EMDR in the treatment of chronic phantom limb pain.
OBJECTIVE
Little research substantiates long-term gains in the treatment of phantom limb pain. This report describes and evaluates an eye movement desensitization and reprocessing (EMDR) treatment with extensive follow-up.


METHODS
A case series of phantom limb pain patients. Setting. In-patient hospitalization and out-patient private practice.


METHODS
Case series of five patients with phantom limb pain ranging from 1 to 16 years. All patents were on extensive medication regimens prior to EMDR.


METHODS
Three to 15 sessions of EMDR were used to treat the pain and the psychological ramifications.


METHODS
Patients were measured for continued use of medications, pain intensity/frequency, psychological trauma, and depression.


RESULTS
EMDR resulted in a significant decrease or elimination of phantom pain, reduction in depression and posttraumatic stress disorder (PTSD) symptoms to subclinical levels, and significant reduction or elimination of medications related to the phantom pain and nociceptive pain at long-term follow-up.


CONCLUSIONS
The overview and long-term follow-up indicate that EMDR was successful in the treatment of both the phantom limb pain and the psychological consequences of amputation. The latter include issues of personal loss, grief, self-image, and social adjustment. These results suggest that (1) a significant aspect of phantom limb pain is the physiological memory storage of the nociceptive pain sensations experienced at the time of the event and (2) these memories can be successfully reprocessed. Further research is needed to explore the theoretical and treatment implications of this information-processing approach.
Schneider
Jens
J
Clinic for Internal and Psychosomatic Medicine, Bad Fredeburg, Germany.
Hofmann
Arne
A
Rost
Christine
C
Shapiro
Francine
F
D000328:Adult; D000368:Aged; D000671:Amputation, Surgical / Q000009:adverse effects; D000673:Amputation, Traumatic / Q000150:complications / Q000523:psychology; D003863:Depression / Q000523:psychology; D003887:Desensitization, Psychologic; D005133:Eye Movements / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010591:Phantom Limb / Q000523:psychology / Q000628:therapy*; D011569:Psychiatric Status Rating Scales