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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #2 Residual Limb Pain – Special Subjects – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/special-subjects/limb-prosthetics/residual-limb-pain

  After an amputation, about 60% of people have pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Pain due to nerve damage (neuropathic pain) is common. Usually described as a shooting or burning pain, neuropathic pain typically develops within 7 days of amputation. It can go away on its own but is often long-lasting. […] Painful neuromas (noncancerous overgrowths of nerve tissue) can occur in any severed nerve (from surgery or trauma) and may cause pain that feels electrical, shooting, tingling, sharp and stabbing, or prickly. […] Some people with a traditional socket-secured prosthesis experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in having less control over the prosthesis, a loss of function, reduced independence, and a decreased quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (for example. anxiety, depression, and substance use disorders).

• #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. […] 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). […] 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. […] More than half of people with PLP also have RLP. […] In terms of pain intensity, RLP usually is not severe, and features pressing, throbbing, burning, squeezing, and stabbing sensations.

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

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

  Phantom limb pain is pain that you feel in the part of a limb that was removed after an amputation. It might seem unusual to feel pain in an area of your body that doesnt exist anymore, but the pain you feel is real. […] Phantom limb pain ranges from mild to severe and can last for seconds, hours, days or longer. A healthcare provider can help you manage phantom pain. […] Residual limb pain: This is pain that affects the remaining part of your limb (stump) thats 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 wasnt 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:

• #5 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #6 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #7 Residual limb pain | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/residual-limb-pain?content_id=CON-20442786

  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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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. […] 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.

• #8 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. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Neuropathic pain is common in patients and is usually described as a shooting or burning pain and typically develops within 7 days of amputation. It can go away on its own but is often chronic. […] Painful neuroma can occur in any severed nerve (from surgery or trauma) and may cause a focal or enlarged area of pain that can be temporarily blocked (as a diagnostic maneuver) by local anesthetic injection. […] Most patients experience phantom limb pain at some time. The phantom aspect is not the pain, which is real, but the location of the pain in a limb that has been amputated.

• #9 Residual Limb Pain – Special Subjects – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/special-subjects/limb-prosthetics/residual-limb-pain

  After an amputation, about 60% of people have pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Pain due to nerve damage (neuropathic pain) is common. Usually described as a shooting or burning pain, neuropathic pain typically develops within 7 days of amputation. It can go away on its own but is often long-lasting. […] Painful neuromas (noncancerous overgrowths of nerve tissue) can occur in any severed nerve (from surgery or trauma) and may cause pain that feels electrical, shooting, tingling, sharp and stabbing, or prickly. […] Some people with a traditional socket-secured prosthesis experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in having less control over the prosthesis, a loss of function, reduced independence, and a decreased quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (for example. anxiety, depression, and substance use disorders).

• #10 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. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Neuropathic pain is common in patients and is usually described as a shooting or burning pain and typically develops within 7 days of amputation. It can go away on its own but is often chronic. […] Painful neuroma can occur in any severed nerve (from surgery or trauma) and may cause a focal or enlarged area of pain that can be temporarily blocked (as a diagnostic maneuver) by local anesthetic injection. […] Most patients experience phantom limb pain at some time. The phantom aspect is not the pain, which is real, but the location of the pain in a limb that has been amputated.

• #11 Residual Limb Pain – The Nerve Surgery Centre

  https://nervesurgery.uk/residual-limb-pain/

  It has been observed that problematic neuromas in the amputation stump can contribute to developing of phantom limb pain, as after treatment of the neuromas the phantom limb pain improved as well. […] Phantom limb pain can be challenging to manage. The severity and duration of the pain can vary from person to person. Some people may experience occasional, mild discomfort, but many have severe, chronic pain that significantly impacts their quality of life. […] The neuroma pain is different from the phantom limb pain in that it is commonly felt in the stump rather than in the missing part of the limb. There may be areas on the stump when pressed or touched bring on the pain or worsen it and make the pain propagate up the remaining part of the limb or down to the missing part of the limb. The character of the pain is electric-shock-like, burning, tingling or shooting.

• #12 Dolor de la extremidad residual

  https://www.mayoclinic.org/es/diseases-conditions/residual-limb-pain/symptoms-causes/syc-20541403?p=1

  Residual limb pain, sometimes called stump pain, is a type of pain felt in the part of a limb that remains after an amputation. It occurs in about half of people who have had an amputation. It may occur soon after the surgery, often within the first week, but may also last beyond healing. Residual limb pain usually isn’t severe, but it may feel: […] Residual limb pain symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: […] 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.

