Pain is a common problem following amputation; however identifying the etiology and the proper treatment are often challenging when phantom limb pain and stump pain are combined. We report a case of a 35-year-old female amputee who lost her right arm in a motor vehicle accident. She complained of severe phantom limb pain, which she described as a burning sensation, and she also complained of stump pain and tenderness at admission. With management on the stump pain, phantom limb sensation showed ongoing telescoping and consequently phantom limb pain was diminished. Finally, she successfully adapted to a cosmetic prosthesis and did not complain of aggravation of the stump pain and of the phantom limb pain following prosthesis application. In this case, treatment on the peripheral pathophysiology of the phantom limb pain such as physical therapy, medication, and injection therapy to stump pain brought on definite telescoping and diminution of phantom limb pain. (J Korean Assoc Pain Med 2008;7:114-117)

KeywordsPhantom limb, Amputation, Amputation stump