C PTSD – A Way Out A place to check in daily

A soldier with an amputated leg is described here in this excerpt of this article:

And he was in excruciating pain — in the leg he no longer had.

Dr. Jack Tsao, a Navy neurologist with the Uniform Services University, was looking for ways to help soldiers like Paupore. He remembered reading in graduate school a paper by Dr. V.S. Ramachandran that talked about an unusual treatment for amputees suffering “phantom limb pain,” using a simple $20 mirror.

The mirror tricks the brain into “seeing” the amputated leg, overriding mismatched nerve signals.

Here’s how it works: The patient sits on a flat surface with his or her remaining leg straight out and then puts a 6-foot mirror lengthwise facing the limb. The patient moves the leg, flexing it, and watches the movement in the mirror. The reflection creates the illusion of two legs moving together.

Paupore was one of the first to give it a try. At first, he was skeptical. When approached about joining a clinical trial at Walter Reed Army Medical Center to test Tsao’s theory, he declined. But sometimes his phantom pains were coming five to six times an hour and lasting up to a minute.

“I was laying in bed and it just, all of a sudden, it felt like I was getting shocked,” he said. “I called the nurse, ’cause I was like, ‘What’s going on?’ ” The nurse told him, “This is probably your phantom pain.”

Tsao explains it this way: “It’s the sensation that the limb is still present, and phantom pain in particular is the sensation that the limb is experiencing pain of some form.”

That pain is intense, and often medication brings very little relief. For Paupore, it was relentless.