• #13 What is Phantom Limb Pain? – Southern Pain and Neurological

  https://southernpainclinic.com/blog/what-is-phantom-limb-pain/

  Phantom limb pain is pain in an area where there has been an amputation. The pain can be minor and go away on its own with the symptoms decreasing over time. However, phantom limb pain can be extremely debilitating and can lead to chronic pain. When the pain is consistent and continual for more than 6 months, the chances of your phantom limb pain disappearing on its own is slim-to-none. […] The pain is real and not just a psychological phenomenon. […] Damaged nerve endings and scar tissue at the amputation site contribute to phantom limb pain. Sometimes the physical memory of the limb can invoke pain, as that sensory information has been retained.

• #14 Amputation pain

  https://www.neuromodulation.com/amputation-pain

  Post-amputation pain occurs in approximately 60 to 70% of patients, often arising weeks or months after a limb has been removed due to accident, injury, or disease. Pain following an amputation may develop as either residual limb pain, phantom limb pain, or phantom limb sensation. Residual limb pain is pain or discomfort experienced in or at the stump of the amputated limb. The pain is often described as aching, throbbing, shooting, cramping, or burning. […] Stump pain is common in the early post-amputation period but diminishes as healing occurs. In 5 to 10% of patients, stump pain persists and can even get worse over time. Stump pain and phantom pain are interconnected. A significant association has been found between stump pain and phantom limb pain. […] In 2015, dorsal root ganglion (DRG) stimulation in eight patients with amputation pain was reported to reduce phantom limb and residual limb pain by 53%; one individual reported a complete resolution of pain at 9 months.

• #15 Phantom pain – Wikipedia

  https://en.wikipedia.org/wiki/Phantom_pain

  Phantom pain is a painful perception that an individual experiences relating to a limb or an organ that is not physically part of the body, either because it was removed or was never there in the first place. […] Residual limb pain, also referred to as stump pain, is a painful perception that originates from the residual limb, or stump, itself. […] Although these are different clinical conditions, individuals with phantom pain are more likely to concomitantly experience residual limb pain as well. […] The symptomatic course of phantom pain is widely variable, but the onset often presents within the first week after amputation. […] The duration of symptoms varies among individuals, with some reporting decreased pain over time and others reporting a more stable or even increasing trajectory.

• #16 What is Phantom Limb Pain? – Southern Pain and Neurological

  https://southernpainclinic.com/blog/what-is-phantom-limb-pain/

  Phantom limb pain is pain in an area where there has been an amputation. The pain can be minor and go away on its own with the symptoms decreasing over time. However, phantom limb pain can be extremely debilitating and can lead to chronic pain. When the pain is consistent and continual for more than 6 months, the chances of your phantom limb pain disappearing on its own is slim-to-none. […] The pain is real and not just a psychological phenomenon. […] Damaged nerve endings and scar tissue at the amputation site contribute to phantom limb pain. Sometimes the physical memory of the limb can invoke pain, as that sensory information has been retained.

• #17 Phantom Limb Pain Symptoms and Treatment – WAISMANN METHOD®

  https://www.opiates.com/opiates-blog/phantom-limb-pain

  People who have had a limb amputated often report feeling moderate to severe pain in the area where the limb had been. For many people, this pain decreases with time, but the longer it goes, the more likely it is to stay. […] The reason phantom limb pain happens is that nerve endings at the site of the amputation continue to send pain signals to the brain. The brain then believes the limb is still present. […] Pain is not the only sensation that patients may feel after an amputation. People may feel hot or cold sensations, aching, tingling, pricking, itching or cramps in the area where the limb has been removed. […] Phantom limb pain is a very real phenomenon and some experts say that half or more than half of people whove had a limb amputated will experience this pain.

• #18 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. Post-amputation pain, categorized as phantom pain or stump pain, can be a challenging condition to treat. […] Stump pain, also called residual limb pain, is a type of pain felt in the part of a limb that remains after an amputation. It occurs in about half of people within the first week following an amputation but also may last beyond healing. […] 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. Stump pain eventually improves without treatment in about half of the patients. Pain relief options include medications (pain relievers, antidepressants, and anticonvulsants), physical and occupational therapy, massage, hypnosis, nerve blocks, and neuromodulation.

