Huang Chi-Yu, Yang Rong-Sen, Kuo Te-Son, Hsu Kai-Hsiung
Department of Electrical Engineering, Biomedical Group, National Taiwan University, Taipei, 10617 Taiwan.
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:1589-91. doi: 10.1109/IEMBS.2009.5334124.
We have treated a patient with severe phantom limb pain by a novel far infrared ray (FIR) therapy. The patient has suffered persistent and progressively worsening phantom limb pain after amputation ten years ago. He also experienced severe muscle spasm and twitch of stump during the attacks. His phantom limb pain was excruciating and was rated up to 9 by the Visual Analog Pain Scale. Various pain treatment modalities have been used but in vain, including medications and rehabilitation. He also underwent two episodes of sympathectomy, only achieving short-term effects for three months. Then he underwent our new treatment method. We applied FIR to the amputated limb site instead of the stump of the patient for 40 minutes for each treatment session twice a week. One month after the FIR treatment, he felt much improved and rated his phantom pain at 4, and down to 2-3 after two months of treatment. The duration of each phantom limb pain attack has significantly reduced from over 24 hours to only a few minutes or seconds after five months of FIR treatment. During a six-month post-treatment follow-up, his phantom limb pain occurred seldom for only a few seconds at a low 1-2 rating on the pain scale. The analgesic effect of FIR treatment has prevented him from the scheduled third sympathectomy and the risk of heart attack followed by severe twitch of stump. The results of this study demonstrate an easy, non-invasive and effective treatment modality for phantom limb pain.
我们采用一种新型远红外线(FIR)疗法治疗了一名患有严重幻肢痛的患者。该患者在十年前截肢后一直遭受持续且逐渐加重的幻肢痛。发作时,他还经历了残肢严重的肌肉痉挛和抽搐。他的幻肢痛极其剧烈,视觉模拟疼痛量表评分高达9分。包括药物治疗和康复治疗在内的各种疼痛治疗方法均未见效。他还接受了两次交感神经切除术,仅获得了三个月的短期效果。然后他接受了我们的新治疗方法。我们将FIR应用于患者截肢肢体部位而非残肢,每次治疗 session 为40分钟,每周两次。FIR治疗一个月后,他感觉有了很大改善,幻肢痛评分为4分,治疗两个月后降至2 - 3分。经过五个月的FIR治疗,每次幻肢痛发作的持续时间从超过24小时显著缩短至仅几分钟或几秒钟。在治疗后六个月的随访期间,他的幻肢痛很少发作,疼痛量表评分低至1 - 2分,仅持续几秒钟。FIR治疗的镇痛效果使他避免了计划中的第三次交感神经切除术以及随之而来的残肢严重抽搐导致心脏病发作的风险。这项研究的结果证明了一种治疗幻肢痛的简便、无创且有效的治疗方法。