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Paediatric chronic pain

  • Paul M. Rolfe
    Affiliations
    Paul M Rolfe MA MB BChir FRCA FFPMRCA is a Consultant in Paediatric Anaesthesia and Pain Medicine at Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, UK. Conflicts of interest: none declared
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      Abstract

      Many children and adolescents experience chronic pain at some point in their childhood. While the majority may be successfully supported by their local services, some may develop persistent pain-related functional disability that should prompt referral to a multidisciplinary paediatric pain service for assessment. These teams work with the family to provide a framework for promoting rehabilitation and restoration of function based on the biopsychosocial model. Mental health difficulties including psychological trauma are often a significant factor. Individualized therapeutic work is core to the pain management pathway. Medications and therapeutic injections are used less frequently in children compared to adult practice but may have a role in facilitating rehabilitation as part of a multidisciplinary approach.

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      Further reading

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