• #19 What is Phantom Limb Pain? – Southern Pain and Neurological

  https://southernpainclinic.com/blog/what-is-phantom-limb-pain/

  Phantom limb pain is pain in an area where there has been an amputation. The pain can be minor and go away on its own with the symptoms decreasing over time. However, phantom limb pain can be extremely debilitating and can lead to chronic pain. When the pain is consistent and continual for more than 6 months, the chances of your phantom limb pain disappearing on its own is slim-to-none. […] The pain is real and not just a psychological phenomenon. […] Damaged nerve endings and scar tissue at the amputation site contribute to phantom limb pain. Sometimes the physical memory of the limb can invoke pain, as that sensory information has been retained.

• #20 Phantom Limb Pain – Texas Prosthetic Systems

  https://www.txprosthetics.com/phantom-limb-pain/

  Phantom pain is a term used to describe sensations felt by amputees, which may include: burning, tingling, itching, cramping, pins-and-needles sensation, stabbing pain, pressure or limb feeling swollen. […] New amputees tend to have frequent and intense sensations several times a day, often for a few hours at a time. As time passes, sensations will generally become less frequent and less intense, and bouts of pain will last for a shorter period of time. […] Phantom Pain can flare up due to stimulation or pressure on the residual limb, back pain, illness, changes in weather, stress, and inactivity. […] Desensitization develops tolerance for the residual limb, and also decreases Phantom Pain symptoms. […] Numerous studies have supported the benefits of application of gradual compression garments to reduce Phantom Pains.

• #21 Phantom Limb Pain: Causes, Symptoms & Management Strategies

  https://www.truemeds.in/diseases/bone-conditions/phantom-limb-pain-48

  Phantom pain can manifest in various forms and intensities, accompanied by a range of sensory experiences. Some common symptoms include: […] Several factors can exacerbate phantom pain, such as fatigue, pressure on the stump, changes in weather, stress, infection, poorly fitting prosthetic devices, poor blood flow, and swelling in the residual limb. […] The duration and intensity of phantom pain can vary significantly, lasting from seconds to minutes, hours, or even days. The pain may be episodic or continuous and can range from mild to severe, often fluctuating over time. […] Phantom limb pain can give rise to several complications that further impact an individual’s quality of life: […] Recognising and addressing these potential complications is crucial for providing comprehensive care to individuals experiencing phantom limb pain. […] Phantom limb pain treatment may involve: […] Current treatment options for phantom limb pain include medications, mirror therapy, acupuncture, physical therapy, and lifestyle modifications such as stress management and regular exercise.

• #22 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #23 Residual Limb Pain – Special Subjects – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/special-subjects/limb-prosthetics/residual-limb-pain

  After an amputation, about 60% of people have pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Pain due to nerve damage (neuropathic pain) is common. Usually described as a shooting or burning pain, neuropathic pain typically develops within 7 days of amputation. It can go away on its own but is often long-lasting. […] Painful neuromas (noncancerous overgrowths of nerve tissue) can occur in any severed nerve (from surgery or trauma) and may cause pain that feels electrical, shooting, tingling, sharp and stabbing, or prickly. […] Some people with a traditional socket-secured prosthesis experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in having less control over the prosthesis, a loss of function, reduced independence, and a decreased quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (for example. anxiety, depression, and substance use disorders).

• #24 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

  Phantom limb pain is often more severe soon after the amputation, then decreases over time. […] 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. […] 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.

• #25 Phantom Limb Symptoms, Causes, and Treatments

  https://www.verywellhealth.com/spotlight-on-phantom-pain-2564569

  Chronic pain can affect every aspect of your life, impacting your job, your relationships, and your ability to enjoy your passions. […] There are now pain specialists who specialize in treatment of difficult-to-manage pain such as phantom limb pain. […] Some people have found that keeping a pain journal is helpful in learning what helps, and what does not, as various modalities are tried, as many of the methods may blend together as you look back.

• #26 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #27 Residual Limb Pain – Special Subjects – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/special-subjects/limb-prosthetics/residual-limb-pain

  After an amputation, about 60% of people have pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Pain due to nerve damage (neuropathic pain) is common. Usually described as a shooting or burning pain, neuropathic pain typically develops within 7 days of amputation. It can go away on its own but is often long-lasting. […] Painful neuromas (noncancerous overgrowths of nerve tissue) can occur in any severed nerve (from surgery or trauma) and may cause pain that feels electrical, shooting, tingling, sharp and stabbing, or prickly. […] Some people with a traditional socket-secured prosthesis experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in having less control over the prosthesis, a loss of function, reduced independence, and a decreased quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (for example. anxiety, depression, and substance use disorders).

