Phantom limb syndrome (phantom pain) is something that happens to a person who has lost a limb, but still feels as though it is there. Sometimes they feel as though the limb is in severe pain, but sometimes they may feel that it is still functioning, or sometimes even that something is brushing up against it. The question is, what could possibly cause it? And is there a way to prevent this from happening to us?
Luckily we finally have the answers, but it actually took scientists about 400 years to figure out why something like the would occur. About 25 years ago, “neuroscientist V.S. Ramachandran of the University of San Diego discovered that the brain’s ability to form new neural connections might cause the syndrome. Areas of the brain responsible for perceiving touch sensations from other parts of the body — the face, for example — appeared to be taking on the sensation from the missing limbs. When touched on the existing body part — in this case, the face — the patient feels the same sensation in the phantom limb” (Borel). During MRIs or PETs of these patients, it seems to be that, although the limb is missing, the portion of the brain that “had been neurologically connected to the nerves of the amputated limbs” (obviously) is still there (Mayoclinic). So for a while, the brain might remain wired to that specific limb, even after it is missing, but after some time, it might rewire (remap) as explained earlier. This happens when areas of the spinal cord recognize that there is no longer any connection to the limb or receiving sensory information, the information gets sent to another existing part of the body.
Of course, some cases could be simpler than this, caused by “damaged nerve endings, scar tissue at the site of the amputation and the physical memory of pre-amputation pain in the affected area” (Mayoclinic).Unfortunately for all amputees, about 80% experience phantom limb pain, which is a fairly high number.
Luckily, they are finding ways to cure it! There is a treatment called the mirror box which is “a lidless box that is partitioned through the middle by a two-sided mirror. Here, the patient puts both the intact and phantom limbs through two holes cut into the side of the box, so that each sits on either side of the mirror divider. The patient looks into the top of box at an angle, so that the reflection of the real limb is visible in the mirror” (Borel). The mirror helps to trick the brain into thinking that the real limb is actually the missing limb, which allows it to regain a sense of control. Even cooler than this is with the use of an Xbox Kinect. People found a way to alter the gaming system to create a way for an amputee who is playing to have all of their limbs in a virtual room. This method, again, would trick the brain. Here is a link for a video of a patient using the mirror therapy.
It is good that researchers are finding these treatments, but I definitely think it is important to keep advancing the research, considering how many people are affected by this syndrome. But it is fascinating to see how the human body works, and what causes it to work the way it does. Perhaps if researchers narrow it down to a more specific cause and effect, they will be able to come up with a more effective cure.