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Pain syndromes in children.
1Division of Pediatric Rheumatology, University of British Columbia, Vancouver, British Columbia, Canada. Malleson@interchange.ubc.ca
Current Opinion in Rheumatology
|September 10, 2003
Summary
Pediatric rheumatologists should focus on chronic musculoskeletal pain in children, recognizing its multifactorial nature. Psychosocial factors and cognitive-behavioral therapies are key to effective pain management and reducing dysfunction.
Area of Science:
- Pediatric Rheumatology
- Pain Medicine
- Child Psychology
Background:
- Chronic or recurrent musculoskeletal pain is common in childhood.
- Recent literature highlights the multifactorial nature of pediatric pain.
- Understanding pain evaluation in children is crucial.
Purpose of the Study:
- To review recent literature on pediatric pain conditions relevant to rheumatologists.
- To emphasize musculoskeletal pain, particularly chronic or recurrent types.
- To discuss broader pain topics of general interest to rheumatologists.
Main Methods:
- Literature review of recent publications.
- Focus on musculoskeletal pain in children.
- Inclusion of articles with broader pain focus if relevant to rheumatologists.
Main Results:
- Pediatric pain is multifactorial, influenced by psychosocial factors even with organic causes.
- Cognitive-behavioral therapies show effectiveness in managing chronic childhood pain.
- Childhood back pain is increasingly recognized, linked to lifestyle factors.
Conclusions:
- Proper evaluation and management of pediatric pain are essential.
- Psychosocial factors significantly impact pain perception and dysfunction.
- Cognitive-behavioral approaches offer a promising avenue for treatment.