Integumentary and Musculoskeletal System Case Study
Several months ago, a young woman fell while rock climbing and her left leg was wedged tightly into a crevice. The resulting injury was severe and required amputation below the knee. She has reported to her
physician that she continues to suffer from phantom limb pain.
Based on the scenario given above, answer the following:
• What theory explains the type of pain experienced by the woman described in the scenario?
• Nociceptors are free nerve endings in the afferent peripheral nervous system (PNS) that selectively respond to different stimuli. Please categorize according to stimulus which they respond to and the properties of the nerve fibers associated with them.
Which fibers would most likely be responsible for causing the client’s phantom limb pain?

Books used are: McCance, K., Huether, S., Brashers, V., & Rote, N. (2014). Altered cellular and tissue biology. In K. McVance, T. Grey, & G. Rodway (Eds.), Pathophysiology: The biological basis for disease in adults and children (11th ed.). St. Louis, MO: Elsevier-Mosby


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