Article

Chronic pain in children and adolescents can be difficult for a single provider
to manage in a busy clinical setting. Part of this difficulty is that pediatric
chronic pain not only impacts the child but also the families of these children.
In this review article, we discuss etiology and pathophysiology of chronic pain,
along with variables that impact the severity of chronic pain and functional
loss. We review diagnosis and management of selected chronic pain conditions in
pediatric patients, including headache, low back pain, hypermobility, chronic
fatigue, postural orthostatic tachycardia syndrome, abdominal pain, fibromyalgia,
and complex regional pain syndrome. For each condition, we create a road map that
contains therapy prescriptions, exercise recommendations, and variables that may
influence pain severity. Potential medications for these pain conditions and
associated symptoms are reviewed. A multidisciplinary approach for managing
children with these conditions, including pediatric pain rehabilitation programs,
is emphasized. Lastly, we discuss psychological factors and interventions for
pediatric chronic pain and potential complementary and alternative natural
products and interventions.
CI - Copyright (c) 2015 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc.
All rights reserved.
- Enfant

Langue : ANGLAIS