• #28 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

  Phantom limb pain is often more severe soon after the amputation, then decreases over time. […] 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. […] 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.

• #29 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. […] 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). […] 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. […] More than half of people with PLP also have RLP. […] In terms of pain intensity, RLP usually is not severe, and features pressing, throbbing, burning, squeezing, and stabbing sensations.

• #30

  https://journals.lww.com/painrpts/fulltext/2021/01000/clinical_updates_on_phantom_limb_pain.7.aspx

  Clinically, PLP is often projected to the distal parts of the missing limb (eg, foot, toes, hand, or fingers), which might be related to the larger representation of distal body parts in the somatosensory cortex compared with the proximal limb. Patients often describe PLP with characteristics typically associated with neuropathic pain (burning, stabbing, and pricking). Although PLP is usually classified as neuropathic, patients often describe their pain with terms, suggesting more nociceptive pain experiences such as squeezing or crushing of the hand, finger, or toe, as if a car is driving over the foot etc. Perception of the limb may also change over time, with effects such as telescoping (feeling that the phantom limb is gradually shrinking/shortening over time). […] In the immediate postamputation period, about 50% of patients experience amputation residual limb pain (RLP). There is a strong correlation between RLP and PLP: patients affected with PLP show a higher presence of RLP in comparison to patients without PLP. In some patients, RLP persists or develops in the context of wound healing disorders, osteitis, osteomyelitis, local circulatory disorders, neuroma, hematoma, or seroma. Residual limb pain is also associated with inappropriate preparation of the stump (eg, unfavorable formation of the bony stump end), inaccurate alignment of bone lengths in stumps with 2 or more bones (eg, metatarsus, lower leg, or forearm), and missing fat pad under mesh-graft after surgical treatment of soft tissue injuries resulting in improper fit of the prosthesis. In addition, structural changes of the stump and its surrounding tissue can develop over time, such as bony extractions, exostosis, disturbing scar tissue, surplus skin, reduced soft tissue covering of the stump due to lack of pretension of the musculature or muscle atrophy, and onset of (pseudo) bursae due to mechanic stress or skin lesions through the prosthesis. Neuromas can not only trigger PLP but can also cause localized allodynia, hyperalgesia, and pain hindering prosthesis use.

• #31 Residual Limb Pain – The Nerve Surgery Centre

  https://nervesurgery.uk/residual-limb-pain/

  It is important to note that neuroma pain and phantom limb pain often exist together and neuroma pain may be driving the phantom limb pain. […] Pain in the amputation stump is a challenging problem which requires a team approach to deal with it. If you are experiencing pain after an amputation, it is important to discuss your symptoms with your healthcare provider to determine the best course of treatment for you. With the right approach, it is possible to manage the pain and improve your overall quality of life.

• #32 Phantom limb pain, stump pain | Neurosurgery Inselspital Bern

  https://neurochirurgie.insel.ch/en/diseases-specialities/functional-neurosurgery-and-pain-syndromes/pain-syndromes/phantom-limb-pain-and-residual-limb-pain

  Phantom limb pain is a sensation of pain in an amputated limb although it is no longer physically part of the body. […] To be distinguished from this is residual limb pain or stump pain, which occurs directly at the amputation stump after an amputation and has a specific underlying physical cause. […] Stump pain fundamentally differs from phantom limb pain, both in terms of its mechanisms of origin and its therapy. Stump pain is pain that occurs directly at the amputation stump, often due to wound pain, bruising, infection, or poorly adapted prostheses. Stump pain usually occurs shortly after amputation. However, about 5-10% of patients suffer from chronic stump pain after amputation. […] If stump pain persists weeks after an amputation, it is important to look for a cause of the pain. The most common causes are: infections, amputation neuroma, heterotopic bone formation, wound dehiscence and bruising, poorly fitting prostheses.

• #33 Phantom Limb Pain – StatPearls – NCBI Bookshelf

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

  Treatment for RLP tends to focus on an organic cause for the pain, PLP focuses on symptomatic control. […] Most patients are prescribed multiple agents to control pain, but tragically, this polypharmacy also has serious adverse effects that tend to lower compliance. […] The outcomes for most patients are guarded and the quality of life is poor.

