Ten-year Phantom Limb Pain with only Four Sessions of Fu's Subcutaneous Needling: A Case Report and Systematic Review

Phantom limb pain (PLP) is a prevalent post-amputation complication, affecting a significant proportion of amputees.1 Studies have indicated that up to 90% of individuals who have undergone amputations experience PLP, which manifests as pulsating, piercing, and electric shock sensations, and in some cases, even as cramping or immobilizing limb sensations.2 The primary approach to managing PLP involves pharmacological interventions, including the administration of antiseizure medications and opioids.3 Additionally, non-pharmacological therapies such as mirror therapy, virtual reality, and prosthesis utilization are employed to alleviate PLP symptoms.3 Nevertheless, a universally effective treatment for PLP remains elusive.3 Acupuncture has demonstrated efficacy as an alternative therapeutic approach for patients with PLP, as evidenced by multiple published studies.4, 5, 6, 7, 8, 9, 10, 11, 12 Zhonghua Fu, an acupuncturist, developed an innovative acupuncture technique known as Fu's Subcutaneous Needling (FSN) in 1996, which specifically targets the subcutaneous layer (Fig. 1A,B). FSN has been extensively utilized for conditions related to myofascial trigger points (MTrPs) and has shown immediate therapeutic benefits for soft tissue pain induced by MTrPs.13,14 In this report, we presented a case study illustrating the effective treatment of PLP through the application of FSN treatment.

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