Research Laboratory in Biomechanics, Rehabilitation and Ergonomics, IRCCS, Istituto Auxologico Italiano, San Giuseppe Hospital, 28824 Verbania, Italy.
Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98125 Messina, Italy.
Medicina (Kaunas). 2023 Dec 22;60(1):22. doi: 10.3390/medicina60010022.
Phantom limb pain (PLP) is a challenging condition affecting a significant proportion of amputees. In this article, we describe the case of a 54-year-old Paralympic athlete with phantom limb syndrome following right leg amputation and widespread sports-related enthesitic pain who underwent a whole-body cryostimulation (WBC) cycle, an emerging treatment known for its rapid pain-relieving and anti-inflammatory effects. Assessments were conducted before and after a 10-session WBC cycle, including pain and quality of life assessment and use of medications. A substantial reduction in enthesitic pain, PLP intensity, paresthesia, and tingling related to atmospheric events and improved function and quality of life were reported after the WBC cycle and lasted for two weeks. One month after WBC, the enthesitic pain following sports activity and PLP gradually returned, but with lesser intensity. Similarly, the stump's sensitivity to atmospheric changes returned, but with lower frequency. Pain at night remained lower than before WBC, with significantly improved quality of sleep. This case study suggests that WBC could be a valuable adjuvant treatment for alleviating PLP. Controlled studies are warranted to validate the findings of this case report and elucidate the mechanisms underlying the positive effects of WBC in this condition.
幻肢痛(PLP)是一种具有挑战性的病症,影响着相当一部分截肢患者。在本文中,我们描述了一位 54 岁的残奥会运动员的病例,他在右腿截肢后出现幻肢综合征和广泛的与运动相关的肌腱末端病疼痛,接受了全身冷冻治疗(WBC)周期,这是一种新兴的治疗方法,以其快速缓解疼痛和抗炎作用而闻名。在进行 10 次 WBC 周期前后进行了评估,包括疼痛和生活质量评估以及药物使用情况。在 WBC 周期后,报告了肌腱末端病疼痛、PLP 强度、感觉异常和刺痛与大气事件相关的显著减少,以及功能和生活质量的改善,并持续了两周。在 WBC 一个月后,运动后和 PLP 的肌腱末端病疼痛逐渐恢复,但强度较小。同样,残肢对大气变化的敏感性也恢复了,但频率较低。夜间疼痛仍低于 WBC 前,睡眠质量显著改善。这项病例研究表明,WBC 可能是缓解 PLP 的一种有价值的辅助治疗方法。需要进行对照研究来验证本病例报告的发现,并阐明 WBC 在这种情况下产生积极效果的机制。