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Cited by 128Pediatric Pain Management TechniquesMusculoskeletal pain and rehabilitationPain Management and Treatment

Managing Chronic Pain in Children and Adolescents: A Clinical Review

Landry, Bradford W., Fischer, Philip R., Driscoll, Sherilyn W., Koch, Krista M., Harbeck‐Weber, Cynthia, Mack, Kenneth J., Wilder, Robert T., Bauer, Brent A. +1 more·2015·PM&R
DOI 10.1016/j.pmrj.2015.09.006
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Abstract

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.

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Crossref · 10.1016/j.pmrj.2015.09.006

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161 of 161 references verified0 citation errors · 0 not checkable

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  • Parental overprotective behaviour can increase distress and disability in young people with FSS.

    “parental overprotective behaviour can increase distress and disability in the young [18–21]”

    From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [18]

  • Active interventions (e.g., exercise) have a more significant role than passive interventions (e.g., massage or TENS) in pediatric chronic pain rehabilitation because the goal is to promote independence and return to functioning.

    “Because the goal of these therapies is to promote independence (i.e., ability to manage daily life without excessive support from parents and caregivers) and a return to functioning (e.g., return to school and sport), active interventions (e.g., exercise) have a more significant role than passive interventions (e.g., massage or transcutaneous electrical nerve stimulation (TENS)) [21].”

    From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [21]

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Authors
Landry, B. W., Fischer, P. R., Driscoll, S. W., Koch, K. M., Harbeck‐Weber, C., Mack, K. J., Wilder, R. T., Bauer, B. A., & Brandenburg, J. E.
Affiliations
Mayo Clinic (US)
Corresponding author
Landry, Bradford W.
ORCID
Venue
PM&R
Publisher
Wiley
Published
2015-11
Volume
7
Issue
11S
Pages
S295-S315
ISSN
  • 1934-1482 (ISSN-L)
  • 1934-1563
DOI
10.1016/j.pmrj.2015.09.006
OpenAlex
W2176268595
Cited by
128
References
161
Citations by year
2026: 2 · 2025: 20 · 2024: 14 · 2023: 14 · 2022: 13 · 2021: 14 · 2020: 17 · 2019: 16 · 2018: 12 · 2017: 6
FWCI
0.91
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 11 d)
Locations
  • PM&R (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
pediatric chronic pain, children and adolescents, headache, low back pain, joint hypermobility, chronic fatigue, postural orthostatic tachycardia syndrome, abdominal pain, fibromyalgia, complex regional pain syndrome, pain intensity, functional loss, analgesics, exercise recommendations, multidisciplinary pain management, psychological factors in pain, complementary and alternative medicine
MeSH terms
Adolescent, Child, Combined Modality Therapy, Humans, Pain Measurement, Chronic Pain, Pain Management

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