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Pain syndromes in children

D D Sherry1

  • 1Department of Pediatric Rheumatology, Children's Hospital and Regional Medical Center, Rheumatology CH-73, 4800 Sand Point Way, NE, Seattle, WA 98105, USA. dsherry@u.washington.edu

Current Rheumatology Reports
|December 21, 2000
PubMed

Insights

Pediatric rheumatologists manage diverse causes of childhood musculoskeletal pain, including arthritis and amplified pain syndromes. Differentiating physical from psychological causes remains a challenge despite recent literature advancements.

Area of Science:

  • Pediatric Rheumatology
  • Musculoskeletal Pain in Children

Background:

  • Children present with a wide spectrum of musculoskeletal pain causes.
  • Conditions range from arthritis and hypermobility to amplified pain syndromes like fibromyalgia.

Purpose of the Study:

  • To review recent literature on pediatric musculoskeletal pain.
  • To highlight challenges in differentiating physical and psychological pain origins.

Main Methods:

  • Literature review of recent studies on pediatric musculoskeletal pain.
  • Analysis of conditions affecting children and adolescents.

Main Results:

  • Progress is being made in understanding pediatric pain conditions.
  • Distinguishing between somatic (physical) and psychic (mental) pain remains difficult.
  • Children's pain presentations differ significantly from adults'.

Conclusions:

  • Vigilance in history taking, physical examination, and investigations aids diagnosis.
  • Appreciating the varied presentations of each condition is crucial for effective management.

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