Talk:Phantom pain

Untitled
I've heard stories about sufferers of phantom limb pain getting around it by being more careful with their prosthetics - not banging them against things. Any reliable accounts thereof?Kalaong (talk) 09:28, 5 December 2010 (UTC)

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 25 January 2021 and 26 April 2021. Further details are available on the course page. Student editor(s): Rhs2x.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 09:18, 18 January 2022 (UTC)

Mixed reality for Managing Phantom Pain
Research article, 2017; newspaper article, 2022 Mapsax (talk) 01:07, 8 December 2022 (UTC)

Work Plan
Lead/Summary: Include information about distinctions from phantom limb sensation and residual limb pain. Add information about phantom tongue pain. Check/update citations if necessary.

Signs and symptoms: Include additional information about duration, timing, and frequency of symptoms not currently addressed.

Causes: Add section

Pathophysiology: Update information about the peripheral, spinal, and central etiologies of phantom pain. Check/update citations if necessary.

Diagnosis: Add section describing that this condition is a clinical diagnosis.

Management: Add information about pharmacological treatments. In addition to mirror therapy, add additional information about other management options, including graded motor imagery and motor execution with biofeedback. Consider adding section on psychotherapy. Check/update citations if necessary.

Epidemiology: Update information on epidemiology of phantom pain.

Society and culture: Consider adding section detailing the physical and emotional impacts of phantom pain. Umc1640F (talk) 17:16, 11 January 2024 (UTC)


 *  Peer Review 
 * Hello! I think you did a really great job working on this article. As a whole, you achieved your edits and made the article flow really well. Below, I've listed some small edits/suggestions that I found along the way while reading. It looks like a lot, but I copied over quotes from the article to make it easier for you to locate!
 * In Pathophysiology Section: These few sentences aren’t quite clear because there’s a lot of “this” used and the sentences are pretty general, forcing the reader to come to a conclusion that isn’t clearly stated. I understood what it was saying after a couple of reads, but it wasn’t clear like the other sections: “This is because patients with congenital limb deficiency can sometimes, although much less frequently, experience phantom pains.[15] This suggests that there is also a central representation of the limb responsible for generating painful sensations.[17] Currently, theories are based on altered neurological pathways within the peripheral nervous system and spinal cord, as well as cortical reorganization within the brain.”
 * In Spinal mechanisms Section: I think this would be a good place to put in a general picture of a spinal cord with the horns or, if possible, a depiction of a normal pain response through the spinal cord
 * In central mechanisms section: Should this say lost limb? “…and primary motor cortices representing the loss limb…”
 * Diagnosis: If possible, I would add another source or 2 for the diagnostic section. Last sentence of the paragraph also needs a citation. Otherwise, well written.
 * Management: Citations missing after claims (ex: first paragraph). Similar to above, if possible, add a couple more sources. Otherwise, well written.
 * Mirror Therapy Section: Maybe paraphrase the following quote: “‘Research evidence suggests that a course of treatment (four weeks) of mirror therapy may reduce chronic pain. Contraindications and side effects are few. The mechanism of action of mirror therapy remains uncertain, with reintegration of motor and sensory systems, restored body image and control over fear-avoidance likely to influence outcome. The evidence for clinical efficacy of mirror therapy is encouraging, but not yet definitive. Nevertheless, mirror therapy is inexpensive, safe and easy for the patient to self-administer.’”
 * Same as above with this quote: “‘From these 15 studies, the reviewers concluded that "MT seems to be effective in relieving PLP, reducing the intensity and duration of daily pain episodes. It is a valid, simple, and inexpensive treatment for PLP.’”
 * Deep Brain Stimulation: Are there meta-analyses or systemic reviews on this? If so, I’d include that over the description of a singular study; however, if not, disregard
 * Psyched 2024 (talk) 18:32, 31 January 2024 (UTC)

Wiki Education assignment: WikiProject Medicine Winter 2024 UCF COM
— Assignment last updated by Umc1640F (talk) 17:58, 11 January 2024 (UTC)

Edits - Input Wanted
Hi all, I am considering deleting this entire section. The first 2 bullet points are referring to phantom limb sensation, not phantom pain. The second 2 bullet points are expanding upon the type of pain a person may experience, which has already been described.

Thoughts?

Types[edit]
There are various types of sensations that may be felt:


 * Sensations related to the phantom limb's posture, length and volume e.g. feeling that the phantom limb is behaving just like a normal limb like sitting with the knee bent or feeling that the phantom limb is as heavy as the other limb. Sometimes, an amputee will experience a sensation called telescoping, the feeling that the phantom limb is gradually shortening over time.
 * Sensations of movement (e.g. feeling that the phantom foot is moving).
 * Sensations of touch, temperature, pressure and itchiness. Many amputees report of feeling heat, tingling, itchiness, and pain.
 * In less severe cases where small digits are amputated, the sensation can be described as a tingling feeling as opposed to a painful sensation.

Umc1640F (talk) 23:15, 11 January 2024 (UTC)