What happens in the brain to cause phantom limb syndrome?

A popular theory of the cause of phantom limb pain is faulty ‘wiring’ of the sensorimotor cortex, the part of the brain that is responsible for processing sensory inputs and executing movements. In other words, there is a mismatch between a movement and the perception of that movement.

What theory best explains phantom limb pain?

Through a principle known as ‘Hebb’s Law’ — ‘neurons that fire together, wire together’ — neurons in the sensorimotor and pain perception networks become entangled, resulting in phantom limb pain.

How might the experience of pain be involved with the phantom limb syndrome?

Pain sensations range from burning and shooting pains to feelings of tingling “pins and needles.” While phantom limb syndrome occurs only in amputees, phantom sensations may be perceived in people who have survived strokes but lost function of certain body parts or who have spinal cord injury or peripheral nerve injury …

How do you solve phantom pain?

Finding a treatment to relieve your phantom pain can be difficult. Doctors usually begin with medications and then may add noninvasive therapies, such as acupuncture. More-invasive options include injections or implanted devices. Surgery is done only as a last resort.

What are the four main theories for phantom limb pain?

Weir Mitchells phantom limbs. They are the Central or Gate theory, the Peripheral theory, and the Psychologic theory.

What is the most common cause of phantom limb pain?

Experts believe phantom pain results from a mix-up in nervous system signals, specifically between the spinal cord and brain. When a body part is amputated, the nerve connections from the periphery to the brain remain in place.

Is phantom pain somatic?

The phantom limb, however, includes other somatic and motor sensations other than pain. Here we describe the results of non-painful stimulation in cortical and subcortical lateralization and reorganization and also examine the involvement of subcortical structures in phantom limb telescoping perception.

What is neuroplasticity and what does phantom limb syndrome tell us about it?

In the 1990s researchers found that neuroplasticity—the ability of neurons in the brain to modify their connections and behaviour—could explain pain phenomena that had been observed in association with phantom limb syndrome.

What is mirror therapy for phantom limb pain?

Mirror therapy is a type of therapy that uses vision to treat the pain that people with amputated limbs sometimes feel in their missing limbs. Mirror therapy does this by tricking the brain: it gives the illusion that the missing limb is moving, as the person looks at the real, remaining limb in a mirror.

What is the treatment for phantom limb syndrome?

Medicine

  • Electrical Nerve Stimulation. Electrical nerve stimulation may help calm nerve signals.
  • Other Methods. There are no known methods to prevent this health problem. Richardson C,Kulkarni J. A review of the management of phantom limb pain: challenges and solutions.
  • What are treatment options for phantom limb pain?

    Medications. Although no medications specifically for phantom pain exist,some drugs designed to treat other conditions have been helpful in relieving nerve pain.

  • Medical therapies. As with medications,treating phantom pain with noninvasive therapies is a matter of trial and observation.
  • Surgery.
  • Potential future treatment.
  • What medication is used for phantom limb pain?

    Medications used in the treatment of phantom pain include: Over-the-counter (OTC) pain relievers. Acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) might relieve phantom pain. Take these medications only as directed by your doctor. Overuse can cause serious side effects, such as stomach bleeding.

    What causes phantom limb pain?

    Acupuncture

  • Massage of the residual limb
  • Use of a shrinker
  • Repositioning of the residual limb by propping on a pillow or cushion
  • Mirror box therapy
  • Biofeedback
  • TENS (transcutaneous electrical nerve stimulation)
  • Virtual reality therapy
  • Imagery
  • Music.