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

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

  Phantom limb pain is pain that you feel in the part of a limb that was removed after an amputation. It might seem unusual to feel pain in an area of your body that doesnt exist anymore, but the pain you feel is real. […] Phantom limb pain ranges from mild to severe and can last for seconds, hours, days or longer. A healthcare provider can help you manage phantom pain. […] Residual limb pain: This is pain that affects the remaining part of your limb (stump) thats 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 wasnt 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:

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

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

  You can experience residual limb pain at the same time as phantom limb pain. […] Each persons pain is different. Most people experience phantom limb pain for the first six months after an amputation and it usually reduces as your body adjusts to the change. Treatment is available to minimize the impact that phantom pain has on your life.

• #36 Phantom Pain | PM&R KnowledgeNow

  https://now.aapmr.org/phantom-pain/

  Research suggests that duration and intensity of pre-amputation pain and perioperative pain are predictors of future phantom pain, with longer duration and greater severity leading to a greater risk of future development of phantom pain. […] Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation.

• #37 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

  Additionally, people who had pain or other sensations in their limb before amputation such as pain related to an injury, or tingling and numbness due to a vascular or neurologic condition are more likely to experience those same sensations after the limb has been amputated. […] 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.

• #38 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

  Phantom limb pain is often more severe soon after the amputation, then decreases over time. […] 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. […] 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.

• #39 Phantom pain – Wikipedia

  https://en.wikipedia.org/wiki/Phantom_pain

  Overall, the sensations may be triggered by pressure on the remaining part of the limb, emotional stress, or changes in temperature. […] It has also been reported that individuals with a prior history of chronic pain, anxiety, or depression are more likely to develop phantom pain than those without these risk factors. […] More than half the people that experience phantom pain would also experience residual limb pain.

• #40 Phantom Limb Pain – Novus Spine & Pain Center

  https://novusspinecenter.com/pain-conditions/phantom-limb-pain

  Its difficult to identify the frequency of phantom limb pain because patients are usually reluctant to report it. […] Some factors that may increase the risk of phantom limb pain include: Pain before amputation. Researchers have found that if pain was present in a limb before amputation, patients are more likely to have pain afterward, especially immediately after amputation. […] If a person experiences pain in a limb scheduled for amputation, there is a greater risk of developing phantom pain after the amputation.

• #41 Phantom pain – Wikipedia

  https://en.wikipedia.org/wiki/Phantom_pain

  Overall, the sensations may be triggered by pressure on the remaining part of the limb, emotional stress, or changes in temperature. […] It has also been reported that individuals with a prior history of chronic pain, anxiety, or depression are more likely to develop phantom pain than those without these risk factors. […] More than half the people that experience phantom pain would also experience residual limb pain.

• #42 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. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Neuropathic pain is common in patients and is usually described as a shooting or burning pain and typically develops within 7 days of amputation. It can go away on its own but is often chronic. […] Painful neuroma can occur in any severed nerve (from surgery or trauma) and may cause a focal or enlarged area of pain that can be temporarily blocked (as a diagnostic maneuver) by local anesthetic injection. […] Most patients experience phantom limb pain at some time. The phantom aspect is not the pain, which is real, but the location of the pain in a limb that has been amputated.

• #43 Residual Limb Pain – The Nerve Surgery Centre

  https://nervesurgery.uk/residual-limb-pain/

  Residual Limb PainTomas Madura2024-11-02T18:02:31+00:00 […] Pain after limb amputation is a common complication that affects many people who have undergone amputation. It has to be actively managed to optimise function in the remaining limb, otherwise it will become an insurmountable obstacle in rehabilitation and returning back to normal life. […] Phantom limb pain is a pain felt in the missing part of the limb after it has been amputated. About 75-80% of amputees experience this type of pain at some point after the amputation. The pain may be severe enough to disrupt sleep, cause low mood and decrease the quality of life. […] The exact cause of phantom limb pain is not well understood, but it is thought to be related to changes in the brain and nervous system that occur after amputation. Factors that may contribute to the development of phantom limb pain include the type and location of the amputation, the amount of pain experienced before the amputation, and the individuals emotional and psychological state.

• #44 Advancing innovative techniques for managing post-limb loss pain

  https://kennedyslaw.com/en/thought-leadership/article/2023/advancing-innovative-techniques-for-managing-post-limb-loss-pain/

  Phantom limb pain is a perception of pain that can occur in any part of the body that no longer exists. Phantom limb pain is perceived to originate from the lost limb, beyond the level of the amputation. […] There is a spectrum of phantom limb symptoms from non-painful to painful. Non-painful symptoms include tingling, numbness, itchiness and heat. Painful symptoms, on the other hand, encompass burning, cramping, throbbing and shooting or stabbing pain. […] Phantom limb pain is one such challenge; for example, one presenter referred to studies which suggested that 95% of amputees suffered from either residual limb pain or phantom limb pain. […] The symptoms can vary drastically but, in some cases, it can be a potential barrier to prosthetic rehabilitation and therefore limit mobility and independence.

