Postamputation limb pain in military personnel: Separate but equal or separate and never equal?

Abstract: This resource is a commentary of 'A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel'. In this issue of PAIN, Kumar et al. present a systematic review of combat-related PAP among military personnel. The authors found a prevalence of approximately 60% for PLP and residual limb pain following combat trauma, consistent with previous reviews that included civilian or mixed cohorts. Despite focusing only on military personnel, they noted a high degree of heterogeneity related to case definitions, terminology, pain duration, follow-up, and data collection, all of which make it difficult to ascertain risk factors. Such observations emphasize the need for standardized definitions and terminology, as well as more consistent assessment.

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