Blankenbaker W L
Anesth Analg. 1977 Nov-Dec;56(6):842-6. doi: 10.1213/00000539-197711000-00019.
Patients referred to the Pain Clinic at the University of Virginia Medical Center with genuine phantom pain rather than stump pain have been treated by a variety of technics. Simple revision of drug therapy has proved helpful in some instances, as has repeated injection of trigger areas or neuromata, though surgical excision has proved necessary in some patients. Mechanical stimulation by stump tapping, prosthetic application, or electrical transcutaneous stimulation also may be useful. Sympathetic nerve block is occasionally very rewarding. Most patients need some form of psychological therapy. Rarely is cordotomy or higher central nervous system surgery required. There is no single best mode of therapy for phantom limb pain, nor can patients be guaranteed a permanent cure.
被转诊至弗吉尼亚大学医学中心疼痛诊所的患有真性幻肢痛而非残端痛的患者，已经接受了多种治疗技术。事实证明，在某些情况下，简单调整药物治疗会有所帮助，反复注射触发点或神经瘤也有同样效果，不过在一些患者中手术切除是必要的。通过残端轻敲、佩戴假肢或经皮电刺激进行机械刺激也可能有用。交感神经阻滞偶尔也非常有效。大多数患者需要某种形式的心理治疗。很少需要进行脊髓切断术或更高位的中枢神经系统手术。对于幻肢痛，没有单一的最佳治疗方式，也不能保证患者能得到根治。
