For phantom limb pain after an amputation, which comfort measure is appropriate?

• A. Elevate residual limb
• B. Wrap and apply ice/heat
• C. Administer opioids
• D. Massage the stump

Answer: (B)

Phantom limb pain is often comforted by nonpharmacologic, residual-limb care that reduces nerve irritation and provides soothing sensory input. Wrapping the stump helps shape it and control edema, which can lessen pressure and abnormal nerve signaling in the area. Adding heat or cold gives gentle sensory stimulation that can ease pain without systemic meds, sometimes providing quicker relief than reaching for medications. Elevating the residual limb is mainly a short-term practice after surgery for edema control, not a ongoing strategy for phantom pain. Opioids are systemic analgesics and not a comfort measure; they address pain more broadly and carry risks. Massaging the stump can sometimes help, but for phantom limb pain its effects are variable and may irritate certain nerves, so the wrap with temperature modulation remains the most appropriate first-step comfort measure.