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PHANTOM LIMB PAIN AFFECTS MOST AMPUTEES

Five amputees rest in a dim rehab gym at night and three of them have glowing phantom limbs crackling with pain where their missing limbs used to be

Did You Know That Most Amputees Report Pain In A Limb That Is Gone?

Studies That Tried To Count How Many Gave Conflicting Rates

Researchers Called The Disagreement Perplexing

Some Studies Covered Only Arm Amputees And Others Only Leg Amputees

Their Countries And Methods Differed Too

The Researchers Said That May Explain The Conflicting Rates

Several Teams Have Since Pooled Many Studies Into One Estimate Each

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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OKAY BACK FROM THE REHAB GYM 🏋️

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A TRUCK ACCIDENT AND A MISSING LEG 🚚

A 49 Year Old Man Was Admitted To A Hospital In Wuhan China

He Had Pain In His Missing Leg

What Remained Of That Leg Hurt As Well

The Pain Occurred In Sudden Episodes

It Was Uncontrollable According To His Doctors

About 5 Years Earlier He Was Badly Injured In A Truck Accident

Surgeons Amputated His Right Leg Because Of Those Injuries

He Also Had Operations On His Left Calf And His Abdomen

Every Operation Was Successful And His Condition Became Stable

About A Month After The Amputation He Felt Pain In The Leg He Lost

He Was Diagnosed With Phantom Limb Pain

Then He Started Taking Painkillers By Mouth

He Kept Having The Pain Anyway

His Doctors Wrote That Painkillers By Mouth Have Limited Effects

The Pain Affected His Quality Of Life

When He Was Admitted His Doctors Checked What Remained Of The Leg

They Found It In Good Condition With No Swelling Or Fever

His Ability To Manage Daily Activities Was Measured Too

He Scored 55 Points

The Total Is 100 And A Higher Score Means More Independence

He Got Zero Points For Bathing And Toilet Use And Stair Climbing

His Doctors Called Phantom Limb Pain A Common Result Of Amputation

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WHAT 39 STUDIES FOUND 📊

A Team In South Africa Set Out To Estimate How Common The Pain Is

They Searched For Articles Published From 1980 To July 2019

Their Review Included 39 Studies

Each Study Covered Adults Who Had An Arm Or Leg Amputated

Those Amputations Were Either Surgical Or Caused By An Injury

The Studies Had 12,738 Participants In Total

Their Rates Ranged From 27 Percent To 85.6 Percent

31 Of The 39 Studies Reported Between 50 And 85.6 Percent

The Team Then Pooled All The Studies Together

Their Pooled Estimate Was 64 Percent

They Estimated That Six Of Every 10 Amputees Report This Pain

Results Varied Widely Between The Studies

Next The Studies Were Grouped By Type Of Country

32 Of The 39 Studies Were Done In Developed Countries

In Developed Countries The Rate Was 66.55 Percent

It Was Lower In Developing Countries At 53.98 Percent

The Team Called That Gap Surprising

They Said It Might Come From How People Were Selected For The Studies

Most Studies From Developing Countries Had Lower Recruitment Success

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A MILITARY ESTIMATE AND A WORLDWIDE ONE 🌍

Two Other Teams Have Since Published Reviews Of Their Own

One Team Reviewed Studies Of Military Personnel Injured In Combat

They Updated Their Search In November 2022

In Total 31 Studies Were Included

Those Studies Had 14,738 Participants From 6 National Militaries

Participants Were Injured In Conflicts Including Afghanistan And Iraq

The Studies Reported Pain After Amputation Or Chronic Nerve Pain

That Nerve Pain Was Not Necessarily Related To Amputation

For Pain In A Missing Limb The Team's Pooled Rate Was 57 Percent

They Called That Figure Similar To The Review Of 39 Studies

The Other Team Aimed For A Worldwide Estimate

Their Review Covered People With A Limb Amputation

They Searched Databases Until 22 February 2026

Chinese Databases Were Part Of That Search

In All They Included 51 Studies With 13,053 Participants

For Phantom Limb Pain Their Pooled Estimate Was 61 Percent

They Called It Consistent With Both Earlier Reviews

Their Studies Differed Substantially From One Another

So They Said The Estimates Should Be Interpreted Cautiously

The End

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