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British Journal of Anaesthesia, Vol 78, Issue 6 652-659, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia

CLINICAL INVESTIGATIONS

Phantom pain and sensation among British veteran amputees

S. W. Wartan, W. Hamann, J. R. Wedley and I. McColl
UMDS-Anaesthetics, 2nd Floor-New Guy's House, Guy's Hospital, London SE1 9RT; Anaesthetic Department, 2nd Floor-New Guy's House, Guy's Hospital, London SE1 9RT; Department of Surgery, 2nd Floor-New Guy's House, Guy's Hospital, London SE1 9RT; UMDS-Anaesthetics, 2nd Floor-New Guy's House, Guy's and Lewisham Hospitals, London SE1 9RT

Using a mail-delivered questionnaire, we surveyed 590 veteran amputees concerning phantom pain, phantom sensation and stump pain. They were selected randomly from a population of 2974 veterans with long-standing limb amputation(s) using a computer random number generator. Eighty- nine percent responded and of these, 55% reported phantom limb pain and 56% stump pain. There was a strong correlation between phantom pain and phantom sensation. The intensity of phantom sensation was a significant predictor for the time course of phantom pain. In only 3% of phantom limb pain sufferers did the condition become worse. One hundred and forty-nine amputees reporting phantom pain discussed their pain with their family doctors; 49 were told that there was no treatment available. Transcutaneous electric nerve stimulation, analgesics and non-steroidal anti-inflammatory drugs were satisfactory methods for controlling phantom limb pain.
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