Affiliation:
1. Ministry of Health Alcohol and Drug Addiction Treatment Centre
2. BASKENT UNIVERSITY, FACULTY OF MEDICINE
Abstract
In the aftermath of amputation, individuals face not only physical pain but also psychological challenges as their body's integrity is suddenly disrupted. Phantom limb sensations, characterized by the feeling that the amputated limb still exists, are common after amputation. Phantom limb pain often accompanies these sensations. Beyond the physiological aspects, patients' psychological adaptation journey is pivotal. This case report delves into the intricate relationship between phantom limb sensations, psychological factors, and pregabalin use disorder in a right-arm amputee patient. A 25-year-old right-arm amputee male patient went to an addiction outpatient clinic for pregabalin addiction treatment. He had a history of cannabis use to cope with his sadness during his adolescence. While cannabis use initially provided emotional relief, it later turned to pregabalin misuse, escalating to alarming doses (3000mg/day). Many pharmacological agents, including pregabalin, are being tried to treat phantom limb pain. Beyond its positive effects in phantom limb pain treatment, many studies have been published about its addictive features recently. This case underscores the need for comprehensive care for amputees, including psychological support, early prosthetic intervention, social reintegration, and judicious medication management. This case report serves as a reminder that the post-amputation period is not just a physical struggle but also a complex psychological journey toward healing and reintegration into a fulfilling life..
Reference36 articles.
1. Desmond D, MacLachlan M. Psychosocial issues in the field of prosthetics and orthotics. J Prosthet Orthot 2002; 14(1):19-22.
2. Khan MJ, Dogar SF, Masroor U. Family relations, quality of life and post-traumatic stress among amputees and prosthetics. Pakistan Armed Forces Medical Journal 2018; 68(1): 125–130.
3. Casale R, Damiani C, Rosati V. Mirror therapy in the rehabilitation of lower-limb amputation: are there any contraindications? Am J Phys Med Rehabil 2009; 88(10): 837-842.
4. Weeks SR, Anderson-Barnes VC, Tsao JW. Phantom limb pain: theories and therapies. Neurologist 2010; 16(5): 277-286.
5. Flor H. Phantom-limb pain: characteristics, causes, and treatment. Lancet Neurol. 2002; 1(3): 182-189.