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Approach to Musculoskeletal Pain in Children
1Department of Pediatrics, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India. anjupgi@gmail.com.
Insights
Pediatric musculoskeletal (MSK) pain has many causes. This review details how pediatricians can diagnose MSK pain through careful history, examination, and investigations.
Area of Science:
- Pediatric Orthopedics
- Rheumatology
- General Pediatrics
Background:
- Musculoskeletal (MSK) pain is a frequent complaint in children.
- Identifying the etiology of pediatric MSK pain is crucial for appropriate management.
- Various underlying conditions can lead to MSK pain in pediatric populations.
Purpose of the Study:
- To outline a systematic approach for diagnosing pediatric musculoskeletal pain.
- To review common causes of musculoskeletal pain in children.
- To equip pediatricians with diagnostic strategies for MSK pain.
Main Methods:
- Review of existing literature on pediatric musculoskeletal pain.
- Clinical guidelines for history taking and physical examination in pediatric MSK conditions.
- Discussion of common etiologies and diagnostic workup.
Main Results:
- A thorough patient history and physical examination are fundamental.
- Appropriate investigations aid in differentiating various causes of pain.
- Common causes include trauma, infections, inflammatory conditions, and neoplasms.
Conclusions:
- A structured diagnostic approach is essential for pediatric MSK pain.
- Early and accurate diagnosis improves patient outcomes.
- Pediatricians play a vital role in the initial evaluation and management of pediatric MSK pain.
Abstract:
Musculoskeletal (MSK) pain is a common pediatric problem and can occur due to many etiologies. A pediatrician should be clinically equipped to identify the cause of musculoskeletal pain by a meticulous history, a detailed physical examination and judicious use of appropriate investigations. In this review, the authors attempt to delineate the approach and discuss a few common causes of musculoskeletal pain.
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