Top Tweets for #PostamputationPain
๐ฆฟ ๐๐๐๐๐๐๐๐ ๐๐๐๐-๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐: ๐๐๐๐๐๐๐ ๐๐๐๐๐ ๐ฏ๐ฌ ๐๐๐๐๐ ๐๐๐๐๐๐๐ ๐ปโก
#PhantomLimbPain #StumpPain #PostAmputationPain #RegionalAnesthesia #PainMedicine #ChronicPain #MirrorTherapy #NeuropathicPain #ResidualLimbPain #Neuromodulation #MedicalEducation
#TipOfTheDay #MyRATips
๐๐ข๐ฉ ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฒ:
๐ฏ ๐๐๐ ๐๐๐๐ ๐๐๐๐๐๐๐?
โ
Post-amputation pain is common, complex, and often multifactorial
๐ป Phantom Limb Pain (PLP) = Pain perceived in the missing limb
๐ฆต Stump Pain / Residual Limb Pain (RLP) = Pain arising from the remaining limb tissues
โ ๏ธ Both may coexist, but their mechanisms, diagnosis, and management differ significantly
๐ป ๐. ๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐๐๐ (๐๐๐)
๐ง ๐๐จ๐ซ๐ ๐๐จ๐ง๐๐๐ฉ๐ญ
๐ฅ Burning pain
โก Electric shock-like sensations
๐ช Stabbing discomfort
๐ Cramping
๐ค Telescoping phenomenon (limb feels shortened)
๐งฌ ๐๐๐ฒ ๐๐๐๐ก๐๐ง๐ข๐ฌ๐ฆ๐ฌ
๐น ๐๐๐ซ๐ข๐ฉ๐ก๐๐ซ๐๐ฅ: Neuroma + ectopic discharges
๐น ๐๐ฉ๐ข๐ง๐๐ฅ: Central sensitization + NMDA activation
๐น ๐๐จ๐ซ๐ญ๐ข๐๐๐ฅ: Maladaptive remapping + pain memory
๐น ๐๐ฌ๐ฒ๐๐ก๐จ๐ฅ๐จ๐ ๐ข๐๐๐ฅ: Anxiety, depression, PTSD
๐ ๐๐๐ฃ๐จ๐ซ ๐๐ข๐ฌ๐ค ๐
๐๐๐ญ๐จ๐ซ๐ฌ
โ ๏ธ Severe pre-amputation pain
๐ฅ Traumatic amputation
โ Poor perioperative analgesia
๐ Proximal amputation
๐ Psychological distress
๐ฆต ๐. ๐๐๐๐๐ / ๐๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐๐๐
๐ ๐๐จ๐ฆ๐ฆ๐จ๐ง ๐๐๐ฎ๐ฌ๐๐ฌ
๐ฉน Surgical wound pain
๐ฆ Infection
๐ฏ Neuroma
โ๏ธ Prosthetic irritation
๐ฉธ Ischemia
๐ฆด Heterotopic ossification
๐ ๐๐ฅ๐ข๐ง๐ข๐๐๐ฅ ๐๐ฅ๐ฎ๐๐ฌ
๐ฏ Local tenderness
๐ด Trigger points
โ๏ธ Mechanical worsening
๐ฆพ Prosthesis intolerance
๐ฉน Scar abnormalities
๐ ๐. ๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐
๐น ๐๐ก๐๐ซ๐ฆ๐๐๐จ๐ฅ๐จ๐ ๐ข๐๐๐ฅ
๐ Gabapentinoids
๐ TCAs / SNRIs
๐ Ketamine
๐ Lidocaine infusions
๐ NSAIDs
๐น ๐๐๐ ๐ข๐จ๐ง๐๐ฅ ๐๐๐๐ก๐ง๐ข๐ช๐ฎ๐๐ฌ
๐ฉบ Epidural analgesia
๐ฉบ Continuous PNBs
๐ก๏ธ Pre-emptive analgesia
๐น ๐๐จ๐ง-๐๐ก๐๐ซ๐ฆ๐๐๐จ๐ฅ๐จ๐ ๐ข๐๐๐ฅ
๐ช Mirror therapy
๐ถ๏ธ Virtual reality
โก TENS
๐ง CBT
๐ Desensitization therapy
๐ฆพ Prosthetic optimization
๐น ๐๐๐ฏ๐๐ง๐๐๐ ๐๐ก๐๐ซ๐๐ฉ๐ข๐๐ฌ
๐ Spinal cord stimulation
๐ฏ DRG stimulation
๐ฌ Targeted muscle reinnervation (TMR)
๐ง Peripheral nerve stimulation
โ๏ธ ๐. ๐๐๐ ๐ฏ๐ฌ ๐๐๐
๐ป PLP = Brain-driven pain (central + peripheral sensitization)
๐ฆต RLP = Tissue-driven pain (local pathology)
๐ช Mirror therapy = Highly effective in PLP
๐ช Surgical revision = Often more useful for stump pain
๐ Regional anesthesia = Crucial preventive strategy
๐จ ๐
๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐
๐น Not all post-amputation pain is phantom.
๐ป Recognize brain-driven pain.
๐ง Phantom pain is the brain remembering
๐ฆต Stump pain is the body signaling pathology
๐ฆต Identify stump pathology.
๐ฌ TMR/RPNI are emerging game changers
๐ก๏ธ Optimal perioperative pain control may reduce chronic pain burden
๐ฏ Successful treatment demands individualized, mechanism-based therapy
๐ Treat with precision using a multimodal, multidisciplinary approach.
๐ Differentiate the ๐๐๐๐๐๐๐,
Diagnose the ๐๐๐๐๐, and
Personalize the ๐๐๐๐๐๐๐๐.

#TargetedMuscleReinnervation in the #Hand: Treatment and Prevention of #Pain After #RayAmputation
@uwsmph @WiscPlasticSurg
#DigitalNeuroma #NerveTransfers #PostamputationPain #HandSurgery #OrthoTwitter #MedTwitter
https://t.co/gUZytIRiv3
Great conversation tonight about @sprintpns. In the past few weeks Iโve seen some very happy patients that we have utilized this therapy for. Looking forward to expanding the applications of this device. #neuromodulation #backpain #postamputationpain
Neuroscience comes to Peripheral Nerve stimulation. Join us as we discuss the interaction of the PNS and CNS. Peter Staats moderates as I discuss there issues with Marc Huntoon and Steve Falowski. #neuroscience #neuromodulation @NANSRFS @IntlNeuromod

Suffering from post-amputation nerve pain? Learn more at https://t.co/m4ueXa7cN0.
#phantomlimbpain #postamputationpain #limblossawareness #LLAM

History lesson #postamputationpain. Preview @IASPCongress brilliant insights from Dr Emily Mayhew @ImperialBioeng .

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