| CONSULT REQUEST GUIDELINES
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Phantom Limb/Stump Pain
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Amputation of any limb has a potential to lead to either a painful or non painful sequelae such as: phantom sensation, telescoping, stump pain and phantom pain. It can also occur after mastectomy. A trial of NSAID's, anticonvulsants, TCA's, TENS unit
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| Suggested Additional Test/Management Prior to Specialty Visit |
Please include any pertinent history including medications.
For more information regarding our program and what we offer please visit our website at U of M Back & Pain Center (www.umpain.com)
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| Patient Education/Information (includes preps) |
U of M Back & Pain Center
Support groups
Biofeedback |
| Appointment Timeframe |
Next available appointment (2-4 weeks)
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit or fax to 734-936-6585 |
| Clinic Contact Information |
Physicians: 800-962-3555
Patient: 734-763-5459 |
| Clinic Location Sites |
Brighton Health Center
Burlington Building
Canton Health Center
Dexter
East Ann Arbor
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| UM Consulting Physician |
U of M Back & Pain Center Faculty
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| Revised on: |
10/01/2012 |
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