A Case of Response to Keishikajutsubuto for Stump Pain after Both Femoral Amputation / 日本東洋医学雑誌

We have experienced a case of response to keishikajutsubuto for stump pain after both femoral amputations. There are few reports on the use of Kampo medicines for stump pain after amputation. In this case, the critical lower-limb ischemia that led to the amputation was due to severe stenosis and occlusion caused by arteriosclerosis in both limbs. From the perspective of Kampo medicine, ischemia is considered to have cold and blood status as a result of deficiency and stagnation of yang qi due to circulatory failure. In this case, we regarded blood stasis as a secondary product of ischemia, and we mainly considered a prescription to remove cold and bring yang qi to the eliminative organs, which was effective for the pain. For stump pain after amputation that is poorly responded to general analgesics, the combination of keishikajutsubuto is expected to provide rapid analgesic effect, suggesting that it is useful for pain control.

Spinal cord stimulation for the treatment of intractable stump pain after amputation of the both lower limbs 36 years ago: A case report / 대한마취과학회지

Spinal cord stimulation (SCS) is an effective therapy for chronic and intractable neuropathic pain. We present a case report of successful pain control using SCS implantation in a patient with chronic, intractable stump pain for 36 years. The patient lost his two legs under the knees during the Vietnam War and had an amputation. After that he suffered stump pain for 36 years due to recurrent neuroma even after neuroma excision was performed over 30 times. We inserted the dual percutaneous leads at the level of left T9 and right T10 in this patient and could get complete pain relief without any complications.

Dorsal Root Entry Zone Lesions for Intractable Pain Control

It is well documented that dorsal root entry zone(DREZ) lesions were good method to control intractable chronic deafferentation pain of spinal origin which was not controlled with various medical and surgical treatment. Experience with radiofrequency lesions of dorsal root entry zone in 3 of patients with post herpetic pain and 1 of patient with post amputation pain are reported. The follow-up period ranging from 3-20 months and all patients obtained satisfactory pain relief.