing. The client will demonstrate adaptation, acceptance of self, and accurate incorporation of changes into self-concept without compromising self-esteem while developing realistic plans for adapting to new roles or role modifications as an amputee.

• #56 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  The following are the nursing priorities for patients with amputation: Promoting effective wound healing and minimizing edema, Preventing infection through aseptic wound care, Preventing complications such as hemorrhage, infection, joint contracture, Providing support to cope with grief, body image changes, and psychological issues. […] Goals and expected outcomes may include: The client will understand their situation, treatment plan, and safety measures, maintain functional positioning without contractures, demonstrate activity resumption techniques, and show willingness to participate in activities. The client will achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. The client will maintain adequate tissue perfusion as evidenced by palpable peripheral pulses, warm/dry skin, and timely wound healing. The client will demonstrate adaptation, acceptance of self, and accurate incorporation of changes into self-concept without compromising self-esteem while developing realistic plans for adapting to new roles or role modifications as an amputee.

• #57 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  The following are the nursing priorities for patients with amputation: Promoting effective wound healing and minimizing edema, Preventing infection through aseptic wound care, Preventing complications such as hemorrhage, infection, joint contracture, Providing support to cope with grief, body image changes, and psychological issues. […] Goals and expected outcomes may include: The client will understand their situation, treatment plan, and safety measures, maintain functional positioning without contractures, demonstrate activity resumption techniques, and show willingness to participate in activities. The client will achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. The client will maintain adequate tissue perfusion as evidenced by palpable peripheral pulses, warm/dry skin, and timely wound healing. The client will demonstrate adaptation, acceptance of self, and accurate incorporation of changes into self-concept without compromising self-esteem while developing realistic plans for adapting to new roles or role modifications as an amputee.

• #58 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  The following are the nursing priorities for patients with amputation: Promoting effective wound healing and minimizing edema, Preventing infection through aseptic wound care, Preventing complications such as hemorrhage, infection, joint contracture, Providing support to cope with grief, body image changes, and psychological issues. […] Goals and expected outcomes may include: The client will understand their situation, treatment plan, and safety measures, maintain functional positioning without contractures, demonstrate activity resumption techniques, and show willingness to participate in activities. The client will achieve timely wound healing; be free of purulent drainage or erythema, and be afebrile. The client will maintain adequate tissue perfusion as evidenced by palpable peripheral pulses, warm/dry skin, and timely wound healing. The client will demonstrate adaptation, acceptance of self, and accurate incorporation of changes into self-concept without compromising self-esteem while developing realistic plans for adapting to new roles or role modifications as an amputee.

• #59 Dealing with phantom limb pain after amputation | Nursing Times

  https://www.nursingtimes.net/pain-management/dealing-with-phantom-limb-pain-after-amputation-08-01-2011/

  Nurses must conduct holistic assessments to manage this condition appropriately. […] Patients usually experience phantom limb pain after amputation but it may also occur following resection of other parts of the body, such as the breast and internal organs like the rectum. The causes are complex and patients require careful assessment to ensure they receive appropriate care. […] Pain assessment should consider the physical, psychological, social and spiritual aspects of the pain experience. […] Nurses have an important role in managing pain control because they have more contact with patients who are experiencing pain than any other healthcare professional. […] The Department of Health suggests assessment should include an evidence based tool that is appropriate to the individuals needs and health problem.

• #60 Dealing with phantom limb pain after amputation | Nursing Times

  https://www.nursingtimes.net/pain-management/dealing-with-phantom-limb-pain-after-amputation-08-01-2011/

  Nurses must conduct holistic assessments to manage this condition appropriately. […] Patients usually experience phantom limb pain after amputation but it may also occur following resection of other parts of the body, such as the breast and internal organs like the rectum. The causes are complex and patients require careful assessment to ensure they receive appropriate care. […] Pain assessment should consider the physical, psychological, social and spiritual aspects of the pain experience. […] Nurses have an important role in managing pain control because they have more contact with patients who are experiencing pain than any other healthcare professional. […] The Department of Health suggests assessment should include an evidence based tool that is appropriate to the individuals needs and health problem.

