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The Journal of Bone and Joint Surgery 79:252-3 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Phantom Sciatica. A Case Report*

MARK D. BROWN, M.D., PH.D.{dagger}, FRANCIS J. HORNICEK, M.D., PH.D.{dagger} and NATHAN H. LEBWOHL, M.D.{dagger}, MIAMI, FLORIDA

Investigation performed at the Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, Miami


    Introduction
 
Phantom limb pain, a well known phenomenon, was described originally by Ambroise Paré in the seventeenth century. Recent investigators have described the sensation in patients who have had amputation of a limb2,5,7,8.

We are aware of at least one report of a patient with a transfemoral amputation who had a herniated disc between the fifth lumbar and first sacral vertebrae that caused pain in the stump6. Although pain in a stump most often results from the formation of a neuroma6, the patient in that report became symptom-free after a laminectomy and excision of the herniated disc. In an earlier report, two patients who had had an amputation of a limb were found to have a herniated lumbar disc that caused the perception of radicular pain distal to the level of the amputation4. After excision of the lumbar disc, the radicular pain was relieved in both patients.

. . . [Full Text of this Article]


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