Chronic musculoskeletal pain in children: assessment and management

Jacqui Clinch1, Christopher Eccleston

  • 1Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, UK. jacqui.clinch@ubht.nhs.uk

Insights

Childhood chronic pain requires early intervention. Targeted psychological and physical therapies, alongside parental involvement, are key for managing pain and disability in children.

Area of Science:

  • Pediatrics
  • Rheumatology
  • Pain Management

Background:

  • Children frequently present with pain, with a subset developing complex chronic pain conditions.
  • Epidemiological studies highlight the prevalence of clinically relevant pain and disability in children.
  • Early recognition and intervention are crucial for managing childhood pain.

Purpose of the Study:

  • To provide an overview of the assessment and management of childhood chronic musculoskeletal pain.
  • To synthesize current research findings on childhood chronic pain.

Main Methods:

  • Review of epidemiological, etiological, and rehabilitation studies on childhood pain.
  • Analysis of research findings on pain assessment and management strategies.

Main Results:

  • Limited evidence supports most pharmacotherapy for chronic pain in children.
  • Strong evidence supports early, targeted psychological and physical interventions.
  • Parental education and involvement are essential for sustained progress.

Conclusions:

  • Effective management of childhood chronic pain relies on a multidisciplinary approach.
  • Early, targeted interventions and parental engagement are vital for improving outcomes.
  • Further research is needed to clarify the role of pharmacotherapy.

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