Chronic pain in lower limb amputees: Is there a correlation with the use of perioperative epidural or perineural analgesia?

Benedetti Maria Grazia, De Santis Letizia, Mariani Giorgio, Donati Danilo, Bardelli Roberta, Perrone Mariada, Brunelli Stefano

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Chronic pain is common in patients who undergo lower limb amputation. The use of epidural or perineural catheters seems to reduce acute pain after surgery but their effects in a longer follow up are unknown.

OBJECTIVE: To evaluate the long-term prevalence of phantom limb sensation (PLS), phantom limb pain (PLP), and residual limb pain (RLP) and their correlation with perioperative use of epidural or perineural catheters.

METHODS: Postal survey. Patients with trans-femoral, trans-tibial or hemi-pelvectomy amputation were asked to partake in the study. The Prosthetic Evaluation Questionnaire was used for the presence of chronic post-surgical pain. Presence of catheters was retrieved from medical notes.

RESULTS: 57 patients at a mean of 4.4 years follow up were included. PLS was reported in 68.4%, PLP in 63.2 % and RLP in 54.4% of amputees. No correlation was identified between pain syndromes and the presence of individual catheters and the duration of their permanence. The simultaneous use of 2 catheters was related to a lesser presence of PLP.

CONCLUSIONS: Data on prevalence of PLP, PLS and RLP are consistent with the literature. Favourable effects in PLP reduction in the long term follow up was related to the simultaneous use of two catheters.

Original languageEnglish
JournalNeuroRehabilitation
DOIs
Publication statusE-pub ahead of print - Jun 19 2021

Keywords

  • Amputation
  • chronic pain
  • epidural analgesia
  • perineural catheters

Fingerprint

Dive into the research topics of 'Chronic pain in lower limb amputees: Is there a correlation with the use of perioperative epidural or perineural analgesia?'. Together they form a unique fingerprint.

Cite this