Mirror therapy in the treatment of phantom limb pain following traumatic upper limb amputation – a case report

Introduction. Phantom limb pain is a common complication after limb amputation, involving cortical reorganization and disturbed sensorimotor integration. Mirror therapy (MT), a non-invasive method using the illusion of the amputated limb, is applied to reduce pain. Aim. To present the case of a young woman after traumatic upper limb amputation, treated with mirror therapy for phantom limb pain. The report emphasizes the progression of therapy and the psychosocial aspects of rehabilitation. Case report. A 34-year-old woman, after left forearm amputation, experienced phantom pain (VAS 5–6/10) and non-painful phantom sensations. MT was applied daily in 2–3 sessions of 20 minutes. Gradual improvement in muscle tone and phantom perception was noted. Coexisting depressive and anxiety symptoms required psychological support. Results. Mirror therapy led to a marked reduction of phantom pain and improved functional body image. The patient gradually adapted to the new situation. Conclusions. Mirror therapy shows potential as an effective intervention in phantom limb pain management after upper limb amputation. The key to success is a comprehensive approach combining physical rehabilitation and psychological support.