Congenital BE w/ phantom pain

At an amputee clinic yesterday we saw a 7 year old girl who has a left

standard short congenital amputation below the elbow. She hasn’t worn a

prosthesis since the age of 4. She has never undergone surgery. There are no

anomolies. 2 months ago she began complaining of pain. It seems to be a

vibratory sensation (funny bone type) that moves upward toward her neck. It

seems to increase when she is more active, i.e. running around and playing

with her brother after school. The pain can be caused by pressure in three

select areas (2 anteriorly and 1 lateral posterior) Her residual limb is more

sensitive than her sound side and turns dark purple when cold an red when

hot. She has complained lately of dry skin but it is felt that this is from

the standard granular soap used in elementary school restrooms. Any ideas as

to what might be causing the pain. Pleas comment.

Jim Liston CP

 

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