Development of Phantom Limb Pain after Femoral Nerve Block

Historically, phantom limb pain (PLP) develops in 50–80% of amputees and may arise within days following an amputation for reasons presently not well understood. Our case involves a 29-year-old male with previous surgical amputation who develops PLP after the performance of a femoral nerve block. Al...

Full description

Saved in:
Bibliographic Details
Main Authors: Sadiah Siddiqui, Anthony N. Sifonios, Vanny Le, Marc E. Martinez, Jean D. Eloy, Andrew G. Kaufman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/238453
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545811850854400
author Sadiah Siddiqui
Anthony N. Sifonios
Vanny Le
Marc E. Martinez
Jean D. Eloy
Andrew G. Kaufman
author_facet Sadiah Siddiqui
Anthony N. Sifonios
Vanny Le
Marc E. Martinez
Jean D. Eloy
Andrew G. Kaufman
author_sort Sadiah Siddiqui
collection DOAJ
description Historically, phantom limb pain (PLP) develops in 50–80% of amputees and may arise within days following an amputation for reasons presently not well understood. Our case involves a 29-year-old male with previous surgical amputation who develops PLP after the performance of a femoral nerve block. Although there have been documented cases of reactivation of PLP in amputees after neuraxial technique, there have been no reported events associated with femoral nerve blockade. We base our discussion on the theory that symptoms of phantom limb pain are of neuropathic origin and attempt to elaborate the link between regional anesthesia and PLP. Further investigation and understanding of PLP itself will hopefully uncover a relationship between peripheral nerve blocks targeting an affected limb and the subsequent development of this phenomenon, allowing physicians to take appropriate steps in prevention and treatment.
format Article
id doaj-art-c5481b90d9ce4430a7fd12d4e27a69d0
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-c5481b90d9ce4430a7fd12d4e27a69d02025-02-03T07:24:48ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/238453238453Development of Phantom Limb Pain after Femoral Nerve BlockSadiah Siddiqui0Anthony N. Sifonios1Vanny Le2Marc E. Martinez3Jean D. Eloy4Andrew G. Kaufman5Department of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USADepartment of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USADepartment of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USADepartment of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USADepartment of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USADepartment of Anesthesiology, Rutgers-New Jersey Medical School, P.O. Box 1790, MSB-E547, Newark, NJ 07101, USAHistorically, phantom limb pain (PLP) develops in 50–80% of amputees and may arise within days following an amputation for reasons presently not well understood. Our case involves a 29-year-old male with previous surgical amputation who develops PLP after the performance of a femoral nerve block. Although there have been documented cases of reactivation of PLP in amputees after neuraxial technique, there have been no reported events associated with femoral nerve blockade. We base our discussion on the theory that symptoms of phantom limb pain are of neuropathic origin and attempt to elaborate the link between regional anesthesia and PLP. Further investigation and understanding of PLP itself will hopefully uncover a relationship between peripheral nerve blocks targeting an affected limb and the subsequent development of this phenomenon, allowing physicians to take appropriate steps in prevention and treatment.http://dx.doi.org/10.1155/2014/238453
spellingShingle Sadiah Siddiqui
Anthony N. Sifonios
Vanny Le
Marc E. Martinez
Jean D. Eloy
Andrew G. Kaufman
Development of Phantom Limb Pain after Femoral Nerve Block
Case Reports in Medicine
title Development of Phantom Limb Pain after Femoral Nerve Block
title_full Development of Phantom Limb Pain after Femoral Nerve Block
title_fullStr Development of Phantom Limb Pain after Femoral Nerve Block
title_full_unstemmed Development of Phantom Limb Pain after Femoral Nerve Block
title_short Development of Phantom Limb Pain after Femoral Nerve Block
title_sort development of phantom limb pain after femoral nerve block
url http://dx.doi.org/10.1155/2014/238453
work_keys_str_mv AT sadiahsiddiqui developmentofphantomlimbpainafterfemoralnerveblock
AT anthonynsifonios developmentofphantomlimbpainafterfemoralnerveblock
AT vannyle developmentofphantomlimbpainafterfemoralnerveblock
AT marcemartinez developmentofphantomlimbpainafterfemoralnerveblock
AT jeandeloy developmentofphantomlimbpainafterfemoralnerveblock
AT andrewgkaufman developmentofphantomlimbpainafterfemoralnerveblock