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Phantom Limb Pain: A Case Study

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What theory explains the type of pain experienced by the woman described in the scenario? Phantom limb pain is a condition that is experienced by individuals following the loss of a limb by amputation. The sensations may be present or the individual may also experience pain. According to McCance and Huether (2014), an individual is likely to experience pain post amputation if they had pain prior and between 80 and 100% of these individuals experience chronic pain. There are multiple theories used to explain the occurrence of phantom limb pain with no exact theory being solely correct but a combination of elements from each theory creating the basis for the theory (Chapman, 2011). Phantom limb pain is described by individuals as pain consisting of tingling, numbness, burning, cramping, crushing or throbbing pain (Chapman, 2011). The first theory to explain the manifestation of phantom limb pain is …show more content…
This in turn creates a state of hyper-excitability in the CNS and activates an increase in neuronal firing with changes in the structure of the peripheral sensory neurons that travel to the spinal cord and begins with nerve injuries like amputation (Chapman, 2011). The next theory explains that the severing of nerves modifies the transmission of impulses to the CNS and creates a reduction in neurochemicals for transmission of nerve impulses which prompts the reorganization of neurons and the pathways within the spinal cord and brain (Chapman, 2011). Finally, central theories explain the presence of phantom limb pain by describing the somatosensory cortex which consists of memories and its need to undergo cortical remapping or cortical reorganization following the amputation process. It suggests that the human body is represented in the brain by a matrix of neurons that recognizes sensory experiences like pain and associates it through memory with each body part in the brain,

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