
Residual limb pain is the pain felt in the part of a limb that remains after an amputation. It is an unpleasant sensation triggered by the nervous system.
- SIGNS AND SYMPTOMS OF RESIDUAL LIMB PAIN
- CAUSES OF RESIDUAL LIMB PAIN
- PATHOPHYSIOLOGY OF RESIDUAL LIMB PAIN
- DIAGNOSIS OF RESIDUAL LIMB PAIN
- TREATMENTS FOR RESIDUAL LIMB PAIN
- PROGNOSIS OF RESIDUAL LIMB PAIN
- COMPLICATIONS OF RESIDUAL LIMB PAIN
- RESIDUAL LIMB PAIN AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF RESIDUAL LIMB PAIN
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF RESIDUAL LIMB PAIN
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF RESIDUAL LIMB PAIN
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF RESIDUAL LIMB PAIN
- AYURVEDIC PROGNOSIS OF RESIDUAL LIMB PAIN
- CHIKITSA- AYURVEDIC TREATMENT FOR RESIDUAL LIMB PAIN
- AYURVEDIC LOCAL TREATMENT FOR RESIDUAL LIMB PAIN
- AYURVEDIC SAMANA TREATMENT FOR RESIDUAL LIMB PAIN
- AYURVEDIC SHODHANA TREATMENT FOR RESIDUAL LIMB PAIN
- COMMONLY USED AYURVEDIC MEDICINES FOR RESIDUAL LIMB PAIN
- HOME REMEDIES FOR RESIDUAL LIMB PAIN
- DIET AND BEHAVIOUR FOR RESIDUAL LIMB PAIN
- YOGA FOR RESIDUAL LIMB PAIN
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF RESIDUAL LIMB PAIN
SIGNS AND SYMPTOMS OF RESIDUAL LIMB PAIN
The following types of pains manifested;
- Throbbing pain
- Burning feeling
- Stabbing pain
- Squeezing or pressure
CAUSES OF RESIDUAL LIMB PAIN
- Infezioni
- Poor blood supply to the limb
- Neuropathy
- Entrapment of nerves
- Formation of tumour (neuroma)
- Ill-fitting prosthesis
PATHOPHYSIOLOGY OF RESIDUAL LIMB PAIN
In the case of infections, the immune system sends white blood cells to fight off the infection, which leads to inflammation, which causes localised pain. Psychosocial factors like stress are also contributing to pain. A neuroma is a collection of nerve endings that forms under the skin of the residual limb.
DIAGNOSIS OF RESIDUAL LIMB PAIN
- Anamnesi corretta
- Physical examination of the site of pain
- Esami neurologici
- Laboratory tests are done to find out underlying pathology
TREATMENTS FOR RESIDUAL LIMB PAIN
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Treatment of underlying pathology
- Fisioterapia
- Antidepressants
PROGNOSIS OF RESIDUAL LIMB PAIN
- Prognosis is based on the cause of the pain, duration and condition of the patient
- In some, pain may persist for few months to 1 yr
COMPLICATIONS OF RESIDUAL LIMB PAIN
- Damage of nerves
- Depression may occur due to persistent pain
RESIDUAL LIMB PAIN AND AYURVEDA
- In Ayurveda, residual limb pain is managed based on Vatavyadhi
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, numbness, weakness.
NIDANA- AYURVEDIC CAUSES OF RESIDUAL LIMB PAIN
The pain may be triggered by;
- Eccesso di consumo di cibi freddi e poco sostanziosi
- Esercizio fisico eccessivo.
- Soppressione degli impulsi naturali.
- Trauma
- Lesioni
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF RESIDUAL LIMB PAIN
- Pain in the residual limb – toda
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF RESIDUAL LIMB PAIN
- I dosha vata, pitta e kapha si muovono attraverso tutti i canali di circolazione. A causa della natura sottile di vata, esso spinge gli altri due dosha.
- Il vata aggravato, avendo provocato questi due dosha, si esacerba e riempie i canali vuoti e si muove notevolmente al loro interno o facendosi avvolgere dagli altri dosha.
- The aggravated vata resides in the residual limb and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF RESIDUAL LIMB PAIN
- Toda - dolore doloroso
- Ruk – a type of pain
- Bhedanam - dolore da taglio
- Sada - debolezza
AYURVEDIC PROGNOSIS OF RESIDUAL LIMB PAIN
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR RESIDUAL LIMB PAIN
Ayurvedic local treatment for residual limb pain
- Svedam - Fermentazione
- Applicazione di lepa antidolorifica
- Abhyanga - massaggio con olio
AYURVEDIC SAMANA TREATMENT FOR RESIDUAL LIMB PAIN
- Dasamoolarishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR RESIDUAL LIMB PAIN
- VASTHI - Clistere medicato
COMMONLY USED AYURVEDIC MEDICINES FOR RESIDUAL LIMB PAIN
Amministrazione interna
- Balarishtam
- Dhanwantharishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
Applicazione esterna
- Snehadhara - con balaswagandha tailam e ksheerabala tailam
HOME REMEDIES FOR RESIDUAL LIMB PAIN
- Riposo adeguato
- Bere molti liquidi
- Bagno in acqua calda
- Massaging
DIET AND BEHAVIOUR FOR RESIDUAL LIMB PAIN
- Evitare gli alimenti che producono uno squilibrio vata dosha, come i cibi freddi e secchi, difficili da digerire. Perché lo squilibrio vata aggrava i sintomi.
- Consumare alimenti facilmente digeribili, latte vaccino
- Evitare esercizi pesanti che aggravano ulteriormente le condizioni.
- Oil massage on the affected area is advised. That alleviates vata dosha.
- Riposare adeguatamente.
YOGA FOR RESIDUAL LIMB PAIN
- Nadi Shuddi Pranayam - calma la mente e dà sollievo ai dolori.
Il paziente deve essere seduto in posizione meditativa con la testa e la colonna vertebrale erette e il corpo rilassato. Il paziente deve chiudere una narice (ad esempio la sinistra se si usa la mano destra e viceversa) con il pollice ed espirare completamente attraverso l'altra narice. Di nuovo, dovrà inspirare profondamente attraverso l'altra narice mentre la narice opposta è ancora chiusa con il pollice.
- Savasana - rilassa il corpo e la mente
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF RESIDUAL LIMB PAIN
- Pain management through ayurveda
https://www.researchgate.net/publication/331672467_PAIN_MANAGEMENT_THROUGH_AYURVEDA_A
- Various methods of pain management in ayurveda- a review article
https://www.wjpmr.com/download/article/33032018/1523880026.pdf