• #61 Phantom limb pain: a nursing perspective

  http://journals.rcni.com/nursing-standard/phantom-limb-pain-a-nursing-perspective-ns.29.1.44.e8730

  Phantom limb pain (PLP) is a neuropathic pain condition occurring after amputation of a limb. PLP affects amputees quality of life and results in loss of productivity and psychological distress. […] It is imperative to provide patients and nurses with the knowledge that PLP is a real phenomenon that requires care and treatment. This knowledge will lead to reduced problems for patients by allowing them to talk about PLP and ask for help when needed. Understanding of this phenomenon will enable nurses to appreciate the unique features of this form of neuropathic pain and apply appropriate techniques to promote effective pain management. Performing accurate and frequent assessments to understand the unique characteristics of PLP, displaying a non-judgemental attitude towards patients and teaching throughout the peri-operative process are significant nursing interventions.

• #62 Dealing with phantom limb pain after amputation | Nursing Times

  https://www.nursingtimes.net/pain-management/dealing-with-phantom-limb-pain-after-amputation-08-01-2011/

  It is vital that nurses remain non-judgemental and administer analgesia according to the pain being expressed. […] Recommendations for the treatment of neuropathic pain and PLP suggest that opioids, such as morphine, and the tricyclic antidepressant, amitriptyline, should be used. […] Nurses should be aware of PLP and how it can differ from other types of pain to ensure patients receive holistic care.

• #63 Phantom limb sensation / pain following amputation – University Hospitals Sussex NHS Foundation Trust

  https://www.uhsussex.nhs.uk/resources/phantom-limb-sensation-pain-following-amputation/

  Desensitisation: initially your limb may be sensitive to touch. Desensitisation is important to prepare for wearing a prosthetic limb. This can include touching, tapping and rubbing over the end of your residual limb. […] Distraction: taking your mind off the pain like reading, listening to music or engaging in a hobby you enjoy. […] Mirror therapy: this is a type of therapy where you move you remaining limb whilst watching the movement in a mirror. […] Try keeping a daily log or diary of your phantom limb pain. This can help to see if there is a pattern to the pain or if there are any triggers. […] Everyone is different and everyone’s pain experiences are different, therefore no single treatment will suit all. By assessing and talking with you we can try to work out which method of treatment will work best for you.

• #64 Wound Care and Infection Prevention in Your Residual Limb | OP Centers

  https://opcenters.com/wound-care-and-infection-prevention-in-your-residual-limb/

  Infection prevention is equally as important as wound care. Once your surgical wound has healed, the focus shifts to maintaining the overall health of your residual limb to avoid future complications. […] Daily hygiene is vital. Wash your residual limb with mild soap and warm water, ensuring that you clean every crevice, particularly if you use a prosthetic. […] Inspect your residual limb daily for any signs of irritation, pressure sores, or blisters. This is especially important if you wear a prosthetic device, as poorly fitted sockets can cause friction and damage the skin. […] Keeping the skin moisturized is essential, but it’s important to use the right products. Opt for non-greasy, fragrance-free lotions to prevent dryness without clogging pores. […] If you use a prosthetic, sweat and odor can become issues. Bacteria thrive in warm, moist environments, so it’s important to manage perspiration.

• #65 Wound Care and Infection Prevention in Your Residual Limb | OP Centers

  https://opcenters.com/wound-care-and-infection-prevention-in-your-residual-limb/

  Infection prevention is equally as important as wound care. Once your surgical wound has healed, the focus shifts to maintaining the overall health of your residual limb to avoid future complications. […] Daily hygiene is vital. Wash your residual limb with mild soap and warm water, ensuring that you clean every crevice, particularly if you use a prosthetic. […] Inspect your residual limb daily for any signs of irritation, pressure sores, or blisters. This is especially important if you wear a prosthetic device, as poorly fitted sockets can cause friction and damage the skin. […] Keeping the skin moisturized is essential, but it’s important to use the right products. Opt for non-greasy, fragrance-free lotions to prevent dryness without clogging pores. […] If you use a prosthetic, sweat and odor can become issues. Bacteria thrive in warm, moist environments, so it’s important to manage perspiration.

