Targeted Muscle Reinnervation (TMR) at Time of Major Amputation Decreases Phantom and Residual Limb Pain

2018 ◽  
Author(s):  
Ian Valerio ◽  
Gregory A. Dumanian ◽  
Sumanas W. Jordan ◽  
Lauren M. Mioton ◽  
J. Byers Bowen ◽  
...  
Keyword(s):  
Major Amputation ◽  
Residual Limb ◽  
Limb Pain ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation ◽  
Residual Limb Pain

Preemptive Treatment of Phantom and Residual Limb Pain with Targeted Muscle Reinnervation at the Time of Major Limb Amputation

2019 ◽  
Vol 228 (3) ◽  
pp. 217-226 ◽  
Author(s):  
Ian L. Valerio ◽  
Gregory A. Dumanian ◽  
Sumanas W. Jordan ◽  
Lauren M. Mioton ◽  
J. Byers Bowen ◽  
...  
Keyword(s):  
Limb Amputation ◽  
Residual Limb ◽  
Limb Pain ◽  
Preemptive Treatment ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation ◽  
Residual Limb Pain

scholarly journals Targeted muscle reinnervation in quadruple amputees: self-reported outcomes

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Emma-Leigh Rudduck ◽  
Frank Bruscino-Raiola ◽  
Margaret Angliss ◽  
Steven J Gray ◽  
David Lee Gow ◽  
...  
Keyword(s):  
Current Literature ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Residual Limb ◽  
Limb Pain ◽  
Targeted Muscle Reinnervation ◽  
Alfred Hospital ◽  
Muscle Reinnervation ◽  
Residual Limb Pain ◽  
Psychological Disabilities

Targeted muscle reinnervation (TMR) reduces pain and physical and psychological disabilities in amputees. We present the first two cases reported globally of quadruple amputees that underwent acute TMR. Each patient completed our novel ‘The Alfred Hospital Osteointegration Survey’ (TAHOS) for each limb at six, 12 and 24 months post amputation which evaluated aspects of prosthesis wear, neuroma-related residual limb pain (RLP), phantom limb pain (PLP) and overall function. Our findings that TMR reduced or eliminated RLP and PLP by 12 months and clinically improved prosthetic function in both quadruple amputees reflects the current literature for single and multiple limb amputees.

Challenges and Potential in Targeted Muscle Reinnervation in Pediatric Amputees

PEDIATRICS ◽  
2021 ◽  
Author(s):  
Brian Vial ◽  
Margaret Lieb ◽  
Haley Pysick ◽  
Patrick Hettinger ◽  
Lynn Rusy ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Adult Population ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Complete Relief ◽  
Residual Limb ◽  
Limb Pain ◽  
Targeted Muscle Reinnervation ◽  
Muscle Reinnervation

Targeted muscle reinnervation (TMR) is a powerful new tool in preventing and treating residual limb and phantom limb pain. In the adult population, TMR is rapidly becoming standard of care; however, there is a paucity of literature regarding indications and outcomes of TMR in the pediatric population. We present 2 cases of pediatric patients who sustained amputations and the relevant challenges associated with TMR in their cases. One is a 7-year-old patient who developed severe phantom and residual limb pain after a posttraumatic above-knee amputation. He failed pharmacologic measures and underwent TMR. He obtained complete relief of his symptoms and is continuing to do well 1.5 years postoperatively. The other is a 2-year-old boy with bilateral wrist and below-knee amputations as sequelae of sepsis. TMR was not performed because the patient never demonstrated evidence of phantom limb pain or symptomatic neuroma formation. We use these 2 cases to explore the challenges particular to pediatric patients when considering treatment with TMR, including capacity to report pain, risks of anesthesia, and cortical plasticity. These issues will be critical in determining how TMR will be applied to pediatric patients.

Concordance of Phantom and Residual Limb Pain Phenotypes in Double Amputees: Evidence for the Contribution of Distinct and Common Individual Factors

2015 ◽  
Vol 16 (12) ◽  
pp. 1377-1385 ◽  
Author(s):  
Fabian Streit ◽  
Robin Bekrater-Bodmann ◽  
Martin Diers ◽  
Iris Reinhard ◽  
Josef Frank ◽  
...  
Keyword(s):  
Individual Factors ◽  
Residual Limb ◽  
Limb Pain ◽  
Residual Limb Pain

The Contribution of Sympathetic Mechanisms to Postamputation Phantom and Residual Limb Pain: A Pilot Study

2011 ◽  
Vol 12 (8) ◽  
pp. 859-867 ◽  
Author(s):  
Steven P. Cohen ◽  
Jeffrey M. Gambel ◽  
Srinivasa N. Raja ◽  
Sam Galvagno
Keyword(s):  
Pilot Study ◽  
Residual Limb ◽  
Limb Pain ◽  
Residual Limb Pain
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