Revista de la Sociedad Española del Dolor
ISSN 1134-8046
OLARRA, J. LONGARELA, A.. Chronic phantom sensation and residual limb pain 50 years after amputation. []. , 14, 6, pp.428-431. ISSN 1134-8046.
Background and objective: Residual limb pain or stump pain is defined as pain in the remaining part of an amputated limb. Patient: We present the case of a 74-year-old male patient with a history of posttraumatic transfemoral (above knee) amputation of the left lower limb who developed residual limb pain and phantom limb sensation 50 years after amputation without a clear etiology. Treatment with tricyclic antidepressants (amitriptyline), anticonvulsivants (gabapentin) and opioids (tramadol), provided a satisfactory control of pain. Conclusions: The existence of a neuromatrix initially determined genetically and later sculpted by sensory inputs (continuous nociceptive stimulation), could create what is known as the somatosensorial memory, responsible for the development of phantom limb pain.
: Amputation; Stump pain; Residual limb pain; Phantom limb pain; Phantom sensation.