• #66 Wound Care and Infection Prevention in Your Residual Limb | OP Centers

  https://opcenters.com/wound-care-and-infection-prevention-in-your-residual-limb/

  Infection prevention is equally as important as wound care. Once your surgical wound has healed, the focus shifts to maintaining the overall health of your residual limb to avoid future complications. […] Daily hygiene is vital. Wash your residual limb with mild soap and warm water, ensuring that you clean every crevice, particularly if you use a prosthetic. […] Inspect your residual limb daily for any signs of irritation, pressure sores, or blisters. This is especially important if you wear a prosthetic device, as poorly fitted sockets can cause friction and damage the skin. […] Keeping the skin moisturized is essential, but it’s important to use the right products. Opt for non-greasy, fragrance-free lotions to prevent dryness without clogging pores. […] If you use a prosthetic, sweat and odor can become issues. Bacteria thrive in warm, moist environments, so it’s important to manage perspiration.

• #67 Wound Care and Infection Prevention in Your Residual Limb | OP Centers

  https://opcenters.com/wound-care-and-infection-prevention-in-your-residual-limb/

  Infection prevention is equally as important as wound care. Once your surgical wound has healed, the focus shifts to maintaining the overall health of your residual limb to avoid future complications. […] Daily hygiene is vital. Wash your residual limb with mild soap and warm water, ensuring that you clean every crevice, particularly if you use a prosthetic. […] Inspect your residual limb daily for any signs of irritation, pressure sores, or blisters. This is especially important if you wear a prosthetic device, as poorly fitted sockets can cause friction and damage the skin. […] Keeping the skin moisturized is essential, but it’s important to use the right products. Opt for non-greasy, fragrance-free lotions to prevent dryness without clogging pores. […] If you use a prosthetic, sweat and odor can become issues. Bacteria thrive in warm, moist environments, so it’s important to manage perspiration.

• #68 Wound Care and Infection Prevention in Your Residual Limb | OP Centers

  https://opcenters.com/wound-care-and-infection-prevention-in-your-residual-limb/

  A well-fitting prosthetic can improve mobility and quality of life, but it also requires consistent care to avoid issues like chafing or sores. […] Pressure sores develop when certain areas of the residual limb experience prolonged pressure or friction. Early signs include redness or tenderness in specific spots. Adjusting your prosthetic fit or adding cushioning can alleviate these symptoms. […] Phantom limb pain can complicate wound care and infection prevention by making it harder to tolerate contact with the residual limb. […] Swelling, or edema, is common in residual limbs. However, excessive or prolonged swelling can interfere with prosthetic use and wound healing. […] Caring for a residual limb isn’t just a physical task; it has emotional and psychological components as well.

• #69 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  Assess and evaluate various psychological and social factors experienced by patients with amputation. Negative feelings about the body, focusing on past strength, function, or appearance, can impact self-esteem and body image. […] Help the amputee cope with their altered body image. Amputation is a medical procedure that significantly impacts a patients body image. In order to effectively support individuals who have undergone amputation, it is crucial for nurses to establish a trusting relationship with them. […] Encourage the expression of fears, negative feelings, and grief over the loss of body parts. Venting emotions is an important step for patients in coming to terms with the reality of living without a limb. […] The nurses role in supporting patients with amputations involves promoting independence, enhancing self-worth, and facilitating the integration of the residual limb into their body image. This process may take months or even years, but looking at the stump and receiving positive comments in a normal, matter-of-fact manner can aid in acceptance. […] Encourage and provide for a visit by another amputee, especially one who is successfully rehabilitating. A peer who has been through a similar experience serves as a role model and can provide validity to comments and hope for recovery and a normal future.

