$Unique_ID{BRK02056} $Pretitle{} $Title{"Phantom Limb" Sensations After Amputation} $Subject{amputation insurance coverage phantom limbs natural phantom pain painful phantom limb neuroma nerve nerves tumor tumors cortisone procaine local anesthetic stump} $Volume{} $Log{} Copyright (c) 1993 Tribune Media Services, Inc. "Phantom Limb" Sensations After Amputation ------------------------------------------------------------------------------ QUESTION: I believe doctors have a special name for this, but it occurs when some one has had an amputation and still feels that the leg is there. I need to know if there is any real cause for this, aside from mental, and what if anything can be done about it? Can you tell me if insurance can pay for the treatment? Thank you for any help you can give me. ------------------------------------------------------------------------------ ANSWER: The name of the condition is "phantom limb", and it is a most frequent occurrence in people who have had a surgical removal of a limb. The sensation is divided into two classes, "natural" and "painful". In the natural syndrome, the limb feels as if it is still there and moves along with the stump and there may be a slight tingling sensation associated with it. In the painful syndrome, the patient may feel as if the toes or fingers were curled and cramped, and can't be straightened. The natural phantom sensation may take as long as 2 to 3 years to disappear. Both types of phantom limb can be the result of psychological and emotional origins, but the painful type may have an organic cause as well. A neuroma (nerve tumor) may develop within the stump and this can often be helped by injections of cortisone or procaine (a local anesthetic). Protecting the end of the stump from irritation may also provide relief. Your type of insurance and the reason for the amputation will dictate whether or not you have coverage for treatment, but my guess is that it will. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.