Chronic musculoskeletal pain in children: assessment and management


Clinch, J. and Eccleston, C., 2009. Chronic musculoskeletal pain in children: assessment and management. Rheumatology, 48 (5), pp. 466-474.

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Paediatricians and paediatric rheumatologists review a large number of children with ongoing pain (disease and non-disease related). A small number of these develop chronic pain conditions that are complex and distressing. Over recent years studies of the epidemiology, aetiology and rehabilitation of pain and pain-associated disability in children have revealed a large prevalence of clinically relevant pain, and have emphasized the need for early recognition and intervention. Medication has a role when part of a multidisciplinary framework, although there is little evidence for or against the effectiveness of most pharmacotherapy. There is strong evidence to support early targeted psychological and physical intervention, and an understanding that parental education and involvement is essential if progress is to be maintained. In this review, an overview of the assessment is presented and management of childhood chronic musculoskeletal pain conditions with reference to main research findings to date.


Item Type Articles
CreatorsClinch, J.and Eccleston, C.
Related URLs
Uncontrolled Keywordsdemedicalization,complex regional pain syndrome,localized idiopathic pain,chronic pain,pain education,diffuse idiopathic pain,multidisciplinary rehabilitation,pain-associated disability,children,juvenile fibromyalgia
DepartmentsFaculty of Humanities & Social Sciences > Health
Research CentresCentre for Pain Research
ID Code14232


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