Phantom limb sensation and its treatment with botulinum toxin type A

Introduction: Phantom limb pain and sensations are common in amputees. Its definite pathophysiology remains still unclear and therefore the treatment is very difficult and in some cases insufficient. Opioids are often used when non-narcotics have failed, but are also often not effective. We report about three successful treated phantom and stump pain patients with botulinum toxin type A (BTX A, Dysport®) Methods: Three patients who had previously undergone amputation of their leg due to an accident (n=2) and an injury by a landmine (n=1) were treated with BTX type A (Dysport®). We injected a total dose of up to…