Jocelyn has also graciously said she'll send you a signed bookplate if you have any of her novels and would like one. Again, MUST have your e-mail.
You can view Jocelyn's previous posts at Redwood's here and here.
Welcome back, Jocelyn!
What We Know Today
The study of PLP continues with today’s generation
of amputee veterans. Most contemporary studies confirm what Mitchell found, but
add to it some new information. Most recent studies report PLP at rates of 50%
to 80%. A few of these are in constant pain, but for most, the episodes can
last a few seconds or one to two hours.
Since the beginning of the conflicts in Iraq and
Afghanistan more than 1000 amputees have been treated at Walter Reed Army
Medical Center in Washington, DC. Almost all experience PLP, either within the
first 24 hours of amputation, or within two weeks. The following insight comes
from an article in a 2010 issue of The
Neurologist:
“As part of routine
treatment efforts, the patients are asked to describe their experience with
phantom sensation and phantom pain. There have been a plethora of responses
regarding the onset, duration, description, and location of phantom sensations
and phantom pains from those queried. Furthermore, some explain they have volitional control over their phantom, and can move their phantom at
will, while others report their phantoms being fixed in a specific position.
Some even report the inability to make movements with the phantom, despite the
presence of a strong sensation or pain emanating from their residual limb. For
example, one service member reported that his phantom hand was in a distinct
position: he felt he was pulling the trigger on his rifle with his index
finger, and was unable to move his hand to a different position. He also felt cramping
pains in his hand muscles. Another service member, a bilateral, above knee
amputee, described the feeling of heavy legs, asserting that the feeling was
similar to weights attached to his calf muscles. He also described that it felt
as though his combat boots were on too tightly.”
There are multiple theories as to the cause of PLP,
all of which can be read in this online article
[http://sunburst.usd.edu/~cliff/Courses/Advanced%20Seminars%20in%20Neuroendocrinology/Pain/Weeks10.pdf].
The most successful treatments have been with
opioids and mirror therapy, the latter considered the most promising treatment
plan.
In this treatment, the patient views the reflection of their intact limb
moving in a mirror placed between the arms or legs while simultaneously moving
the phantom hand or foot in a manner similar to what they are observing. The
virtual limb in the mirror appears to be the missing limb.
Patients have
reported a relief of cramping and “frozen limb” phantom pains as a result of even
one session with the mirror. In one study in which patients used mirror therapy
for 15 minutes each weekday for four weeks, significant decreases in pain were
reported. More about mirror therapy can also be found in the online article
hyperlinked above.
For
further reading:
Mitchell, Silas Weir. The Case of George Dedlow.
(fictional account of quad amputee) New York: The Century Co., 1900. Read it
online at Google Books here, and begin on page 115. http://bit.ly/ZixtJd
Gunshot
Wounds and other Injuries of Nerves. Philadelphia: J.B. Lippincott, &
Co., 1864. Read it online at Google Books here: http://bit.ly/17hhuvf
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A
former military wife, Jocelyn Green authored, along with contributing writers, the award-winning Faith Deployed: Daily Encouragement for Military Wives and Faith Deployed . . . Again. Jocelyn also
co-authored Stories of Faith and Couragefrom the Home Front, which inspired her first novel: Wedded to War. She loves Mexican food, Broadway musicals, Toblerone
chocolate bars, the color red, and reading on her patio. Jocelyn lives with her
husband Rob and two small children in Cedar Falls, Iowa.
So interesting! Thanks so much, Jocelyn! I am definately reading more on mirror therapy. Who would have thought something so "simple" would work.
ReplyDeletetaylor.weaver2012@gmail.com
Audrey-- Thanks to Jocelyn-- now I know that Grey's Anatomy possibly didn't jump the shark with highlighting the use of the mirror with phantom limb pain in one of their characters.
ReplyDeleteThis is an interesting book and ironic,too, because I knew someone who had amputation and felt limb were still there and pain, etc.
ReplyDelete