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A study of different analgesic methods for phantom limb pain has been performed in 35 patients who had undergone limb amputation or exarticulation because of oncological disease or vascular disorders. Postoperative analgesia consisted of cyclooxygenese inhibitor and weak opioid. High intensive phantom limb pain appeared in 17 (48.6%) patients that required an administration of pregabalin followed by adenosine triphosphate infusion as analgotesting procedure: it had a success in 9 (52.9%) patients. Remaining 6 patients received nefopam that was effective in 5 of 8 (65.5%) patients. Epidural anesthesia was used with good results in remaining 3 patients. Thus, our data emphasize the complex of phantom limb pain mechanisms and necessity of study for elaboration of medicine effectiveness with different mechanisms of action for such cases.References
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