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Team Approach: Complex Regional Pain Syndrome in Children and Adolescents
Kali R Tileston1, Anya Griffin1, Jenny F M Wagner2
1Stanford University School of Medicine, Stanford, California.
JBJS Reviews
|April 19, 2020
Summary
Interdisciplinary teams are crucial for managing chronic pain in children and adolescents. Early recognition and intensive, noninvasive therapies are key for treating complex regional pain syndrome (CRPS) effectively.
Area of Science:
- Pediatric Pain Management
- Rehabilitation Medicine
- Adolescent Health
Background:
- Chronic pain in children and adolescents requires specialized, multidisciplinary care.
- Complex Regional Pain Syndrome (CRPS) presents unique challenges in pediatric populations.
- Effective management necessitates a coordinated approach involving various medical and therapeutic professionals.
Observation:
- The optimal management of pediatric chronic pain, particularly CRPS, involves an interdisciplinary team.
- This team typically includes pain management specialists, physical therapists, occupational therapists, pain psychologists, and orthopaedists.
- Additional specialists like gastroenterologists, psychiatrists, and nutritionists may be involved based on individual patient needs.
Findings:
- Rapid recognition of CRPS and prompt initiation of treatment are critical for successful outcomes.
- Intensive therapeutic interventions have demonstrated significant effectiveness in treating pediatric CRPS.
- Children and adolescents often exhibit a greater responsiveness to noninvasive treatment modalities compared to adults.
Implications:
- Establishing comprehensive interdisciplinary pain programs is essential for pediatric patients.
- Early and accurate diagnosis of CRPS in children can significantly improve prognosis.
- Tailoring treatment plans, emphasizing noninvasive and intensive therapies, can lead to better functional recovery and pain relief in pediatric CRPS cases.
