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Clonazepam in the Treatment of Lancinating Phantom Limb Pain

OBJECTIVE
To propose clonazepam for use in the empiric treatment of shooting/shocking phantom limb pain.


SETTING
Outpatient pain clinic associated with a university hospital.


PATIENTS
Two patients with phantom limb pain after total hip disarticulation.


INTERVENTIONS
Treatment with clonazepam.


RESULTS AND CONCLUSIONS
Clonazepam provided effective relief for > 6 months in two patients with shooting/shocking phantom limb pain. Although clonazepam therapy is not new, it appears to have been omitted from current pain texts and journals as a treatment option for phantom limb pain.