• #45 Phantom Limb Pain – StatPearls – NCBI Bookshelf

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

  Treatment for RLP tends to focus on an organic cause for the pain, PLP focuses on symptomatic control. […] Most patients are prescribed multiple agents to control pain, but tragically, this polypharmacy also has serious adverse effects that tend to lower compliance. […] The outcomes for most patients are guarded and the quality of life is poor.

• #46 Phantom Limb Pain – StatPearls – NCBI Bookshelf

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

  Treatment for RLP tends to focus on an organic cause for the pain, PLP focuses on symptomatic control. […] Most patients are prescribed multiple agents to control pain, but tragically, this polypharmacy also has serious adverse effects that tend to lower compliance. […] The outcomes for most patients are guarded and the quality of life is poor.

• #47

  https://journals.lww.com/painrpts/fulltext/2021/01000/clinical_updates_on_phantom_limb_pain.7.aspx

  Clinically, PLP is often projected to the distal parts of the missing limb (eg, foot, toes, hand, or fingers), which might be related to the larger representation of distal body parts in the somatosensory cortex compared with the proximal limb. Patients often describe PLP with characteristics typically associated with neuropathic pain (burning, stabbing, and pricking). Although PLP is usually classified as neuropathic, patients often describe their pain with terms, suggesting more nociceptive pain experiences such as squeezing or crushing of the hand, finger, or toe, as if a car is driving over the foot etc. Perception of the limb may also change over time, with effects such as telescoping (feeling that the phantom limb is gradually shrinking/shortening over time). […] In the immediate postamputation period, about 50% of patients experience amputation residual limb pain (RLP). There is a strong correlation between RLP and PLP: patients affected with PLP show a higher presence of RLP in comparison to patients without PLP. In some patients, RLP persists or develops in the context of wound healing disorders, osteitis, osteomyelitis, local circulatory disorders, neuroma, hematoma, or seroma. Residual limb pain is also associated with inappropriate preparation of the stump (eg, unfavorable formation of the bony stump end), inaccurate alignment of bone lengths in stumps with 2 or more bones (eg, metatarsus, lower leg, or forearm), and missing fat pad under mesh-graft after surgical treatment of soft tissue injuries resulting in improper fit of the prosthesis. In addition, structural changes of the stump and its surrounding tissue can develop over time, such as bony extractions, exostosis, disturbing scar tissue, surplus skin, reduced soft tissue covering of the stump due to lack of pretension of the musculature or muscle atrophy, and onset of (pseudo) bursae due to mechanic stress or skin lesions through the prosthesis. Neuromas can not only trigger PLP but can also cause localized allodynia, hyperalgesia, and pain hindering prosthesis use.

• #48

  https://journals.lww.com/painrpts/fulltext/2021/01000/clinical_updates_on_phantom_limb_pain.7.aspx

  Clinically, PLP is often projected to the distal parts of the missing limb (eg, foot, toes, hand, or fingers), which might be related to the larger representation of distal body parts in the somatosensory cortex compared with the proximal limb. Patients often describe PLP with characteristics typically associated with neuropathic pain (burning, stabbing, and pricking). Although PLP is usually classified as neuropathic, patients often describe their pain with terms, suggesting more nociceptive pain experiences such as squeezing or crushing of the hand, finger, or toe, as if a car is driving over the foot etc. Perception of the limb may also change over time, with effects such as telescoping (feeling that the phantom limb is gradually shrinking/shortening over time). […] In the immediate postamputation period, about 50% of patients experience amputation residual limb pain (RLP). There is a strong correlation between RLP and PLP: patients affected with PLP show a higher presence of RLP in comparison to patients without PLP. In some patients, RLP persists or develops in the context of wound healing disorders, osteitis, osteomyelitis, local circulatory disorders, neuroma, hematoma, or seroma. Residual limb pain is also associated with inappropriate preparation of the stump (eg, unfavorable formation of the bony stump end), inaccurate alignment of bone lengths in stumps with 2 or more bones (eg, metatarsus, lower leg, or forearm), and missing fat pad under mesh-graft after surgical treatment of soft tissue injuries resulting in improper fit of the prosthesis. In addition, structural changes of the stump and its surrounding tissue can develop over time, such as bony extractions, exostosis, disturbing scar tissue, surplus skin, reduced soft tissue covering of the stump due to lack of pretension of the musculature or muscle atrophy, and onset of (pseudo) bursae due to mechanic stress or skin lesions through the prosthesis. Neuromas can not only trigger PLP but can also cause localized allodynia, hyperalgesia, and pain hindering prosthesis use.