• #70 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  Assess and evaluate various psychological and social factors experienced by patients with amputation. Negative feelings about the body, focusing on past strength, function, or appearance, can impact self-esteem and body image. […] Help the amputee cope with their altered body image. Amputation is a medical procedure that significantly impacts a patients body image. In order to effectively support individuals who have undergone amputation, it is crucial for nurses to establish a trusting relationship with them. […] Encourage the expression of fears, negative feelings, and grief over the loss of body parts. Venting emotions is an important step for patients in coming to terms with the reality of living without a limb. […] The nurses role in supporting patients with amputations involves promoting independence, enhancing self-worth, and facilitating the integration of the residual limb into their body image. This process may take months or even years, but looking at the stump and receiving positive comments in a normal, matter-of-fact manner can aid in acceptance. […] Encourage and provide for a visit by another amputee, especially one who is successfully rehabilitating. A peer who has been through a similar experience serves as a role model and can provide validity to comments and hope for recovery and a normal future.

• #71 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  Assess and evaluate various psychological and social factors experienced by patients with amputation. Negative feelings about the body, focusing on past strength, function, or appearance, can impact self-esteem and body image. […] Help the amputee cope with their altered body image. Amputation is a medical procedure that significantly impacts a patients body image. In order to effectively support individuals who have undergone amputation, it is crucial for nurses to establish a trusting relationship with them. […] Encourage the expression of fears, negative feelings, and grief over the loss of body parts. Venting emotions is an important step for patients in coming to terms with the reality of living without a limb. […] The nurses role in supporting patients with amputations involves promoting independence, enhancing self-worth, and facilitating the integration of the residual limb into their body image. This process may take months or even years, but looking at the stump and receiving positive comments in a normal, matter-of-fact manner can aid in acceptance. […] Encourage and provide for a visit by another amputee, especially one who is successfully rehabilitating. A peer who has been through a similar experience serves as a role model and can provide validity to comments and hope for recovery and a normal future.

• #72 4 Amputation Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/amputation-nursing-care-plans/

  Assess and evaluate various psychological and social factors experienced by patients with amputation. Negative feelings about the body, focusing on past strength, function, or appearance, can impact self-esteem and body image. […] Help the amputee cope with their altered body image. Amputation is a medical procedure that significantly impacts a patients body image. In order to effectively support individuals who have undergone amputation, it is crucial for nurses to establish a trusting relationship with them. […] Encourage the expression of fears, negative feelings, and grief over the loss of body parts. Venting emotions is an important step for patients in coming to terms with the reality of living without a limb. […] The nurses role in supporting patients with amputations involves promoting independence, enhancing self-worth, and facilitating the integration of the residual limb into their body image. This process may take months or even years, but looking at the stump and receiving positive comments in a normal, matter-of-fact manner can aid in acceptance. […] Encourage and provide for a visit by another amputee, especially one who is successfully rehabilitating. A peer who has been through a similar experience serves as a role model and can provide validity to comments and hope for recovery and a normal future.

• #73 Residual limb pain – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/residual-limb-pain/symptoms-causes/syc-20541403

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain gets better on its own for some people. For others, there are treatments. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain. […] Researchers are studying other ways to prevent residual limb pain after amputation.

• #74 Residual limb pain – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/residual-limb-pain/symptoms-causes/syc-20541403

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain gets better on its own for some people. For others, there are treatments. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain. […] Researchers are studying other ways to prevent residual limb pain after amputation.

• #75 After the leg amputation

  https://www.ottobock.com/en-ex/conditions/life-with-amputation/living-with-a-leg-amputation/after-the-leg-amputation

  Certain operating techniques can also help reduce residual limb pain and especially the pain originating from some nerves in the residual limb after the amputation. If possible, preventive pain therapy should commence during the operation with a local anaesthetic or begin directly after the operation to prevent the onset of pain or the development of chronic pain.

