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Integrative care for pediatric patients with pain
1Center for Integrative Medicine, Pediatrics, Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Summary
Children with chronic pain seeking integrative care often have complex health needs. These patients are interested in lifestyle changes, stress reduction, and complementary therapies for better outcomes.
Area of Science:
- Pediatric Medicine
- Integrative Health
- Pain Management
Background:
- Pediatric patients with chronic pain frequently utilize complementary therapies.
- Limited understanding exists regarding patients seeking academic integrative pediatric care for pain.
Purpose of the Study:
- To characterize new patients with chronic pain presenting to an academic integrative pediatric clinic.
- To understand their health concerns, treatment modalities, and therapeutic interests.
Main Methods:
- Retrospective chart review of new pediatric patients with pain as the primary concern.
- Data abstracted from intake forms and physician records between January 2010 and December 2011.
Main Results:
- 49 patients (mean age 13±4 years) presented with headache, abdominal, or musculoskeletal pain.
- High prevalence of co-occurring symptoms (fatigue, mood issues, sleep problems) and parental health concerns.
- Patients frequently used prescription medications and dietary supplements; many had suboptimal vitamin D levels.
- Families desired counseling on diet, exercise, sleep, and stress management.
- Recommended interventions included dietary supplements, stress-reduction techniques (biofeedback, yoga), acupuncture, and massage.
Conclusions:
- Pediatric patients with chronic pain in integrative settings often present with complex, multifaceted conditions.
- These patients show a strong interest in lifestyle modification, stress reduction, and complementary therapies.
- Integrative pediatric care may offer a beneficial medical home model for these complex cases.
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