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The idiopathic musculoskeletal pain syndromes in childhood

David D Sherry1, Peter N Malleson

  • 1Department of Pediatrics, University of Pennsylvania, 3101 Walnut Street, Philadelphia, PA 19104, USA. dsherr@chmc.org

Rheumatic Diseases Clinics of North America
|October 17, 2002
PubMed

Insights

Idiopathic musculoskeletal pain in children presents variably and requires careful diagnosis. Intense exercise therapy and addressing psychologic factors are key to improving outcomes and helping children resume normal lives.

Area of Science:

  • Pediatric Rheumatology
  • Pediatric Pain Management

Background:

  • Idiopathic musculoskeletal pain syndromes in children exhibit diverse clinical presentations.
  • Diagnosis can be challenging due to a broad differential diagnosis requiring thorough history, examination, and potentially investigations.

Purpose of the Study:

  • To outline the diagnostic approach and therapeutic strategies for idiopathic musculoskeletal pain syndromes in children.
  • To emphasize the importance of pain and functional assessment in monitoring treatment progress.

Main Methods:

  • Clinical evaluation including detailed history and physical examination.
  • Utilizing pain and functional assessments for progress tracking.
  • Incorporating intense exercise therapy and psychologic evaluation into treatment plans.

Main Results:

  • A careful history and physical examination are typically sufficient for diagnosis, though investigations may be needed.
  • Intense exercise therapy is linked to the most favorable outcomes.
  • Psychologic factors require evaluation for appropriate intervention.

Conclusions:

  • Most children experience good medium-term outcomes, but long-term prognosis remains uncertain.
  • Addressing psychologic components is crucial for successful management and rehabilitation.
  • Physicians must be prepared for challenges in patient and family acceptance of psychologic aspects.

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