• #76 After the leg amputation

  https://www.ottobock.com/en-ex/conditions/life-with-amputation/living-with-a-leg-amputation/after-the-leg-amputation

  Certain operating techniques can also help reduce residual limb pain and especially the pain originating from some nerves in the residual limb after the amputation. If possible, preventive pain therapy should commence during the operation with a local anaesthetic or begin directly after the operation to prevent the onset of pain or the development of chronic pain.

• #77 Managing Pain After Amputation: Pain Treatment for Amputees

  https://primecareprosthetics.com/blog/post-amputation-pain-management

  Here are some practical additional tips to help manage residual limb pain and maintain mobility: Start exercises recommended by your surgeon as soon as possible. Activities like standing, walking, and muscle stretching not only promote general health but also help disrupt pain signals. […] Follow your healthcare team’s instructions for caring for your residual limb, including proper hygiene, skincare, and wound care practices. Taking proactive steps to maintain the health of your residual limb can help minimize discomfort and promote healing.

• #78 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain.

• #79 Residual limb pain | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/residual-limb-pain

  Residual limb pain is a type of pain felt in the part of an arm or leg that’s left after the arm or leg is removed, called amputation. More than half of people who have an amputation get this type of pain. Sometimes called stump pain, it may happen soon after the surgery, often within the first week. But the pain may last after healing. […] Residual limb pain affects quality of life and may get in the way of using a replacement arm or leg, called a prosthesis. People with residual limb pain may be more likely to be depressed or anxious than people who don’t have the pain. […] A replacement limb, called a prothesis, that fits well can ease pressure between the residual limb and the prothesis. This can help prevent residual limb pain. Taking good care of the skin that comes into contact with the prothesis also can help prevent residual limb pain.

• #80 Pain in the Residual Limb – Special Subjects – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/special-subjects/limb-prosthetics/pain-in-the-residual-limb

  Approximately 60% of individuals with an amputation have post-amputation pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. Residual limb pain should be evaluated and treated aggressively because some causes can be dangerous. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Some patients with a socket-secured prosthesis (SSP) experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in reduced prosthesis control, loss of function, reduced independence, and decrease in quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (eg. anxiety, depression, substance use disorders). Persistent pain is more common in patients with short remaining skeletal structures and/or soft-tissue deformities of the residual limb.

• #81 Prevalence of Phantom Limb Pain, Stump Pain, and Phantom Limb Sensation among the Amputated Cancer Patients in India: A Prospective, Observational Study – Indian Journal of Palliative Care

  https://jpalliativecare.com/prevalence-of-phantom-limb-pain-stump-pain-and-phantom-limb-sensation-among-the-amputated-cancer-patients-in-india-a-prospective-observational-study/

  The phantom limb pain (PLP) and phantom limb sensation (PLS) are very common among amputated cancer patients, and they lead to considerable morbidity. […] The prevalence of PLP was 41% at 3 and 12 months and 45.3% at 6 months, whereas that of SP and PLS was 14.4% and 71.2% at 3 months, 18.75% and 37.1% at 6 months, 15.8% and 32.4% at 12 months, respectively. […] The prevalence of PLP and PLS was higher among the cancer amputees as compared to SP, and a few risk factors responsible for their higher prevalence were found in our study. The PLP and PLS lead to considerable morbidity in terms of sleep disturbance and depression. […] The mechanism responsible for PLP and PLS is still debatable, however a lot of theories had been given. […] The prevalence and risk of developing PLP and SP with disease concern were high at 6 and 12 months, whereas the prevalence and risk for PLS were low.

• #82 Phantom limb pain: a nursing perspective

  http://journals.rcni.com/nursing-standard/phantom-limb-pain-a-nursing-perspective-ns.29.1.44.e8730

  Phantom limb pain (PLP) is a neuropathic pain condition occurring after amputation of a limb. PLP affects amputees quality of life and results in loss of productivity and psychological distress. […] It is imperative to provide patients and nurses with the knowledge that PLP is a real phenomenon that requires care and treatment. This knowledge will lead to reduced problems for patients by allowing them to talk about PLP and ask for help when needed. Understanding of this phenomenon will enable nurses to appreciate the unique features of this form of neuropathic pain and apply appropriate techniques to promote effective pain management. Performing accurate and frequent assessments to understand the unique characteristics of PLP, displaying a non-judgemental attitude towards patients and teaching throughout the peri-operative process are significant nursing interventions.

