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Mirror Therapy - Patient and Family Information (7540)

Mirror Therapy - Patient and Family Information (7540) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, PVS


Mirror Therapy – Patient and Family Information

What is Mirror Therapy?

Sometimes, after limb loss, patients can still have feelings in the leg that has been amputated. It
can be painful and upsetting to feel things like pain, itching, heat, cold in a leg that you cannot
touch or move. Mirror Therapy is a treatment we can use to “trick the brain” into thinking that
the leg is still there, and that it moves well and does not hurt. Research has shown that this
“tricking of the brain” actually works. It sends signals to areas in the brain that can cause
feelings in the amputated leg. This has been shown to actually decrease that “phantom” pain.

How do I do it?

All you need is a tall mirror- the kind you might hang on the back of a closet door. You can buy
one cheaply at many area stores including Home Depot, Menards, Target, and Walmart.

Sit down on the bed, couch, or floor, with your legs straight in front of you. Place the mirror
between your legs, with the reflective side facing your good leg. When you look into the mirror,
you should see you leg reflected there, “tricking” your brain into thinking it is your amputated

Now move your leg, doing the exercises your therapist has given you. You should not look at
your amputated leg behind the mirror, just look into the mirror. The image you see will make it
seem like your amputated leg is moving, without pain. This information is sent to your brain,
and over time can decrease your pain. Some people feel relief right away, other need a little time
to feel the effects of this treatment.

How often do I need to practice?

Your physical therapist will help you come up with a program that is right for you. They will
help you decide what exercises to do; how long each mirror therapy session should be; and how
many times a day or week you should do this treatment. A good goal is to work up to 15
minutes a day. This can be broken up into 5 minutes, 3 times a day, or all at once. You and your
therapist can come up with a routine that works best for you.


Darnall BD, Li H. Home-based self-delivered mirror therapy for phantom pain: A pilot
study. J Rehabil Med. 2012;44:254-260. doi:10.2340/16501977-0933.

Chan BL, Witt R, Charrow AP, Magee A, et al. Mirror therapy for phantom limb pain.
N. Engl. J. Med 2007; 357:2206

MacLachlan M, McDonald D, WAloch J. Mirror treatment of lower limb phantom pain:
A case study. Disabil Rehabil. 2004: 26: 901-904

Ramachandran VS, Altschuler E. The use of visual feedback, in particular mirror visual
feedback, in restoring brain function Brain 2009:132;1693-1710

UPI Video. Treating 'phantom limb pain' with mirror therapy
http://www.youtube.com/watch?v=YL_6OMPywnQ. Uploaded on July 27, 2009

Stroke Engine Intervention. Canadian Stroke Network. Patient/Family Mirror Therapy
PDF http://strokengine.ca/intervention/index.php?page=topic&subpage=patient&id=49

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright ©3/2015. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7540.