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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 564-565
Research Article
Acute onset phantom pain
Arvind Rajgure
Consulting Anaesthesiologist, Aurangabad, Maharashtra, INDIA.
Abstract
Phantom pain is severe pain feeling in an organ which is surgically removed. Examples are phantom limb pain, where the painfull limb was amputed and still the patient feels severe pain in amputed leg. This phenomenon is explained on the basis of central sensitization,(cerebral reorganization and spinal spasticity) where because of long standing pain the projection area in the brain , cerebral cortex and spinal cord, undergoes certain changes which gives continuous feeling of the pain even after that part is surgically removed from the body. Well established spinal anaesthesia in patient is a condition where all the sensation below the level of ananesthesia must lost. A patient with avulsion injury of heal after one month and prior three surgeries in the period having intense pain in heel after a completely well established spinal anaesthesia with inj bupivacain 0.5% H.
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