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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v15.i34.70
24 pages

Chronic Pain After Lower Extremity Amputation

Joseph M. Czerniecki
Department of Rehabilitation Medicine, University of Washington, Seattle; and Veterans Administration, Research Center of Excellence, Limb Loss Prevention and Prosthetic Engineering, Veterans Affairs Puget Sound Health Care System, Seattle, WA
Dawn M. Ehde
Department of Rehabilitation Medicine, University of Washington, Seattle, WA

ABSTRACT

Pain is a common sequela of lower extremity amputation. Phantom limb pain is probably the most common pain syndrome that comes to mind when considering the spectrum of pain disorders experienced by amputees. However, in addition to this, residual limb pain and pain related to secondary musculoskeletal disorders are increasingly being recognized as important sources of nociception and pain-related disability in amputees. Although considerable research is still required to fully understand pain after amputation, this review article presents both a current understanding and a multidimensional perspective of pain in amputees and its epidemiology, pathophysiology, clinical presentation, biopsychosocial interrelationships, and management.


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