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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies
Andrea Rodriguez-Restrepo1, Jacob D AuBuchon
1Division of Pediatric Anesthesiology and Pediatric Pain Medicine, St. Louis, Missouri, USA.
Insights
Pediatric chronic pain is common and requires interdisciplinary care, including psychological and physical therapies, to improve function. Early intervention and pain education are crucial for rehabilitation.
Area of Science:
- Pediatric Pain Management
- Biopsychosocial Model in Healthcare
- Epidemiology of Chronic Pain
Background:
- Chronic pain in children is a prevalent and debilitating condition.
- Pediatric chronic pain can persist into adulthood, necessitating early intervention.
- The COVID-19 pandemic has exacerbated mental health issues, correlating with an increase in pediatric chronic pain.
Purpose of the Study:
- To update the understanding of pediatric chronic pain epidemiology.
- To review the pathophysiology and treatment strategies for pediatric chronic pain.
- To highlight the differences between pediatric and adult chronic pain.
Main Methods:
- Literature review on pediatric chronic pain.
- Analysis of epidemiological data.
- Synthesis of current treatment approaches.
Main Results:
- Interdisciplinary care, incorporating psychology and therapy, improves pain and function in children.
- Identifying at-risk pediatric patients for early interdisciplinary treatment is essential.
- Post-pandemic mental health decline is linked to increased pediatric chronic pain.
Conclusions:
- Chronic pediatric pain management should adopt a biopsychosocial model.
- Biological, psychological, and social factors significantly influence pain perception and experience.
- Patient and family pain education is a critical first step in functional rehabilitation.
Purpose Of Review:
To provide an updated summary on the epidemiology, pathophysiology, and treatment strategies of chronic pain in pediatric patients and its differences with chronic pain in adults.
Recent Findings:
Chronic pain in children is common, can be debilitating and can progress into adulthood, thus it requires an interdisciplinary evaluation and management. Targeting interdisciplinary care, including psychology, physical, and/or occupational therapy, has been shown to improve pain and function. Recent decline in mental health post pandemic has correlated with increase in pediatric chronic pain thus the need to identify patients at risk and offer early interdisciplinary treatment.
Summary:
Chronic pediatric pain should be addressed under the biopsychosocial model, where the biological, psychological, and social factors are evaluated on how they influence the pain perception, pain experience, functional ability, and treatment focus. Pain education to patients and their families is the crucial initial step towards a functional rehabilitation of pain.
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