• #49

  https://journals.lww.com/painrpts/fulltext/2021/01000/clinical_updates_on_phantom_limb_pain.7.aspx

  Clinically, PLP is often projected to the distal parts of the missing limb (eg, foot, toes, hand, or fingers), which might be related to the larger representation of distal body parts in the somatosensory cortex compared with the proximal limb. Patients often describe PLP with characteristics typically associated with neuropathic pain (burning, stabbing, and pricking). Although PLP is usually classified as neuropathic, patients often describe their pain with terms, suggesting more nociceptive pain experiences such as squeezing or crushing of the hand, finger, or toe, as if a car is driving over the foot etc. Perception of the limb may also change over time, with effects such as telescoping (feeling that the phantom limb is gradually shrinking/shortening over time). […] In the immediate postamputation period, about 50% of patients experience amputation residual limb pain (RLP). There is a strong correlation between RLP and PLP: patients affected with PLP show a higher presence of RLP in comparison to patients without PLP. In some patients, RLP persists or develops in the context of wound healing disorders, osteitis, osteomyelitis, local circulatory disorders, neuroma, hematoma, or seroma. Residual limb pain is also associated with inappropriate preparation of the stump (eg, unfavorable formation of the bony stump end), inaccurate alignment of bone lengths in stumps with 2 or more bones (eg, metatarsus, lower leg, or forearm), and missing fat pad under mesh-graft after surgical treatment of soft tissue injuries resulting in improper fit of the prosthesis. In addition, structural changes of the stump and its surrounding tissue can develop over time, such as bony extractions, exostosis, disturbing scar tissue, surplus skin, reduced soft tissue covering of the stump due to lack of pretension of the musculature or muscle atrophy, and onset of (pseudo) bursae due to mechanic stress or skin lesions through the prosthesis. Neuromas can not only trigger PLP but can also cause localized allodynia, hyperalgesia, and pain hindering prosthesis use.

• #50

  https://journals.lww.com/painrpts/fulltext/2021/01000/clinical_updates_on_phantom_limb_pain.7.aspx

  Clinically, PLP is often projected to the distal parts of the missing limb (eg, foot, toes, hand, or fingers), which might be related to the larger representation of distal body parts in the somatosensory cortex compared with the proximal limb. Patients often describe PLP with characteristics typically associated with neuropathic pain (burning, stabbing, and pricking). Although PLP is usually classified as neuropathic, patients often describe their pain with terms, suggesting more nociceptive pain experiences such as squeezing or crushing of the hand, finger, or toe, as if a car is driving over the foot etc. Perception of the limb may also change over time, with effects such as telescoping (feeling that the phantom limb is gradually shrinking/shortening over time). […] In the immediate postamputation period, about 50% of patients experience amputation residual limb pain (RLP). There is a strong correlation between RLP and PLP: patients affected with PLP show a higher presence of RLP in comparison to patients without PLP. In some patients, RLP persists or develops in the context of wound healing disorders, osteitis, osteomyelitis, local circulatory disorders, neuroma, hematoma, or seroma. Residual limb pain is also associated with inappropriate preparation of the stump (eg, unfavorable formation of the bony stump end), inaccurate alignment of bone lengths in stumps with 2 or more bones (eg, metatarsus, lower leg, or forearm), and missing fat pad under mesh-graft after surgical treatment of soft tissue injuries resulting in improper fit of the prosthesis. In addition, structural changes of the stump and its surrounding tissue can develop over time, such as bony extractions, exostosis, disturbing scar tissue, surplus skin, reduced soft tissue covering of the stump due to lack of pretension of the musculature or muscle atrophy, and onset of (pseudo) bursae due to mechanic stress or skin lesions through the prosthesis. Neuromas can not only trigger PLP but can also cause localized allodynia, hyperalgesia, and pain hindering prosthesis use.

• #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

  Phantom limb pain is often more severe soon after the amputation, then decreases over time. […] 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. […] 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.

