Evidence-based recommendations and ready-to-teach slide decks on preventing and treating phantom limb pain, developed by the PAMELA consortium for clinicians in Ukraine.
Continuing professional development
One of the aims of the PAMELA project was to produce clinical guidelines and teaching modules that can be accredited for continuing professional development credits in Ukraine (БПР points, CPD/CME). The teaching modules below are structured with learning objectives and are ready to be delivered as accredited courses for surgeons, anesthesiologists and rehabilitation specialists.
Surgical prevention and treatment of phantom limb pain and symptomatic neuroma: TMR, RPNI and post-operative care.
PAMELA work package 3. Graded recommendations on neuroma surgery, targeted muscle reinnervation (TMR), regenerative peripheral nerve interfaces (RPNI) and follow-up after amputation.
Slide deck covering types of post-amputation pain, surgical techniques, post-operative care and considerations for combat amputations.
One-page infographic summarising the diagnostic criteria and decision path for surgical treatment of symptomatic neuroma and phantom limb pain.
Multimodal pain management after gunshot and mine-blast injuries, including amputation, for the acute peri-operative period.
Step-wise analgesic strategy for the acute phase, with dosing tables for non-opioid analgesics, opioids, adjuvants for neuropathic pain and ketamine, adapted for use in Ukraine.
Slide deck with ten learning objectives: multimodal analgesia, safe opioid use, neuropathic pain screening (DN4), ketamine, regional anesthesia and analgesic tapering.
Physical medicine and rehabilitation methods for phantom limb pain: mirror therapy, graded motor imagery, prosthesis training and more.
Systematic literature review with graded evidence levels for mirror therapy, graded motor imagery, prosthesis use, sensory discrimination training, virtual reality and biofeedback.
Slide deck for physicians and therapists summarising the evidence and practical recommendations for each non-pharmacological method.