• #83 Phantom limb pain: a nursing perspective

  http://journals.rcni.com/nursing-standard/phantom-limb-pain-a-nursing-perspective-ns.29.1.44.e8730

  Phantom limb pain (PLP) is a neuropathic pain condition occurring after amputation of a limb. PLP affects amputees quality of life and results in loss of productivity and psychological distress. […] It is imperative to provide patients and nurses with the knowledge that PLP is a real phenomenon that requires care and treatment. This knowledge will lead to reduced problems for patients by allowing them to talk about PLP and ask for help when needed. Understanding of this phenomenon will enable nurses to appreciate the unique features of this form of neuropathic pain and apply appropriate techniques to promote effective pain management. Performing accurate and frequent assessments to understand the unique characteristics of PLP, displaying a non-judgemental attitude towards patients and teaching throughout the peri-operative process are significant nursing interventions.

• #84 Phantom limb pain: a nursing perspective

  http://journals.rcni.com/nursing-standard/phantom-limb-pain-a-nursing-perspective-ns.29.1.44.e8730

  Phantom limb pain (PLP) is a neuropathic pain condition occurring after amputation of a limb. PLP affects amputees quality of life and results in loss of productivity and psychological distress. […] It is imperative to provide patients and nurses with the knowledge that PLP is a real phenomenon that requires care and treatment. This knowledge will lead to reduced problems for patients by allowing them to talk about PLP and ask for help when needed. Understanding of this phenomenon will enable nurses to appreciate the unique features of this form of neuropathic pain and apply appropriate techniques to promote effective pain management. Performing accurate and frequent assessments to understand the unique characteristics of PLP, displaying a non-judgemental attitude towards patients and teaching throughout the peri-operative process are significant nursing interventions.

• #85 Phantom limb pain: a nursing perspective

  http://journals.rcni.com/nursing-standard/phantom-limb-pain-a-nursing-perspective-ns.29.1.44.e8730

  Phantom limb pain (PLP) is a neuropathic pain condition occurring after amputation of a limb. PLP affects amputees quality of life and results in loss of productivity and psychological distress. […] It is imperative to provide patients and nurses with the knowledge that PLP is a real phenomenon that requires care and treatment. This knowledge will lead to reduced problems for patients by allowing them to talk about PLP and ask for help when needed. Understanding of this phenomenon will enable nurses to appreciate the unique features of this form of neuropathic pain and apply appropriate techniques to promote effective pain management. Performing accurate and frequent assessments to understand the unique characteristics of PLP, displaying a non-judgemental attitude towards patients and teaching throughout the peri-operative process are significant nursing interventions.

• #86 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Pain is your body’s way of pointing out a problem. So don’t try to tough it out. If your pain is not lessening after treatment, say something! Don’t act brave or worry about being a pest. Medicines and other treatments can be adjusted to meet your needs. Remember: the goal is to help restore function. Pain can be a barrier to your recovery. Finding what works for you is what really matters. Work with your amputation team to resolve pain issues as they occur during your recovery.

• #87 Managing Pain After Amputation Surgery

  https://www.veteranshealthlibrary.va.gov/rehab/OccupationalTherapy/LowerLimbAmputation/142,89048_VA

  Pain is your body’s way of pointing out a problem. So don’t try to tough it out. If your pain is not lessening after treatment, say something! Don’t act brave or worry about being a pest. Medicines and other treatments can be adjusted to meet your needs. Remember: the goal is to help restore function. Pain can be a barrier to your recovery. Finding what works for you is what really matters. Work with your amputation team to resolve pain issues as they occur during your recovery.

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