DOI QR코드

DOI QR Code

A case report of a Phantom Limb Pain (PLP) patient treated with integrative Korean and Western medicine

  • Lee, Heun Ju (Dept. of Acupuncture & Moxibustion Medicine, Samse Korean Medical Hospital) ;
  • Baek, Ji Young (Dept. of Acupuncture & Moxibustion Medicine, Samse Korean Medical Hospital) ;
  • Ahn, Chang Beohm (Dept. of Acupuncture & Moxibustion Medicine, Samse Korean Medical Hospital)
  • Received : 2017.04.12
  • Accepted : 2017.07.18
  • Published : 2017.08.20

Abstract

Objectives : We report a case of Phantom Limb Pain (PLP) and propose the possibility of integrative Korean and Western medicine in PLP treatment. Methods : For 42 days, a patient who complained of pain and insomnia with PLP (December 20, 2016 to January 20, 2017) received Korean and Western medical treatment. The patient was treated with analgesic injection, a neuropathic pain inhibitor, the combined herbal formula powders Bojungikgitang, and acupuncture. Symptom improvement was assessed using the numerical rating scale (NRS) and continuous sleep time. Results : The patient's NRS scores decreased, and continuous sleep time increased after treatment. The NRS scores decreased from 10 to 0, and the continuous sleep time increased from 2 hours to 7 to 8 hours. Conclusion : According to the results, this report suggests that integrative Korean and Western medicine could be effective in the treatment of PLP patients.

Keywords

References

  1. Subedi B., Grossberg G. T. Phantom limb pain: mechanisms and treatment approaches. Pain Res Treat. 2011;2011:864605.
  2. Ehde Dawn M., Czerniecki Joseph M., Smith Douglas G. et al. Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Archives of Physical Medicine and Rehabilitation. 2000;81(8):1039-44. https://doi.org/10.1053/apmr.2000.7583
  3. Jensen T. S., Krebs B., Nielsen J., Rasmussen P. Phantom limb, phantom pain and stump pain in amputees during the first 6 months following limb amputation. Pain. 1983;17(3):243-56. https://doi.org/10.1016/0304-3959(83)90097-0
  4. Richardson C., Glenn S., Nurmikko T., Horgan M. Incidence of phantom phenomena including phantom limb pain 6 months after major lower limb amputation in patients with peripheral vascular disease. Clin J Pain. 2006;22(4):353-8. https://doi.org/10.1097/01.ajp.0000177793.01415.bd
  5. Yildirim M., Kanan N. The effect of mirror therapy on the management of phantom limb pain. Agri. 2016;28(3):127-34.
  6. Flor H. Maladaptive plasticity, memory for pain and phantom limb pain: review and suggestions for new therapies. Expert Rev Neurother. 2008;8(5):809-18. https://doi.org/10.1586/14737175.8.5.809
  7. Casale R., Alaa L., Mallick M., Ring H. Phantom limb related phenomena and their rehabilitation after lower limb amputation. Eur J Phys Rehabil Med. 2009;45(4):559-66.
  8. Nikolajsen L., Jensen T. S. Phantom limb pain. Br J Anaesth. 2001;87(1):107-16. https://doi.org/10.1093/bja/87.1.107
  9. Von Korff M., Jensen M. P., Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976). 2000;25(24):3140-51. https://doi.org/10.1097/00007632-200012150-00009
  10. MacLachlan M., McDonald D., Waloch J. Mirror treatment of lower limb phantom pain: a case study. Disabil Rehabil. 2004;26(14-15):901-4. https://doi.org/10.1080/09638280410001708913
  11. Hasanzadeh Kiabi F., Habibi M. R., Soleimani A., Emami Zeydi A. Mirror therapy as an alternative treatment for phantom limb pain: a short literature review. Korean J Pain 2013;26(3):309-11. https://doi.org/10.3344/kjp.2013.26.3.309
  12. Pinto C. B., Saleh Velez F. G., Bolognini N., Crandell D., Merabet L. B., Fregni F. Optimizing Rehabilitation for Phantom Limb Pain Using Mirror Therapy and Transcranial Direct Current Stimulation: A Randomized, Double-Blind Clinical Trial Study Protocol. JMIR Res Protoc. 2016;5(3):e138. https://doi.org/10.2196/resprot.5645
  13. Bolognini N., Olgiati E., Maravita A., Ferraro F., Fregni F. Motor and parietal cortex stimulation for phantom limb pain and sensations. Pain. 2013;154(8):1274-80. https://doi.org/10.1016/j.pain.2013.03.040
  14. Chen R., Corwell B., Yaseen Z., Hallett M., Cohen L. G. Mechanisms of cortical reorganization in lower-limb amputees. J Neurosci. 1998;18(9):3443-50. https://doi.org/10.1523/JNEUROSCI.18-09-03443.1998
  15. Smith Douglas G., Ehde Dawn M., Hanley Marisol A. et al. Efficacy of gabapentin in treating chronic phantom limb and residual limb pain. The Journal of Rehabilitation Research and Development. 2005;42(5):645. https://doi.org/10.1682/JRRD.2005.05.0082
  16. Nikolajsen L., Finnerup N. B., Kramp S., Vimtrup A. S., Keller J., Jensen T. S. A ran-domized study of the effects of gabapentin on postamputation pain. Anesthesiology. 2006; 105(5):1008-15. https://doi.org/10.1097/00000542-200611000-00023
  17. Lee I. S., Jung W. M., Lee Y. S., Wallraven C., Chae Y. Brain responses to acupuncture stimulation in the prosthetic hand of an amputee patient. Acupunct Med. 2015;33(5):420-4. https://doi.org/10.1136/acupmed-2015-010785
  18. Sang KM, Young SK. The effect of LI4-LI11 electrical acupunture at unaffected limb on cerebral blood flow in ischemic stroke patients using SPECT. The Acupunct. 2004;21(1):111-8.
  19. Campbell A. Seeing the body: a new mechanism for acupuncture analgesia? Acupunct Med. 2013;31(3):315-8. https://doi.org/10.1136/acupmed-2013-010357
  20. Committee Korean Acupuncture Society Textbook Compilation. Acupuncture & Moxibution Medicine. Gyeonggi: Jipmoondang. 2012:128.
  21. Wilcher D. G., Chernev I., Yan K. Combined mirror visual and auditory feedback therapy for upper limb phantom pain: a case report. J Med Case Rep. 2011;5:41. https://doi.org/10.1186/1752-1947-5-41

Cited by

  1. 하지 절단 환자의 환상통에 대한 한방 치험1례 vol.39, pp.6, 2018, https://doi.org/10.22246/jikm.2018.39.6.1306