Case of the month #10: Phantom pain following trauma

Published: 30/11/2021

Management Plan

Multi-modal pain management was discussed with an agreement to try and achieve the following: 
1.    Manage the stump pain to allow the patient to wear the prosthesis
2.    Manage the Phantom Pain
3.    Address the post-traumatic stress disorder
4.    Address anxiety and depression
5.    Address current high dose opiate usage and optimise medication 
6.    Return back to a level of fitness to improve mobility
7.    Return back to work

Mr S agreed to engage with specialist physiotherapy and occupational therapist members of the pain team.  He also underwent an assessment with a Clinical Psychologist and agreed to work both on improving pain coping strategies and the post traumatic stress disorder.  It was also agreed that he would self-refer to the Well Being Service in light of the high levels of anxiety and depression.  Although Mr S had never sough medical help prior to the accident he did admit to having had bouts of self-managed depression in the past and also did suffer from anxiety although he had managed to function despite this. 

  • What types of specific therapy may be of benefit to Mr S?