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Review Article | Open Access

Can phantom limb pain be reduced/eliminated solely by techniques applied to peripheral nerves?

Institute of Neurobiology, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00901,USA
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Abstract

About 0.5% of the US population (1.7 million) is living with a lost limb and this number is expected to double by 2050. This number is much higher in other parts of the world. Within days to weeks of an extremity amputation, up to 80% of these individuals develop neuropathic pain presenting as phantom limb pain (PLP). The level of PLP increases significantly by one year and remains chronic and severe for about 10% of individuals. PLP has a serious negative impact on individuals’ lives. Current pain treatment therapies, such pharmacological approaches provide limited to no pain relief, some other techniques applied to the central nervous system (CNS) and peripheral nervous system (PNS) reduce or block PLP, but none produces long-term pain suppression. Therefore, new drugs or novel analgesic methods must be developed that prevent PLP from developing, or if it develops, to reduce the level of pain. This paper examines the potential causes of PLP, and present techniques used to prevent the development of PLP, or if it develops, to reduce the level of pain. Finally it presents a novel technique being developed that eliminates/reduces chronic neuropathic pain and which may induce the long-term reduction/elimination of PLP.

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Journal of Neurorestoratology
Pages 26-36

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Cite this article:
Kuffler DP. Can phantom limb pain be reduced/eliminated solely by techniques applied to peripheral nerves?. Journal of Neurorestoratology, 2019, 7(1): 26-36. https://doi.org/10.26599/JNR.2019.9040002

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Received: 16 November 2018
Accepted: 27 February 2019
Published: 30 March 2019
© The authors 2019

This article is published with open access at http://jnr.tsinghuajournals.com