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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.
Abstract:
Paediatricians and paediatric rheumatologists review a large number of children with ongoing pain (disease and non-disease related). A small number of these develop chronic pain conditions that are complex and distressing. Over recent years studies of the epidemiology, aetiology and rehabilitation of pain and pain-associated disability in children have revealed a large prevalence of clinically relevant pain, and have emphasized the need for early recognition and intervention. Medication has a role when part of a multidisciplinary framework, although there is little evidence for or against the effectiveness of most pharmacotherapy. There is strong evidence to support early targeted psychological and physical intervention, and an understanding that parental education and involvement is essential if progress is to be maintained. In this review, an overview of the assessment is presented and management of childhood chronic musculoskeletal pain conditions with reference to main research findings to date.
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