Most people who've had a limb removed report that it sometimes feels as if the amputated limb is still there. This painless phenomenon, known as phantom limb sensation, may rarely occur in people who were born without limbs.
Phantom limb sensations may include feelings of coldness, warmth, or itchiness or tingling — but should not be confused with phantom pain. Similarly, pain from the remaining stump of an amputated limb is not phantom pain. By definition, phantom pain feels as if the pain comes from a body part that no longer remains.
Characteristics of phantom pain include:
Dec. 03, 2014
- Onset within the first few days of amputation
- Comes and goes or is continuous
- Often affects the part of the limb farthest from the body, such as the foot of an amputated leg
- May be described as shooting, stabbing, boring, squeezing, throbbing or burning
- Sometimes feels as if the phantom part is forced into an uncomfortable position
May be triggered by pressure on the remaining part of the limb or emotional stress
- Angarita MA, et al. Pathophysiology and treatment of phantom limb pain. Colombian Journal of Anesthesiology. 2014;42:40.
- Vaso A, et al. Peripheral nervous system origin of phantom limb pain. Pain. 2014;155:1384.
- Niraj S, et al. Phantom limb pain and its psychologic management: A critical review. Pain Management Nursing. 2014;15:349.
- Virani A, et al. Phantom limb pain: A nursing perspective. 2014;29:44.
- Cornish P, et al. Successful peripheral neuromodulation for phantom limb pain. Pain Medicine. In press. Accessed Sept. 15, 2014.
- Virtual reality therapies for phantom limb pain. European Journal of Pain. 2014;18:897.
- Kalapatapu V. Lower extremity amputation. http://www.uptodate.com/home. Accessed Sept. 15, 2014.
- Benzon HT, et al. Practical Management of Pain. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed Sept. 16, 2014.
- Alviar MJM, et al. Pharmacologic interventions for treating phantom limb pain. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006380.pub2/abstract. Accessed Sept. 16, 2014.
- Pain: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm. Accessed Sept. 16, 2014.
- Acupuncture: What you need to know. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/introduction. Accessed Sept. 16, 2014.