• #52 Phantom Limb Pain – Los Angeles Pain Associates

  https://lapainassociates.com/conditions/phantom-limb-pain/

  Individuals who experienced significant pain in a limb prior to amputation are more likely to experience phantom limb pain. […] This may be the result of the brain retaining the memory of the pre-surgical pain and continuing to send pain signals. […] Individuals with stump pain caused by damaged nerve endings typically also experience phantom limb pain. […] An artificial limb that does not fit properly may irritate nerve endings and contribute to phantom limb pain.

• #53 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

  An amputee whom Hansen cared for did not have residual pain for about eight years following a leg amputation due to a traumatic injury. However, during a clinic visit, the amputee reported burning and tingling pain that may have been caused by a neuroma forming off his sciatic nerve. He was treated for delayed stump pain using therapies of medicine, injections, and ultrasonography-guided radiofrequency ablation to relieve post-amputation pain. Hansen found that a combination of strategies such as these has worked to relieve the amputees occasional residual pain when it reoccurs.

• #54 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

  An amputee whom Hansen cared for did not have residual pain for about eight years following a leg amputation due to a traumatic injury. However, during a clinic visit, the amputee reported burning and tingling pain that may have been caused by a neuroma forming off his sciatic nerve. He was treated for delayed stump pain using therapies of medicine, injections, and ultrasonography-guided radiofrequency ablation to relieve post-amputation pain. Hansen found that a combination of strategies such as these has worked to relieve the amputees occasional residual pain when it reoccurs.

• #55 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #56 Residual limb pain | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/residual-limb-pain?content_id=CON-20442786

  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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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. […] 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.

• #57 What is Phantom Limb Pain? – Southern Pain and Neurological

  https://southernpainclinic.com/blog/what-is-phantom-limb-pain/

  Phantom limb pain is pain in an area where there has been an amputation. The pain can be minor and go away on its own with the symptoms decreasing over time. However, phantom limb pain can be extremely debilitating and can lead to chronic pain. When the pain is consistent and continual for more than 6 months, the chances of your phantom limb pain disappearing on its own is slim-to-none. […] The pain is real and not just a psychological phenomenon. […] Damaged nerve endings and scar tissue at the amputation site contribute to phantom limb pain. Sometimes the physical memory of the limb can invoke pain, as that sensory information has been retained.

• #58 Phantom Limb Pain – Texas Prosthetic Systems

  https://www.txprosthetics.com/phantom-limb-pain/

  Phantom pain is a term used to describe sensations felt by amputees, which may include: burning, tingling, itching, cramping, pins-and-needles sensation, stabbing pain, pressure or limb feeling swollen. […] New amputees tend to have frequent and intense sensations several times a day, often for a few hours at a time. As time passes, sensations will generally become less frequent and less intense, and bouts of pain will last for a shorter period of time. […] Phantom Pain can flare up due to stimulation or pressure on the residual limb, back pain, illness, changes in weather, stress, and inactivity. […] Desensitization develops tolerance for the residual limb, and also decreases Phantom Pain symptoms. […] Numerous studies have supported the benefits of application of gradual compression garments to reduce Phantom Pains.

• #59 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 symptoms can begin soon after surgery. Or they can start more than two years after the amputation. The type of pain may depend on the cause. People most often feel the pain at the end of the stump. Pain may feel like: Prickling. Throbbing. Burning. Squeezing. Stabbing. Cramping. […] 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.

• #60 Residual Limb Pain – Special Subjects – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/special-subjects/limb-prosthetics/residual-limb-pain

  After an amputation, about 60% of people have pain in the residual limb, which can severely limit function, impair quality of life, and significantly impede rehabilitation. […] Persistent residual limb pain is a chronic condition that differs from phantom limb pain and phantom limb sensation. […] Pain due to nerve damage (neuropathic pain) is common. Usually described as a shooting or burning pain, neuropathic pain typically develops within 7 days of amputation. It can go away on its own but is often long-lasting. […] Painful neuromas (noncancerous overgrowths of nerve tissue) can occur in any severed nerve (from surgery or trauma) and may cause pain that feels electrical, shooting, tingling, sharp and stabbing, or prickly. […] Some people with a traditional socket-secured prosthesis experience chronic, recurring residual limb pain caused by chronic skin irritation from sweating and pressure/friction ulcers. This results in having less control over the prosthesis, a loss of function, reduced independence, and a decreased quality of life. Persistent pain can affect sleep, increase stress levels, and increase mental health problems (for example. anxiety, depression, and substance use disorders).

• #61 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

  Phantom limb pain is often more severe soon after the amputation, then decreases over time. […] 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. […] 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.

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