Case Study: Utilizing Spinal Cord Stimulation to Alleviate Phantom Limb Pain and Enhance Myoelectric Prosthesis Functionality - Report - MDSpire

Case Study: Utilizing Spinal Cord Stimulation to Alleviate Phantom Limb Pain and Enhance Myoelectric Prosthesis Functionality

  • By

  • Lauren E. Penz

  • Andrew W. Nelson

  • F. Clay Smither

  • Jonathan M. Hagedorn

  • March 26, 2026

  • 0 min

Share

Clinical Report: Utilizing Spinal Cord Stimulation for Phantom Limb Pain

Overview

Expand on the specific improvements in functionality related to the myoelectric prosthesis.

Background

Phantom limb pain affects approximately 64% of individuals with limb loss, significantly impacting their quality of life and ability to use prosthetic devices. Current treatment options for PLP are varied, yet many patients do not achieve adequate relief. Spinal cord stimulation represents a potential intervention that may improve pain management and functional outcomes for these patients.

Data Highlights

Time PointPain ScoreFunctionality
Pre-Amputation5/10Limited
Post-Amputation9/103 hours/day with prosthesis
12 Days Post-SCS0/1070% improvement

Key Findings

  • High frequency SCS was implanted at the cervical spine level (C1-C2).
  • The patient experienced a 70% reduction in average pain intensity post-SCS.
  • Functional improvements included increased tolerance for wearing the prosthesis beyond three hours per day.
  • Prior pain management strategies were ineffective in alleviating PLP.
  • Spinal cord stimulation may reduce barriers to prosthesis use and enhance overall function.

Clinical Implications

Healthcare providers should consider spinal cord stimulation as a viable treatment option for patients suffering from phantom limb pain, particularly when conventional therapies fail. Improved pain management may facilitate better use of myoelectric prostheses, enhancing patients' functional capabilities.

Conclusion

Reiterate the importance of SCS in the context of failed conventional therapies.

References

  1. Pain Medicine, 2023 -- Early outcomes with a flexible ECAP based closed loop using multiplexed spinal cord stimulation waveforms
  2. Brain, 2023 -- Non-invasive closed-loop spinal stimulation enables individuals with paraplegia to regain control of leg movement
  3. Brain, 2023 -- On the use of sham transcutaneous spinal cord stimulation in spinal cord injury clinical trials
  4. VA and DOD Clinical Practice Guideline for Rehabilitation of Individuals with Lower Limb Amputation, 2024
  5. A scoping review of spinal cord stimulation for phantom limb pain, 2025
  6. Spinal Cord Stimulation for Phantom Limb Pain Improves Upper Limb Myoelectric Prosthesis Use, 2024
  7. Evaluation of Spinal Cord Stimulation for Non-Reconstructable Critical Limb Ischemia: A Retrospective Analysis of 71 Cases
  8. VA and DOD CLINICAL PRACTICE GUIDELINE FOR REHABILITATION OF INDIVIDUALS WITH LOWER LIMB AMPUTATION
  9. A scoping review of spinal cord stimulation for phantom limb pain - PubMed
  10. Spinal Cord Stimulation for Phantom Limb Pain Improves Upper Limb Myoelectric Prosthesis Use - ScienceDirect

Original Source(s)

Related Content